Early Mobility Bundle to Prevent Hospital Acquired Pneumonia (HAP) in Medical Inpatients
NCT ID: NCT01769742
Last Updated: 2014-12-03
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
1178 participants
INTERVENTIONAL
2013-02-28
2013-09-30
Brief Summary
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The investigators propose a pilot study to assess the impact of introducing an early mobilisation strategy to general medical and respiratory wards at an acute Trust in the United Kingdom (UK). The investigators will recruit all new admissions to each of 2 respiratory and 2 elderly care wards - 1 of each ward type will be allocated to receive extra physiotherapy input targeting new admissions for early mobilisation. Patients' usual mobility, current mobility and actual activity levels will be studied by accelerometer and simple patient questionnaire in the first 48 hours of admission, and compared between groups. Incidence of HAP and total LOS will be recorded and compared between groups.
The investigators hypotheses are that the physiotherapy intervention will increase activity levels, reduce incidence of HAP and reduce LOS. The latter may result in cost savings to the National Health Service (NHS), which the investigators will model using local tariff data.
The investigators plan to use our data to power a larger randomised controlled study, or if the intervention is a marked success, such that a control group would be unethical, then a wider service development and evaluation programme.
Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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Early mobility bundle
Delivery of early targeted physiotherapy to patients on the interventional wards; to comprise assessment and communication of mobility to ward staff and patient, provision of mobility aids, guidance and encouragement to patient and staff to allow patient to dress and mobilise independently if clinically safe to do so
Early mobility bundle
Usual care
Usual physiotherapy service only
No interventions assigned to this group
Interventions
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Early mobility bundle
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Immobile patients and those unable to consent will be excluded from the sub-study using activity reporting and monitoring by Actigraph
16 Years
ALL
No
Sponsors
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Heart of England NHS Trust
OTHER
University of Birmingham
OTHER
Responsible Party
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Alice Turner
Clinician Scientist and Honorary Consultant Physician
Principal Investigators
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Alice Turner
Role: PRINCIPAL_INVESTIGATOR
University of Birmingham
Locations
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Heart of England NHS Trust
Birmingham, West Midlands, United Kingdom
Countries
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References
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Stolbrink M, McGowan L, Saman H, Nguyen T, Knightly R, Sharpe J, Reilly H, Jones S, Turner AM. The Early Mobility Bundle: a simple enhancement of therapy which may reduce incidence of hospital-acquired pneumonia and length of hospital stay. J Hosp Infect. 2014 Sep;88(1):34-9. doi: 10.1016/j.jhin.2014.05.006. Epub 2014 Jun 20.
Other Identifiers
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RG-12-237
Identifier Type: -
Identifier Source: org_study_id