Impact of Early Mobilization on Mechanical Ventilation Duration in Intubated Critically Ill Patients

NCT ID: NCT02520193

Last Updated: 2017-05-05

Study Results

Results pending

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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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

772 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-31

Study Completion Date

2018-08-31

Brief Summary

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The purpose of the present study is to compare usual care in terms of mobilization performed to intubated ICU patients to a standardized program designed to deliver early mobilization at least 5 days a week.

This study has a before / after design with a control group during the experimental phase. The first phase of the study corresponds to an observational phase during which every act of mobilization performed to the included patients is going to be documented. During this first study period, total duration of mechanical ventilation is going to be recorded for all the patients included.

At the end of this first study period, the participating ICU are going to be randomized (Cluster randomization) in two groups either observational or experimental. The corresponding strategy is going to be applied to all the patients included during the second study period. During this second period, total duration of mechanical ventilation is also going to be recorded for all the patients included.

The study hypothesis is that applying a protocolized early mobilization strategy increases the number of ventilator free-days during the 28 days after intubation in ICU patients.

Detailed Description

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Conditions

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ICU Acquired Weakness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Standard mobilization strategy

Group Type NO_INTERVENTION

No interventions assigned to this group

protocolized early mobilization strategy

Group Type EXPERIMENTAL

Protocolized early mobilization in ICU

Intervention Type PROCEDURE

Interventions

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Protocolized early mobilization in ICU

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Admission in intensive care unit
* Invasive ventilation for more than 24 hours
* Invasive ventilation for less than 48 hours
* Expected duration of invasive ventilation of more than 24 hours at the time of inclusion.

Exclusion Criteria

* Pregnancy
* Failure to obtain a consent from someone authorized
* Patient under law protection.
* Patient non-affiliated to a health care system.
* Active therapeutic limitation
* Hospitalisation for more than 7 days before intubation
* Admission in intensive care unit after a surgical procedure, burn or trauma
* Admission in intensive care unit because of neurological disease
* Previously known neuromuscular disease
* Bilateral lower limbs amputation
* BMI above 40 kg/m²
* Limitation in daily activities before ICU admission
* Chronic ventilation (more than 12h /24 hours) on tracheotomy before ICU admission
* Participation in another interventional clinical study related to mobilization or in an interventional clinical study which has mechanical ventilation duration as primary outcome
* Previous enrolment in the same phase of the EarlyMob study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Angers

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hôpital Erasme

Brussels, , Belgium

Site Status RECRUITING

Cliniques Universitaires Saint-Luc - Service des soins intensifs

Brussels, , Belgium

Site Status RECRUITING

CHR Citadelle - Services Soins intensifs, gériatriques et pédiatriques

Liège, , Belgium

Site Status RECRUITING

CHU de Liege - Service de soins intensifs généraux

Liège, , Belgium

Site Status RECRUITING

Cliniques Universitaires UCL de Mont-Godinne - Service intensifs généraux

Yvoir, , Belgium

Site Status RECRUITING

CHU Angers - Service de Réanimation Médicale et de Médecine Hyperbare

Angers, , France

Site Status RECRUITING

CHU de Brest - Service de réanimation médicale

Brest, , France

Site Status RECRUITING

CH de Pontoise - Serive de réanimation médicale - CH René Dubos

Cergy-Pontoise, , France

Site Status RECRUITING

AP-HP Hôpital Henri Mondor - Service de Réanimation Médicale

Créteil, , France

Site Status RECRUITING

CHD Vendée - Service de Réanimation Polyvalente

La Roche-sur-Yon, , France

Site Status RECRUITING

Centre Hospitalier La Rochelle - Ré- Aunis - Réanimation polyvalente

La Rochelle, , France

Site Status RECRUITING

CHU Grenoble - Service de Réanimation Médicale - Hôpital A, Michallon

La Tronche, , France

Site Status RECRUITING

Centre Hospitalier Le Mans - Service de Réanimation médico-chirurgicale

Le Mans, , France

Site Status RECRUITING

CHRU de Lille - Pôle de réanimation -Hôpital Roger Salengro

Lille, , France

Site Status RECRUITING

CH St Joseph St Luc - Service de Réanimation Polyvalente

Lyon, , France

Site Status RECRUITING

Groupe Hospitalier du Havre - Service de Réanimation médico-chirurgicale - Hôpital Jacques Monod

Montivilliers, , France

Site Status RECRUITING

CHU de Nantes - Service de Réanimation Médicale Polyvalente

Nantes, , France

Site Status RECRUITING

CHU de Nice - Service de réanimation médicale - Hôpital de l'Archet

Nice, , France

Site Status RECRUITING

AP-HP Hôpital Tenon - Service de Réanimation

Paris, , France

Site Status RECRUITING

AP-HP Hôpitaux Universitaires Paris Ouest- Service de réanimation médicale - Hôpital Européen Georges Pompidou

Paris, , France

Site Status RECRUITING

CHU Toulouse - service de néphrologie Hémodialyse HTA Transplantation d'Organes - Hôpital Rangueil

Toulouse, , France

Site Status RECRUITING

Service de Réanimation Polyvalente -CHU de Toulouse - Hôpital Rangueil

Toulouse, , France

Site Status RECRUITING

CHUV

Lausanne, , Switzerland

Site Status RECRUITING

Countries

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Belgium France Switzerland

Central Contacts

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Laurent POIROUX

Role: CONTACT

++33 2 41 35 64 40

Lise PIQUILLOUD, MD

Role: CONTACT

++41 79 556 68 27

Facility Contacts

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Jean-Charles PREISER

Role: primary

Xavier WITTEBOLE

Role: primary

Vincent FRAIPONT

Role: primary

Pierre DAMAS

Role: primary

Geoffrey HORLAIT

Role: primary

Alain MERCAT

Role: primary

Gwenael PRAT

Role: primary

Cédric CLEOPHAX

Role: primary

Keyvan RAZAZI

Role: primary

Isabelle VINATIER

Role: primary

Maxime LELOUP

Role: primary

Nicolas TERZI

Role: primary

Nicolas CHUDEAU

Role: primary

Saad NSEIR

Role: primary

Gael BOURDIN

Role: primary

Mehdi BOUSTA

Role: primary

Christophe GUITTON

Role: primary

Jean DELLAMONICA

Role: primary

Muriel FARTOUKH

Role: primary

Jean Luc DIEHL

Role: primary

Olivier COINTAULT

Role: primary

Stéphanie RUIZ

Role: primary

Lise Piquilloud Imboden

Role: primary

Other Identifiers

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2015-A00741-48

Identifier Type: OTHER

Identifier Source: secondary_id

PHRIP 2014-01

Identifier Type: -

Identifier Source: org_study_id

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