Patterns of Physical Activity and Sedentary Time in Survivors of a Critical Illness During a Hospital Admission

NCT ID: NCT02881801

Last Updated: 2016-08-29

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 40 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2015-03-31
• Study Completion Date: 2016-07-31

Brief Summary

This study aims to describe the pattern of active and sedentary time in survivors of a critical illness, at three time points during their hospital admission (awakening in the ICU after ≥ 5 days of mechanical ventilation, discharge to ward and discharge from hospital).

The specific research objectives are to

1. Determine the duration of active and sedentary parameters including time and bouts in 24 hour periods

2. Examine changes in the active and sedentary parameters including time and bouts between time points of awakening and both ICU and hospital discharge.

3. Conduct a preliminary examination of relationships between activity and sedentary behaviour metrics with measures of muscle strength, physical function and hospital length of stay.

Detailed Description

This is a prospective observational study that consecutively samples eligible patients with a critical illness, requiring intensive care. This study will use two activity monitors (accelerometers) to measure physical activity and sedentary variables from patients recovering from a critical illness in a single tertiary hospital on three occasions during their acute hospital admission. Accelerometer derived measures will be obtained from continuous 24 hour monitoring periods once patients are sufficiently awake and attentive within the ICU, at ICU discharge and again at acute hospital discharge. Measurements of patients muscle strength and physical function will also be made at the time of accelerometry.

Conditions

Motor Activity; Sedentary Lifestyle; Critical Illness

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Eligibility Criteria

Inclusion Criteria

• Adult patient ≥ 18 years of age
• Patient is/was intubated (endotracheal, nasotracheal or tracheostomy) and required ≥ 5 days of mechanical ventilation (irrespective of reason for ventilatory support)

Exclusion Criteria

• Unable to ambulate independently (either with or without gait aids) at least 10 meters within the last 3 months
• Ordinarily unable to understand written and spoken English sufficient to provide consent (e.g. due to non-English speaking background or pre-existing cognitive impairment)
• Assessed by medical staff as approaching imminent death or withdrawal of medical management

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Australian Physiotherapy Research Foundation

OTHER

Sponsor Role: collaborator

University of Leicester

OTHER

Sponsor Role: collaborator

University of South Australia

OTHER

Sponsor Role: lead

Responsible Party

Claire Baldwin

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

References

Baldwin CE, Rowlands AV, Fraysse F, Johnston KN. The sedentary behaviour and physical activity patterns of survivors of a critical illness over their acute hospitalisation: An observational study. Aust Crit Care. 2020 May;33(3):272-280. doi: 10.1016/j.aucc.2019.10.006. Epub 2019 Dec 6.

Reference Type: DERIVED

PMID: 31813736 (View on PubMed)

Other Identifiers

91.41

Identifier Type: OTHER

Identifier Source: secondary_id

0000032489

Identifier Type: -

Identifier Source: org_study_id