Trial Outcomes & Findings for Exploration of Investigating ICU Mobilisation With Vasoactive Drugs (NCT NCT03869541)

NCT ID: NCT03869541

Last Updated: 2021-11-11

Results Overview

The number of patient participants who would hypothetically accept being randomised into a future trial on the safety of mobilising patients receiving vasoactive drugs.

Recruitment status

COMPLETED

Target enrollment

100 participants

Primary outcome timeframe

Baseline (approximately one day from enrolment)

Results posted on

2021-11-11

Participant Flow

Participant milestones

Participant milestones
Measure
Intensive Care Patients
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Unit Clinicians
Clinicians for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
ICU Rehabilitation Clinicians
Clinicians for participation in a survey on the feasibility of an ICU physical rehabilitation adverse event tool.
Overall Study
STARTED
40
50
10
Overall Study
COMPLETED
40
50
10
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Data only collected for Intensive care patients arm for this baseline measure.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intensive Care Patients
n=40 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Clinicians
n=50 Participants
Clinicians for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Rehabilitation Clinicians
n=10 Participants
Clinicians for participation in a survey on the feasibility of an ICU physical rehabilitation adverse event tool.
Total
n=100 Participants
Total of all reporting groups
Age, Continuous
66 years
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
66 years
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
Sex: Female, Male
Female
14 Participants
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
14 Participants
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
Sex: Female, Male
Male
26 Participants
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
26 Participants
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
Race/Ethnicity, Customized
Ethnicity · Black/African/Caribbean/Black British
3 Participants
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
3 Participants
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
Race/Ethnicity, Customized
Ethnicity · White
29 Participants
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
29 Participants
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
Race/Ethnicity, Customized
Ethnicity · Other / not stated
8 Participants
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
8 Participants
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
Region of Enrollment
United Kingdom
40 participants
n=40 Participants
50 participants
n=50 Participants
10 participants
n=10 Participants
100 participants
n=100 Participants
BMI
26 kg/m^2
n=35 Participants • Number analysed in row differs from overall due to missing data. Data only collected for Intensive care patients arm for this baseline measure.
26 kg/m^2
n=35 Participants • Number analysed in row differs from overall due to missing data. Data only collected for Intensive care patients arm for this baseline measure.
APACHE (Acute physiology and chronic health evaluation)II score
16 units on a scale
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
16 units on a scale
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
Sequential Organ Failure Assessment (SOFA) score
6 units on a scale
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
6 units on a scale
n=40 Participants • Data only collected for Intensive care patients arm for this baseline measure.
Duration of invasive mechanical ventilation
0 days
n=40 Participants • Baseline measure only recorded for intensive care patients arm.
0 days
n=40 Participants • Baseline measure only recorded for intensive care patients arm.
Profession
Doctor
17 Participants
n=50 Participants • Data not collected for Intensive care patients arm for this baseline measure.
0 Participants
n=10 Participants • Data not collected for Intensive care patients arm for this baseline measure.
17 Participants
n=60 Participants • Data not collected for Intensive care patients arm for this baseline measure.
Profession
Nurse
26 Participants
n=50 Participants • Data not collected for Intensive care patients arm for this baseline measure.
0 Participants
n=10 Participants • Data not collected for Intensive care patients arm for this baseline measure.
26 Participants
n=60 Participants • Data not collected for Intensive care patients arm for this baseline measure.
Profession
Physiotherapist
7 Participants
n=50 Participants • Data not collected for Intensive care patients arm for this baseline measure.
10 Participants
n=10 Participants • Data not collected for Intensive care patients arm for this baseline measure.
17 Participants
n=60 Participants • Data not collected for Intensive care patients arm for this baseline measure.
ICU experience
11 Years
n=48 Participants • Missing data for two participants. Data not collected for Intensive care patients arm for this baseline measure. Data was collected for intensive care rehabilitation clinicians, however this has been summarized with a different measure type and dispersion, therefore is reported as a separate variable.
11 Years
n=48 Participants • Missing data for two participants. Data not collected for Intensive care patients arm for this baseline measure. Data was collected for intensive care rehabilitation clinicians, however this has been summarized with a different measure type and dispersion, therefore is reported as a separate variable.
ICU experience of rehabilitation clinicians
6 Years
STANDARD_DEVIATION 5 • n=9 Participants • Missing data for one participant. Data not collected for Intensive care patients arm for this baseline measure. Data was collected for intensive care clinicians arms, but summarised as a different measure type and dispersion, therefore reported as a different baseline measure.
6 Years
STANDARD_DEVIATION 5 • n=9 Participants • Missing data for one participant. Data not collected for Intensive care patients arm for this baseline measure. Data was collected for intensive care clinicians arms, but summarised as a different measure type and dispersion, therefore reported as a different baseline measure.
Healthcare experience
16 Years
n=48 Participants • Missing data for two participants. Data not collected for Intensive care patients arm for this baseline measure. Data was collected for intensive care rehabilitation clinicians, however this was summarized as a different measure type and dispersion, therefore this is displayed as a separate variable.
16 Years
n=48 Participants • Missing data for two participants. Data not collected for Intensive care patients arm for this baseline measure. Data was collected for intensive care rehabilitation clinicians, however this was summarized as a different measure type and dispersion, therefore this is displayed as a separate variable.
Healthcare experience of rehabilitation clinicians
9 Years
STANDARD_DEVIATION 6 • n=9 Participants • Missing data for one participant. Data not collected for Intensive care patients arm for this baseline measure. Data was collected for intensive care clinicians, however this was summarized as a different measure type and dispersion, therefore this is represented as a different baseline measure.
9 Years
STANDARD_DEVIATION 6 • n=9 Participants • Missing data for one participant. Data not collected for Intensive care patients arm for this baseline measure. Data was collected for intensive care clinicians, however this was summarized as a different measure type and dispersion, therefore this is represented as a different baseline measure.

PRIMARY outcome

Timeframe: Baseline (approximately one day from enrolment)

Population: Number of participants without missing data for this outcome

The number of patient participants who would hypothetically accept being randomised into a future trial on the safety of mobilising patients receiving vasoactive drugs.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=37 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Hypothetical Recruitment Rate for a Future Randomised Controlled Trial.
30 Participants

PRIMARY outcome

Timeframe: 60 days

Population: Total number of participants in this participant group

Patient participant follow-up rate at 60 days.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=40 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Number of Participants With Follow-up at 60 Days
40 Participants

SECONDARY outcome

Timeframe: Baseline (approximately one day from enrolment)

Population: For each of the 40 patient participants, number of randomisation surveys completed by the four groups described above.

Survey measuring participant acceptance of hypothetical randomisation scenarios: scenario 1: early versus no rehabilitation

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=37 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
n=32 Participants
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
n=34 Participants
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
n=40 Participants
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Number of Participants Rating the 'Early Versus no Rehabilitation' Randomisation Scenario Was Acceptable
15 Participants
11 Participants
18 Participants
6 Participants

SECONDARY outcome

Timeframe: Baseline (approximately one day from enrolment)

Population: For each of the 40 patient participants, number of randomization surveys completed by the four groups described above.

Survey measuring participant acceptance of hypothetical randomization scenarios: scenario 2: early rehabilitation versus standard care

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=37 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
n=32 Participants
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
n=34 Participants
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
n=40 Participants
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Number of Participants Rating the 'Early Rehabilitation Versus Standard Care' Randomization Scenario as Acceptable
25 Participants
30 Participants
28 Participants
35 Participants

SECONDARY outcome

Timeframe: Baseline (approximately one day from enrolment)

Population: For each of the 40 patient participants, number of randomisation surveys completed by the four groups described above.

Survey measuring participant acceptance of hypothetical randomization scenarios: scenario 3: protocolised rehabilitation versus standard care

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=36 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
n=32 Participants
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
n=35 Participants
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
n=40 Participants
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Number of Participants Rating the 'Protocolised Rehabilitation Versus Standard Care' Randomisation Scenario as Acceptable
24 Participants
28 Participants
27 Participants
33 Participants

SECONDARY outcome

Timeframe: Baseline (approximately one day from enrolment)

Population: Number of participants for whom pre-morbid evaluation of comorbidities was attempted.

Quantity of missing data resulting from measurement of participant pre-morbid co-morbidities.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=40 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Number of Participants Where Participant Pre-morbid Comorbidities Measurement Was Not Completed.
8 Participants

SECONDARY outcome

Timeframe: Baseline (approximately one day from enrolment)

Population: Number of participants for whom pre-morbid evaluation of frailty was attempted.

Quantity of missing data resulting from measurement of participant pre-morbid frailty.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=40 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Number of Participants Where Participant Pre-morbid Frailty Measurements Were Not Completed.
2 Participants

SECONDARY outcome

Timeframe: Baseline (approximately one day from enrolment)

Population: Number of participants for whom the pre-morbid measurement of physical function was attempted.

Quantity of missing data resulting from measurement of participant pre-morbid physical function.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=40 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Number of Participants Where Participant Pre-morbid Physical Function Measurement Was Not Completed.
2 Participants

SECONDARY outcome

Timeframe: Through duration of ICU stay (average of 7 days).

Population: Number of mobilization treatments where data was available for analysis. Please note the categories presented below are not mutually exclusive e.g. a decision whether to mobilize could have been made with a nurse and a doctor. Therefore, the sum of the categories will be greater than the overall number of participants analyzed.

Recorded whenever a physiotherapist reviews a patient participant for potential physical rehabilitation whilst they are receiving vasoactive drugs and the patient was mobilized.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=21 Treatment sessions
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Who Made the Final Decision Whether to Mobilize the Patient
Alone
9 Treatment sessions
Who Made the Final Decision Whether to Mobilize the Patient
Nurse
7 Treatment sessions
Who Made the Final Decision Whether to Mobilize the Patient
Lead physiotherapist
3 Treatment sessions
Who Made the Final Decision Whether to Mobilize the Patient
Senior doctor
1 Treatment sessions
Who Made the Final Decision Whether to Mobilize the Patient
Doctor in charge
4 Treatment sessions
Who Made the Final Decision Whether to Mobilize the Patient
Surgical team
1 Treatment sessions

SECONDARY outcome

Timeframe: Through duration of ICU stay (average of 7 days).

Population: Number of mobilization treatments where data was available for analysis

Recorded whenever a physiotherapist reviews a patient participant for potential physical rehabilitation whilst they are receiving vasoactive drugs and the patient was mobilized. Qualitative measure: reasons underwent content analysis, with the outcome being the themes summarizing the reasons.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=1 Entire group where data available
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
The Reasons for the Decision When Patient Was Mobilized.
Vasoactive dose decreasing and blood pressure improved
1 Entire group where data available
The Reasons for the Decision When Patient Was Mobilized.
Cardiovascularly stable and/or minimal vasoactive drug dose
1 Entire group where data available
The Reasons for the Decision When Patient Was Mobilized.
Was cardiovascularly stable on initial cautious mobilisation.
1 Entire group where data available
The Reasons for the Decision When Patient Was Mobilized.
Post-operative
1 Entire group where data available
The Reasons for the Decision When Patient Was Mobilized.
Rationale for chest optimisation and improve strength and function.
1 Entire group where data available
The Reasons for the Decision When Patient Was Mobilized.
To assess strength and alertness
1 Entire group where data available
The Reasons for the Decision When Patient Was Mobilized.
Surgical wound safe to mobilise / medically stable
1 Entire group where data available

SECONDARY outcome

Timeframe: Through duration of intensive care stay (average 7 days)

Population: Number of reviews by a physiotherapist where patient was not mobilized and where data was available. i.e. the overall number of participants analyzed/denominator is actually the overall number of physiotherapist reviews. Please note the categories presented below are not mutually exclusive e.g. the decision not to mobilize could have been made with a nurse and a physiotherapist. Therefore, the sum of the categories exceeds with overall number of participants analyzed.

Recorded whenever a physiotherapist reviews a patient for potential physical rehabilitation whilst they are receiving vasoactive drugs and the patient was not mobilized.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=29 Number of treatment reviews
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Who Made the Final Decision Whether to Not Mobilize the Patient
Alone
20 Reviews
Who Made the Final Decision Whether to Not Mobilize the Patient
Lead physiotherapist
6 Reviews
Who Made the Final Decision Whether to Not Mobilize the Patient
Nurse
3 Reviews

SECONDARY outcome

Timeframe: Through duration of intensive care stay (average 7 days)

Population: Number of reviews by a physiotherapist where patient was not mobilized and where data was available.

Recorded whenever a physiotherapist reviews a patient for potential physical rehabilitation whilst they are receiving vasoactive drugs and the patient was not mobilized. Qualitative variable: reasons underwent qualitative analysis, with the output of a list of themes summarizing the reasons.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=1 Whole group where data was available
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
The Reasons for the Decision When the Patient Was Not Mobilized.
Patient sedated / drowsy / confused
1 Whole group where data was available
The Reasons for the Decision When the Patient Was Not Mobilized.
Patient fatigue
1 Whole group where data was available
The Reasons for the Decision When the Patient Was Not Mobilized.
Patient too unwell
1 Whole group where data was available
The Reasons for the Decision When the Patient Was Not Mobilized.
Blood pressure low and/or increasing/high vasoactive drug dose
1 Whole group where data was available
The Reasons for the Decision When the Patient Was Not Mobilized.
Lack of staff
1 Whole group where data was available
The Reasons for the Decision When the Patient Was Not Mobilized.
Pain
1 Whole group where data was available
The Reasons for the Decision When the Patient Was Not Mobilized.
Did not give consent
1 Whole group where data was available
The Reasons for the Decision When the Patient Was Not Mobilized.
Filter
1 Whole group where data was available

SECONDARY outcome

Timeframe: Through duration of ICU stay (average of 7 days).

Population: Number of treatment sessions for whom data was available

Recorded if a mobilisation treatment on vasoactive drugs is routinely carried out.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=21 Treatment sessions
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
The Reason Why a Mobilisation Treatment Was Stopped
Aim of session achieved
10 Treatments
The Reason Why a Mobilisation Treatment Was Stopped
Declined
1 Treatments
The Reason Why a Mobilisation Treatment Was Stopped
Symptomatic hypotension
2 Treatments
The Reason Why a Mobilisation Treatment Was Stopped
Patient weakness/fatigue
6 Treatments
The Reason Why a Mobilisation Treatment Was Stopped
Pain/discomfort
2 Treatments

SECONDARY outcome

Timeframe: Through whole of study, an estimated 6 months

Population: Number of mobilization treatment sessions for whom data was available

Number of serious adverse events

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=40 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Number of Serious Adverse Events
0 events

SECONDARY outcome

Timeframe: Through duration of ICU stay (average of 7 days).

Population: Number of treatment sessions

Recorded using ICU physical rehabilitation adverse event tool, both by treating clinician and by researcher case note review.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=42 Treatment sessions
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Number of ICU Physical Rehabilitation Adverse Events
Measured by clinicians
3 events
Number of ICU Physical Rehabilitation Adverse Events
Measured by researchers
6 events

SECONDARY outcome

Timeframe: Through duration of ICU stay (average of 7 days).

Population: Number of mobilization treatments where adverse event tool used and data available for how long it took to complete.

Adverse event tool is completed if a mobilisation treatment on vasoactive drugs is routinely carried out.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=5 Treatment sessions
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Time Taken to Complete an ICU Physical Rehabilitation Adverse Event Tool.
< 1 minute
2 Treatments
Time Taken to Complete an ICU Physical Rehabilitation Adverse Event Tool.
1-3 minutes
2 Treatments
Time Taken to Complete an ICU Physical Rehabilitation Adverse Event Tool.
5-10 minutes
1 Treatments

SECONDARY outcome

Timeframe: Through duration of ICU stay (average of 7 days).

Population: Number of mobilization treatment sessions whilst receiving vasoactive drugs

Tool completed both by treating clinician and by researcher case note review. Number of mobilization treatment sessions on vasoactive drugs where adverse event tool is complete.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=42 Treatment sessions
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Loss of Information That Occurs When Completing ICU Physical Rehabilitation Adverse Event Tool.
Completed by clinicians
19 Treatments
Loss of Information That Occurs When Completing ICU Physical Rehabilitation Adverse Event Tool.
Completed by researcher
41 Treatments

SECONDARY outcome

Timeframe: Through second half of the study, an estimated 3 months

Population: Number of clinicians who completed the survey

A survey measuring user opinion on whether an adverse event tool was for example understandable and an appropriate length using a scale with 'yes', 'no' or 'unsure' responses. Survey adapted from Hodgson, C., Needham, D., Haines, K., Bailey, M., Ward, A., Harrold, M., Young, P., Zanni, J., Buhr, H., Higgins, A., Presneill, J. \& Berney, S. 2014. Feasibility and inter-rater reliability of the ICU mobility scale. Heart Lung, 43.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=10 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Feasibility and Usability of an ICU Physical Rehabilitation Adverse Event Tool Measured by Survey.
Clear, easy to understand?
10 Participants
Feasibility and Usability of an ICU Physical Rehabilitation Adverse Event Tool Measured by Survey.
Indicate its overall purpose?
9 Participants
Feasibility and Usability of an ICU Physical Rehabilitation Adverse Event Tool Measured by Survey.
Will people filling out the tool know how to?
8 Participants
Feasibility and Usability of an ICU Physical Rehabilitation Adverse Event Tool Measured by Survey.
Are the adverse events adequately defined?
10 Participants
Feasibility and Usability of an ICU Physical Rehabilitation Adverse Event Tool Measured by Survey.
Are the adverse events irrelevant or misleading?
0 Participants
Feasibility and Usability of an ICU Physical Rehabilitation Adverse Event Tool Measured by Survey.
Are the adverse events offensive or inappropriate?
0 Participants
Feasibility and Usability of an ICU Physical Rehabilitation Adverse Event Tool Measured by Survey.
Are adverse events unnecessary or repetitive?
0 Participants
Feasibility and Usability of an ICU Physical Rehabilitation Adverse Event Tool Measured by Survey.
Is the tool an appropriate length?
10 Participants

SECONDARY outcome

Timeframe: Through duration of hospital stay (average of 22 days)

Population: Number of participants with data available for this outcome.

Number of days to first rehabilitation treatment

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=29 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Time to First Mobilisation Treatment
2 Days
Interval 1.0 to 7.0

SECONDARY outcome

Timeframe: Through duration of hospital stay (average of 22 days)

Population: Number of patient participants with data available.

Regardless of the assistance required.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=33 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Time to First Being Able to Sit Out of Bed.
5 Days
Interval 2.0 to 10.0

SECONDARY outcome

Timeframe: Through duration of hospital stay (average of 22 days).

Population: Number of participants with data available.

Regardless of the assistance required.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=31 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Time to First Being Able to Stand.
3 Days
Interval 2.0 to 11.0

SECONDARY outcome

Timeframe: Through duration of hospital stay (average of 22 days).

Population: Number of participants with data available.

Regardless of assistance required.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=28 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Time to First Being Able to Walk.
8 Days
Interval 4.0 to 21.0

SECONDARY outcome

Timeframe: From admission to ICU discharge (an average of 7 days)

Population: Number of participants

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=40 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Unit Length of Stay.
7 Days
Interval 4.0 to 12.0

SECONDARY outcome

Timeframe: From admission to hospital discharge (average of 22 days)

Population: Number of participants

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=40 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Hospital Length of Stay
16 Days
Interval 9.0 to 32.0

SECONDARY outcome

Timeframe: ICU discharge (an average of 7 days from ICU admission)

Population: Number of participants with data available.

Intensive care unit mobility scale records a patient's mobility level from 0 to 10, where 0 means no mobility and 10 means walking without assistance from people or a physical aid.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=38 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Unit Mobility Scale Level at ICU Discharge.
5 Score on a scale
Interval 3.0 to 6.0

SECONDARY outcome

Timeframe: 60 days.

Population: Number of participants

Candidate primary outcomes: mortality, health-related quality of life, disability, physical functioning questionnaire and walking test.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=40 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Number of Patient Participants Where All Candidate Primary Outcomes Are Completed.
6 Participants

SECONDARY outcome

Timeframe: 60 days.

Population: Number of participants

Candidate primary outcomes: mortality, health-related quality of life, disability, physical functioning questionnaire and walking test.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=40 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
The Number of Patient Participants Who Completed Each Individual Candidate Primary Outcome.
Mortality
40 participants
The Number of Patient Participants Who Completed Each Individual Candidate Primary Outcome.
Health-related quality of life
16 participants
The Number of Patient Participants Who Completed Each Individual Candidate Primary Outcome.
Disability
15 participants
The Number of Patient Participants Who Completed Each Individual Candidate Primary Outcome.
Physical functioning - patient reported
15 participants
The Number of Patient Participants Who Completed Each Individual Candidate Primary Outcome.
Physical functioning - performance-based
6 participants

SECONDARY outcome

Timeframe: 60 days.

Population: Number of participants with data available

Measures of central tendency and variability of data for candidate outcome measures to inform a sample size for future randomised controlled trial, e.g. physical functioning measured by the physical function domain of the RAND 36-Item Health Survey 1.0 Questionnaire (RAND SF-36 v1), scores range from 0-100, where a higher score means better physical functioning.

Outcome measures

Outcome measures
Measure
Intensive Care Patients
n=15 Participants
Adult intensive care patients receiving vasoactive drugs Mobilization: Physical rehabilitation
Intensive Care Doctors
Intensive care doctors for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Nurses
Intensive care nurses for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Intensive Care Physiotherapists
Intensive care physiotherapists for participation in a survey on the hypothetical randomization of patient participants in a future randomized controlled trial.
Data to Inform a Future Sample Size for a Future Randomized Controlled Trial.
20 Units on a scale
Interval 0.0 to 50.0

Adverse Events

Intensive Care Patients

Serious events: 0 serious events
Other events: 0 other events
Deaths: 5 deaths

Intensive Care Unit Clinicians

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

ICU Rehabilitation Clinicians

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Huw Woodbridge

Imperial College London

Phone: +44 (0)20 7594 3192

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place