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| ID | Type | Description | Link |
|---|---|---|---|
| 2015-A00741-48 | Other Identifier | ANSM |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard mobilization strategy | No Intervention | ||
| protocolized early mobilization strategy | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Protocolized early mobilization in ICU | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of days without mechanical ventilation (ventilator-free days) during the 28 days after intubation | 28 days after intubation |
| Measure | Description | Time Frame |
|---|---|---|
| The incidence of Intensive Care Unit-acquired weakness with Manual Muscle Testing (MMT) scale | end of Intensive Care Unit stay, an expected average of 10 days | |
| The incidence and stage of pressure ulcers occurring during ICU stay with NPUAP scale | end of Intensive Care Unit stay, an expected average of 10 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Laurent POIROUX | Contact | ++33 2 41 35 64 40 | LaPoiroux@chu-angers.fr | |
| Lise PIQUILLOUD, MD | Contact | ++41 79 556 68 27 | lise.piquilloud@chuv.ch |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Erasme | Recruiting | Brussels | 1070 | Belgium |
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| The incidence of delirium with CAM-ICU scale | end of Intensive Care Unit stay, an expected average of 10 days |
| Hospital stay duration | End of hospital stay, an expected average of 20 days |
| Place where the patient is transferred at the end of the hospital stay | End of hospital stay, an expected average of 20 days |
| The delay, in number of days between intubation and the first successful spontaneous breathing trial | End of Intensive Care Unit stay, an expected average of 10 days |
| The incidence of extubation failure defined as re-intubation within 72 hours after the first extubation | end of Intensive Care Unit stay, an expected average of 10 days |
| Time between intubation and the first stand-up position in days | end of Intensive Care Unit stay, an expected average of 10 days |
| ICU stay duration | end of Intensive Care Unit stay, an expected average of 10 days |
| Cliniques Universitaires Saint-Luc - Service des soins intensifs | Recruiting | Brussels | 1200 | Belgium |
|
| CHR Citadelle - Services Soins intensifs, gériatriques et pédiatriques | Recruiting | Liège | 4000 | Belgium |
|
| CHU de Liege - Service de soins intensifs généraux | Recruiting | Liège | 4000 | Belgium |
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| Cliniques Universitaires UCL de Mont-Godinne - Service intensifs généraux | Recruiting | Yvoir | 5530 | Belgium |
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| CHU Angers - Service de Réanimation Médicale et de Médecine Hyperbare | Recruiting | Angers | 49100 | France |
|
| CHU de Brest - Service de réanimation médicale | Recruiting | Brest | 29609 | France |
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| CH de Pontoise - Serive de réanimation médicale - CH René Dubos | Recruiting | Cergy-Pontoise | 95303 | France |
|
| AP-HP Hôpital Henri Mondor - Service de Réanimation Médicale | Recruiting | Créteil | 94010 | France |
|
| CHD Vendée - Service de Réanimation Polyvalente | Recruiting | La Roche-sur-Yon | 85925 | France |
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| Centre Hospitalier La Rochelle - Ré- Aunis - Réanimation polyvalente | Recruiting | La Rochelle | 17000 | France |
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| CHU Grenoble - Service de Réanimation Médicale - Hôpital A, Michallon | Recruiting | La Tronche | 38700 | France |
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| Centre Hospitalier Le Mans - Service de Réanimation médico-chirurgicale | Recruiting | Le Mans | 72037 | France |
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| CHRU de Lille - Pôle de réanimation -Hôpital Roger Salengro | Recruiting | Lille | 59037 | France |
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| CH St Joseph St Luc - Service de Réanimation Polyvalente | Recruiting | Lyon | 69007 | France |
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| Groupe Hospitalier du Havre - Service de Réanimation médico-chirurgicale - Hôpital Jacques Monod | Recruiting | Montivilliers | 76290 | France |
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| CHU de Nantes - Service de Réanimation Médicale Polyvalente | Recruiting | Nantes | 44093 | France |
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| CHU de Nice - Service de réanimation médicale - Hôpital de l'Archet | Recruiting | Nice | 06202 | France |
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| AP-HP Hôpital Tenon - Service de Réanimation | Recruiting | Paris | 75020 | France |
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| AP-HP Hôpitaux Universitaires Paris Ouest- Service de réanimation médicale - Hôpital Européen Georges Pompidou | Recruiting | Paris | 75908 | France |
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| CHU Toulouse - service de néphrologie Hémodialyse HTA Transplantation d'Organes - Hôpital Rangueil | Recruiting | Toulouse | 31059 | France |
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| Service de Réanimation Polyvalente -CHU de Toulouse - Hôpital Rangueil | Recruiting | Toulouse | 31059 | France |
|
| CHUV | Recruiting | Lausanne | CH-1011 | Switzerland |
|
| ID | Term |
|---|---|
| D007362 | Intensive Care Units |
| ID | Term |
|---|---|
| D006757 | Hospital Units |
| D006268 | Health Facilities |
| D005159 | Health Care Facilities Workforce and Services |
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