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Early mobilisation of the patient admitted to intensive care units (ICUs) is essential to prevent Intensive Care Unit Acquired Weakness (ICUAW). It is essential to be able to measure functional mobility in order to evaluate the effectiveness of early mobilisation, both in clinical and research settings.
The ICU Mobility Scale (IMS) is a validated scale that can be used to describe the functional level of the critically ill patient according to a categorical scale of 11 items. Each category describes the patient's capabilities from a mobility point of view.
The main objective of the study is the validation of the Italian version of the IMS (IMS-it) on a cohort of patients admitted to intensive care.
Secondary objective is to assess the concordance between the perception level that the healthcare worker has with regard to the patient's mobility, before the patient is mobilised, expressed with the IMSSecondary study objectives.
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| Measure | Description | Time Frame |
|---|---|---|
| Scale validity | The correlation between IMS and other scales of muscular strength will be assessed using spearman correlation | From June 2023 to June 2025 |
| Inter-rater reliability | During the daily treatment of the patients by a healthcare professional, 1 critical care physiotherapist, 1 non-critical care physiotherapist and 1 critical care nurse will assess the patients enrolled in the study by means of the IMS. | From June 2023 to June 2025 |
| Measure | Description | Time Frame |
|---|---|---|
| Predictive validity | Correlation between IMS-it and clinical outcomes will be assessed, and adjusted through a multivariable logistic regression model. | From June 2023 to June 2025 |
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Inclusion Criteria:
Exclusion Criteria:
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Adult patients admitted to the General Intensive Care Unit (GICU) at the Humanitas Clinical Institute in Rozzano (MI)
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| Name | Affiliation | Role |
|---|---|---|
| Massimiliano Greco, Anaesthesia and Intensive Care | Istituto Clinico Humanitas | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istituto Clinico Humanitas | Pieve Emanuele | Milano | 20072 | Italy |
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| ID | Term |
|---|---|
| D018908 | Muscle Weakness |
| D016638 | Critical Illness |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D020879 | Neuromuscular Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012816 | Signs and Symptoms |
| D020969 | Disease Attributes |
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