The Feasibility of Measuring Energy Expenditure During Physical Rehabilitation In Critically Ill Patients (ENERGY-ICU)
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|ClinicalTrials.gov Identifier: NCT02754622|
Recruitment Status : Completed
First Posted : April 28, 2016
Last Update Posted : February 23, 2017
Many patients who are admitted to the intensive care unit (ICU) experience muscle weakness. This muscle weakness occurs whilst patients are unconscious, immobile in bed and on a breathing machine (ventilator). It can develop very quickly, as soon as they become unwell. The investigators know that this weakness can make it harder for patients to regain their normal level of functional ability, such as standing and walking independently. Physical rehabilitation, delivered by physiotherapists, is important for patients as they recover from their critical illness to help them regain strength and to practice the ability to perform physical activities. These activities include sitting on the edge of the bed, standing, stepping on the spot and walking.
However it is difficult to know how hard it is for patients who are recovering from critical illness to perform these types of activities - in other words, how much energy is required. Some patients may find certain activities harder or easier than others. By knowing the energy requirements of patients whilst they take part in different physical rehabilitation activities, physiotherapists may be able to be more accurate with prescribing exercises and designing rehabilitation sessions for patients to practice achieving those activities.
In this study, the investigators will measure the energy requirements of the patients when they take part in physiotherapy-led physical rehabilitation they will have during their admission. To do this, the investigators will use a different ventilator to the one normally used to help their breathing. This ventilator works in exactly the same way, but has an extra component built into it to measure energy requirements. After the rehabilitation session, the patient will return to using their normal ventilator.
|Condition or disease||Intervention/treatment|
|Intensive Care||Other: Observational Group|
Show Detailed Description
|Study Type :||Observational|
|Actual Enrollment :||4 participants|
|Official Title:||A Pilot Observational Cohort Study Examining the Feasibility of Measuring Energy Expenditure During Physical Rehabilitation In Critically Ill Patients|
|Study Start Date :||July 2016|
|Actual Primary Completion Date :||December 2016|
|Actual Study Completion Date :||December 2016|
Other: Observational Group
Indirect calorimetry measurement during Physical Rehabilitation. Observing planned physical rehabilitation session to determine the rehabilitation activity achieved with IC utilised to determine the number of calories used per session
- Oxygen consumption during different physical rehabilitation activities. [ Time Frame: Through Critical Care stay, an average of 1 per day ]Measurements of oxygen consumption during physical rehabilitation activities whilst on ICU
- Carbon dioxide production during different physical rehabilitation activities. [ Time Frame: Through Critical Care stay, an average of 1 per day ]Measurements of carbon dioxide production during physical rehabilitation activities whilst on ICU
- Minute ventilation during different physical rehabilitation activities. [ Time Frame: Through Critical Care stay, an average of 1 per day ]Measurements of minute ventilation during physical rehabilitation activities whilst on ICU
- Limitations of data acquisition using the indirect calorietry [ Time Frame: Through Critical Care stay, an average of 9 days ]Measuring the quality of data acquired to identify technical issues, pragmatic factors, number of rehabilitation sessions by eligible patients and limiting factors to use of the indirect calorimetry.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02754622
|Guys and St Thomas NHS Foundation|
|London, United Kingdom, SE1 7EH|
|Principal Investigator:||Bronwen Connolly||Guys and St Thomas NHS Foundation Trust|