Early Mobilization and Prolonged ICU Stay in Postoperative Patients
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAnkara Training and Research Hospital
About this trial
This prospective observational cohort study aims to evaluate early mobilization in adult postoperative patients admitted to the intensive care unit (ICU) and to investigate its association with short-term clinical outcomes. Early meaningful mobilization is defined as achieving at least sitting at the edge of the bed (mobilization level ≥4) within the first 24 hours after ICU admission. Patients will be classified according to whether early meaningful mobilization is achieved. The primary objective is to evaluate the association between early meaningful mobilization and prolonged ICU stay. Secondary outcomes include mechanical ventilation requirement and duration, hospital length of stay, need for reintubation, development of delirium, complications occurring during mobilization, and ICU mortality.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 years or older
Admission to the intensive care unit for postoperative care
ICU stay of at least 24 hours
Ability to assess the patient's mobilization level within the first 24 hours following ICU admission
Disqualifiers
Age under 18 years
Pregnancy
Death within the first 24 hours after ICU admission
Clinical conditions contraindicating mobilization, including active massive bleeding, significant hemodynamic instability, unstable fracture, open abdomen, or similar conditions
Trial population
Adult postoperative patients admitted to the intensive care unit of Ankara Training and Research Hospital who meet the predefined eligibility criteria will constitute the study population. Participants will be prospectively evaluated for early mobilization during their ICU stay and followed for the clinical outcomes specified in the study protocol.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Not listed
Trial groups
80 Participants
are grouped into 2 trial groupsGroup A: Early Meaningful Mobilization
Group B: No Early Meaningful Mobilization
Trial outcomes
Primary outcomes
1
Prolonged Intensive Care Unit Stay
Prolonged ICU stay will be evaluated according to the duration of ICU hospitalization and compared between patients who achieve early meaningful mobilization and those who do not. Early meaningful mobilization is defined as achieving a mobilization level of ≥4 within the first 24 hours after ICU admission.
Time frame
Through ICU stay, an expected average of 3 daysSecondary outcomes
1
Mechanical Ventilation Requirement
Requirement for invasive mechanical ventilation during the ICU stay
Time frame
Through ICU stay, an expected average of 3 days2
Duration of Mechanical Ventilation
Duration of invasive mechanical ventilation during the ICU stay, recorded in days.
Time frame
Through ICU stay, an expected average of 3 days3
Hospital Length of Stay
Total duration of hospitalization, recorded in days.
Time frame
Through hospitalization, an expected average of 7 days4
Reintubation Requirement
Occurrence of reintubation during the ICU stay.
Time frame
Through ICU stay, an expected average of 3 daysLocations
Sponsors and contacts
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Source ClinicalTrials.gov
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