About this trial
The overarching goal of the proposed study is to determine the trajectories of physical recovery and cellular markers involved with the underlying failure to recover muscle after critical illness, while exploring which characteristics are associated with sustained physical disability. This proposal will examine muscle pathophysiology carefully aligned with physical function outcomes in order to longitudinally assess the recovery, or failed recovery, of muscle function in participants after critical illness:
1. to examine the recovery of muscle and physical function in ICU survivors through longitudinal assessments 2. to investigate the underlying cellular markers and mechanisms of muscle recovery in ICU survivors 3. to determine which cellular markers contribute to physical disability in ICU survivors up to 1 year after hospital admission
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
adult (>18 y/o)
admission for sepsis or acute respiratory failure with at least 72 hour stay in ICU
Disqualifiers
patients who were not ambulatory prior to ICU admission
experienced >2 ICU admissions in the past year (chronic or recurrent critical illness due to the same or different reason
patients not expected to survive ~6months after admission
acute or chronic neurologic condition
Trial population
Patients admitted to ICU for critical illness and expected to survive
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Physical function
Short Physical Performance Battery
Mitochondrial function
muscle mitochondrial respirometry
Muscle power
lower-extremity muscle power (unilateral leg-press to record Watts)
Secondary outcomes
Physical activity
actigraphy measuring steps per day
Functional mobility
timed-up and go test
Cardiopulmonary endurance / exercise capacity
6-minute walk test
self-reported health-related quality of life
EuroQol-5Domains (EQ-5D) visual analog scale is a self-report of quality of life (0-100) with higher scores indicating a better perception of quality of life
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Esther Dupont-Versteegden
Lead sponsor
University of Kentucky
Sponsor institution
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Collaborator
Oklahoma Medical Research Foundation
Collaborator
University of Alabama at Birmingham
Collaborator