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在重症监护病房使用移动患者升降机进行早期活动:一项随机对照试验方案

Early mobilisation using a mobile patient lift in the intensive care unit: protocol for a randomised controlled trial.

作者信息

Suzuki Ginga, Kanayama Hiromi, Ichibayashi Ryo, Arai Yoshiaki, Iwanami Yuji, Masuyama Yuka, Yamamoto Saki, Serizawa Hibiki, Nakamichi Yoshimi, Watanabe Masayuki, Honda Mitsuru, Ebihara Satoru

机构信息

Toho University Omori Medical Center, Tokyo, Japan

Toho University Omori Medical Center, Tokyo, Japan.

出版信息

BMJ Open. 2022 Mar 9;12(3):e057942. doi: 10.1136/bmjopen-2021-057942.

Abstract

INTRODUCTION

It is important to prevent the deterioration of activities of daily living to improve the long-term prognoses of patients in the intensive care unit (ICU). The patients' conditions, along with the lack of human and technical resources, often become barriers to achieving early mobilisation after the introduction of mechanical ventilation. We plan to verify the usefulness of a mobile patient lift for early mobilisation.

METHODS AND ANALYSIS

We will conduct a single-centre, open-label, randomised controlled trial. The inclusion criteria are as follows: age ≥18 years, independent walking before admission and expected mechanical ventilation for at least 48 hours. The participants will be randomly divided into groups with (intervention group) or without (control group) a mobile lift protocol. A mobile lift will be used in the intervention group. The primary endpoint will be the number of days required to achieve an ICU mobility scale of ≥4 (standing position). The results of the two groups will be analysed using the Student's t-test.

ETHICS AND DISSEMINATION

This study will be conducted in accordance with the Declaration of Helsinki and with the approval of the Toho University Omori Medical Center Ethics Committee (approval number M20259). The results of this study will be presented internationally at academic conferences and published in the literature.

TRIAL REGISTRATION NUMBER

UMIN000044965.

摘要

引言

预防日常生活活动能力的恶化对于改善重症监护病房(ICU)患者的长期预后至关重要。患者的病情以及人力和技术资源的缺乏,往往成为机械通气后早期活动的障碍。我们计划验证移动患者升降机对早期活动的有效性。

方法与分析

我们将进行一项单中心、开放标签、随机对照试验。纳入标准如下:年龄≥18岁,入院前能够独立行走,预计机械通气至少48小时。参与者将被随机分为采用(干预组)或不采用(对照组)移动升降机方案的组。干预组将使用移动升降机。主要终点将是达到ICU活动量表≥4(站立位)所需的天数。两组结果将采用Student's t检验进行分析。

伦理与传播

本研究将按照《赫尔辛基宣言》进行,并获得东邦大学大森医疗中心伦理委员会的批准(批准号M20259)。本研究结果将在国际学术会议上发表,并在文献中公布。

试验注册号

UMIN000044965。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/516c/8915332/d2da67da2674/bmjopen-2021-057942f01.jpg

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