MobilisAtion in Critical care units Across Wessex (MACAW)
Research type
Research Study
Full title
MobilisAtion of mechanically ventilated patients in Critical care units Across Wessex (MACAW): a UK regional survey
IRAS ID
231305
Contact name
Rebecca Cusack
Contact email
Duration of Study in the UK
0 years, 0 months, 7 days
Research summary
The purpose of this study is to determine the point-prevalence of mobilisation and the barriers to early mobilisation, with particular focus on the presence of organ failure, in the nine ICUs across the Wessex region in the UK. We will examine the type, frequency and duration of mobilisation activities as well as the barriers to conducting mobilisation, with particular the focus on the relationship to presence of organ failure. Finally we will explore any rehabilitation outcome measures used in the intensive care setting. This study will be undertaken as part of the work-up to support a PhD application.
Survivors of intensive care experience poor physical and cognitive outcomes, which can persist for many years following hospital discharge. Early mobilisation is recommended to counteract the long-term physical morbidity associated with survivorship, with the reported benefits including reduced duration of mechanical ventilation and intensive care length of stay, and improved functional outcomes.
Early mobilisation is defined as any active mobilisation that occurs within the first two to five days of critical illness, and in the UK, recent recommendations published by the Faculty of Intensive Care Medicine (FICM) and the Intensive Care Society (ICS) (2015) state that patients receiving rehabilitation should be offered a minimum of 45 minutes of therapy on a daily weekday basis.
Despite increasing evidence in support of early mobilisation in the critically ill, it is recognised that implementation in practice can be difficult. Recent point prevalence surveys report mobilisation of mechanically ventilated patients is minimal in Germany, Australia and New Zealand, and the US (Jolley et al. 2016). To date there has been no data collected in the United Kingdom describing mobilisation practices within intensive care units.
REC name
South Central - Berkshire Research Ethics Committee
REC reference
17/SC/0472
Date of REC Opinion
28 Sep 2017
REC opinion
Favourable Opinion