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N/A N=120 Randomized Single-blind Treatment

Treatment of Critical Illness Polyneuromyopathy

Acute Respiratory Failure

Enrolled (actual)
120
Serious AEs
0.0%
Results posted
Apr 2017
Primary outcome: Primary: The Primary Outcome Variable for This Study Will be the Short Form of the Continuous Scale Physical Functional Performance Test (CS-PFP) Called the PFP-10 — 19.0; 20.9 score

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
intensive physical therapy (Procedure); control group (Procedure)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Colorado, Denver
Primary completion
May 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
The Primary Outcome Variable for This Study Will be the Short Form of the Continuous Scale Physical Functional Performance Test (CS-PFP) Called the PFP-10
19.0; 20.9
SECONDARY
ICU-free Days
13; 11
SECONDARY
ICU Length of Stay
15; 16
SECONDARY
Mechanical Ventilation Duration
10; 10
SECONDARY
Hospital Free Days
7; 7
SECONDARY
Hospital Length of Stay
21; 21
SECONDARY
Discharged to Home
51; 49
SECONDARY
Institution Free Days
151; 146
SECONDARY
Institution Free Days
151; 146

Summary

Acute respiratory failure is a heterogeneous disorder that results in more than 300,000 Americans requiring admission to an intensive care unit for invasive mechanical ventilatory support each year. Though acute respiratory failure is a pulmonary disorder, patients who survive their hospitalization are not limited by respiratory symptoms after discharge. Rather persistent neuromuscular weakness is the primary disorder that adversely alters their quality of life and ability to function on a daily basis. In this application the investigators plan to conduct a randomized clinical trial called the Do It Now study (Diagnosis and Treatment of Neuromuscular Weakness) to determine the effectiveness of an intensive physical therapy program for patients recovering from acute respiratory failure. This trial will establish the efficacy of the physical therapy programs that is currently performed for patients with acute respiratory failure in a non-evidence based manner across the United States.

Eligibility Criteria

Inclusion Criteria

  • Acute respiratory failure requiring mechanical ventilation for at least four days.

Exclusion Criteria

  • Recent myocardial infarction within the last 3 weeks, presence of signs or symptoms of unstable angina or history of unstable arrhythmias including ventricular tachycardia and atrial fibrillation (HR > 100 bpm).
  • Recent history of pulmonary embolism within the last six weeks.
  • History of severe aortic stenosis.
  • Presence of a dissecting aortic aneurysm.
  • Significant language barrier that would limit the ability to participate in the physical therapy program.
  • Patients who live greater than 45 miles from the University of Colorado Hospital.
  • Underlying disorder that makes it unlikely that the patient will survive 6 months.
  • Severe physical or cognitive impairment that would impair their ability to exercise.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01058421). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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