Study protocol: Home-based physical rehabilitation for survivors of a critical illness [ACTRN12605000166673]

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dc.contributor.author Elliott, D
dc.contributor.author McKinley, S
dc.contributor.author Alison, JA
dc.contributor.author Aitken, LM
dc.contributor.author King, MT
dc.date.accessioned 2009-12-21T03:53:34Z
dc.date.issued 2006-06-22
dc.identifier.citation Critical Care, 2006, 10 (3)
dc.identifier.issn 1364-8535
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/5875
dc.description.abstract Introduction: Numerous primary studies and several review papers have highlighted delayed physical and psychological recovery for survivors of critical illness, often beyond 6 months after discharge. This randomized controlled trial with blinded assessment aims to test the effects of an 8-week, home-based, individually tailored physical rehabilitation programme on physical and psychological recovery for survivors of a critical illness after discharge from hospital. Method: Participants are survivors of a critical illness discharged from nine intensive care units (ICUs) in Australia, who are aged 18 years or older, in an ICU longer than 48 hours, discharged home to self-care or carer (non-institutional care), able to participate in physical rehabilitation, and within the hospitals' local geographical areas for home visits. The study is based in participants' home environments. Blinded assessments at weeks 1, 8 and 26 after hospital discharge examine physical functioning, exercise capacity, health-related quality of life and psychological well being. The intervention is graded, individualized endurance and strength training prescribed by a pulmonary rehabilitation physiotherapist over an 8-week period, with three home visits, five follow-up phone calls, and a printed exercise manual supporting the training. Initial focus is on lower limb exercises and walking, with warm-up stretches, and progresses to the addition of core stabilization and upper limb exercises. Results: The burden of a critical illness is well documented. This novel study will determine whether a home-based physical rehabilitation programme improves the recovery trajectory for survivors of critical illness. The projected sample size of 200 patients aims to detect a clinically important 10% improvement in physical functioning. The study will also examine whether other important physical and psychological measures are improved. Conclusion: This multicentre, randomized controlled trial will examine outcomes that are meaningful to patients, their family and society, namely functional ability and well being. The study will also target a health problem that is likely to increase as the population ages. If the programme is effective, it will provide a model that can be easily adapted and adopted by existing primary care or community services to improve the recovery of individuals following critical illness. © 2006 Elliott et al.; licensee BioMed Central Ltd.
dc.language eng
dc.relation.isbasedon 10.1186/cc4949
dc.title Study protocol: Home-based physical rehabilitation for survivors of a critical illness [ACTRN12605000166673]
dc.type Journal Article
dc.parent Critical Care
dc.journal.volume 3
dc.journal.volume 10
dc.journal.number R90 en_US
dc.publocation London, UK en_US
dc.identifier.startpage 1 en_US
dc.identifier.endpage 7 en_US
dc.cauo.name BUS.Centre for Health Economics Research and Evaluation en_US
dc.conference Verified OK en_US
dc.for 1110 Nursing
dc.personcode 930003
dc.personcode 014913
dc.personcode 998241
dc.personcode 020118
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.custom 2.93 en_US
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Business
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Open Access
utslib.copyright.date 2015-04-15 12:23:47.074767+10
pubs.consider-herdc true


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