Tolerance of Early Exercise in Intensive Care Unit

Study Overview
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Brief Summary
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Practice guidelines recommend early physical therapy in intensive care unit. Feasibility, safety and efficacy are confirmed by growing evidence based data. However, the scientific literature emphasizes the heterogeneity of targeted populations, lack of precisions concerning eligibility criteria, program modalities, timing initiation, progressions and stopping criteria. However, all these results remain to be precised and confirmed. So, the investigators hypothesize that an early exercise program in intensive care unit formalized from a decisional algorithm is well tolerated in clinical practice.

Detailed Description
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Practice guidelines recommend early physical therapy in intensive care unit. Feasibility, safety and efficacy are confirmed by growing evidence based data. However, the scientific literature emphasizes the heterogeneity of targeted populations, lack of precisions concerning eligibility criteria, program modalities, timing initiation, progressions and stopping criteria. However, all these results remain to be precised and confirmed. So, the investigators hypothesize that an early exercise program in intensive care unit formalized from a decisional algorithm is well tolerated in clinical practice.

Official Title
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Tolerance of Early Exercise in Intensive Care Unit

Conditions
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Critical Illness

Intervention / Treatment
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* Procedure: Exercise program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Men and women Over 18 years old Hospitalized in intensive care unit Patients whose clinical condition allows initiating an early exercise program from critical care physician inclusion Exclusion Criteria: Less than 18 years old or disabled adult Head or spinal severe trauma Severe trauma of the lower limbs or pelvis Musculoskeletal and neurological conditions which do not permit to realise the exercise program Patient for whom the reason for hospitalization does not justify early physical therapy

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Procedure: Exercise program|Exercise program in intensive care unit established from a decisional algorithm and applied to the critical care unit patients|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Score difference on a discomfort visual analogic scale between before and after program completion |  | at day 1 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional capacity (PFIT: Physical Function ICU Test score) |  | at day 1 | 
| length of stay on intensive care unit |  | at day 1 | 
| mortality in ICU |  | at day 1 | 
| Unit of discharge (specialty of the unit) |  | at day 1 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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algorithm, critical illness, early exercise, feasibility, intensive care unit, physical therapy