Cardiovascular Diseases Clinical Trial
Official title:
Early Mobilization of Older Adults in the Cardiovascular Intensive Care Unit
An early mobilization (EM) program will be implemented in the Cardiovascular Intensive Care
Unit at the Jewish General Hospital (JGH), an academic tertiary hospital in Montreal, Quebec.
The investigators will perform a prospective, pre/post-EM intervention study in adults aged
≥60 years old admitted to the Cardiovascular Intensive Care Unit (CICU) at the JGH. During a
3-month period, the investigators will prospectively enrol patients to the pre-intervention
cohort. The EM intervention will then be implemented. During a 12-month period, the
investigators will prospectively enrol patients to the intervention cohort. 1 and 12 months
following hospital discharge, patients in the pre-intervention and post-intervention cohorts
will be contacted by phone by a member of the research team to assess for functional status
and quality of life measures.
The primary effectiveness outcome will be the mean improvement in level of function (LOF)
during CICU admission and at 1 and 12 months. Covariates predicting improvement in LOF
("responsiveness") and ones which do not ("non-responsiveness") will be assessed. The
recovery of physical function at 1 month and 6 months as measured by the SF-36 physical
component summary score will be assessed. The SF-36 scores of the highest scoring tertile of
LOF on hospital discharge will be compared with the lowest scoring tertile. Hospital
readmission at 30 days and discharge home vs. healthcare facility will also be compared. For
safety, the composite and individual components of the number of falls, injuries, and
dislodgements over the total number of attempted mobility activities will be recorded. The
results from the intervention cohort will be compared to the pre-intervention cohort for all
results.
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