Critically Ill Clinical Trial
Official title:
Clinical Effect of Early Mobilization in Patients With Acute Respiratory Failure or Sepsis Requiring Mechanical Ventilation (Multicenter Randomized Controlled Trial by the Korean ICU Early Mobilization Network)
Early mobilization in Ventilated sEpsis & acute Respiratory failure Study: EVER Study
This is a multicenter, randomized, assessor-blinded study aiming to investigate the clinical
effects of early mobilization in the ICU versus only conventional intensive care for
improving physical function after ICU discharge, and after hospital discharge, in patients
undergoing mechanical ventilation for acute respiratory failure or sepsis.
Recently, several studies on rehabilitation treatment for patients in intensive care have
reported that rehabilitation treatment is safe for patients with ventilators, elderly
patients, and patients receiving continuous renal replacement therapy (CRRT) or
extracorporeal membrane oxygenation (ECMO). In the United States and Europe, evidence of the
stability and clinical outcomes of physical and occupational rehabilitation in the ICU have
already been established. In contrast, there is a lack of cost analysis and health and
sociological grounds for intensive care rehabilitation in Korea. Therefore, there is an
urgent need to evaluate the clinical effects of early rehabilitation, starting on the very
first day in the ICU, in patients with acute respiratory failure and sepsis, requiring
mechanical ventilation.
The clinical study plan of the current study is as follows. In ICU patients undergoing
mechanical ventilation for acute respiratory failure or sepsis, the clinical effects of early
mobilization on improving physical function will be assessed using FSS-ICU at discharge from
the ICU and discharge from the hospital, and compared to those who did not receive early
mobilization.
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