A Trial of Early Activity and Mobility in ICU
TEAM is a program of research to evaluate the effect of early mobilisation to assess functional recovery and patient-centred outcomes of ICU survivors.
Rationale: Patients in intensive care (ICU) traditionally receive bed rest as part of the management of their critical illness. It is possible that patients develop muscle weakness even after only a few days of mechanical ventilation that may prolong their time in ICU and in hospital and delay functional recovery resulting in slower return home and to work. Moreover, it is plausible that failure of recovery of physical performance is a contributing factor to late mortality after critical illness. Weakness may be avoided with simple strategies of early exercise in ICU.
Goal: This includes (1) reviews and systematic reviews, (2) a multi-centre observational study to define standard care funded by the Intensive Care Foundation and endorsed by the ANZICS Clinical Trials Group. This pilot RCT was the third component of the TEAM program and its objective was to determine if a phase III RCT of early mobilisation was feasible in ICUs in Australia and New Zealand. Results from the pilot RCT were used for a successful grant application to the NHMRC for a phase III RCT.
ICU Mobility Scale (121kB)
Contact: For further information about this study, please contact Professor Carol Hodgson at the ANZIC-RC by email.