TEAM

TEAM Study visual icon

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 will be used for a grant application to the NHMRC for a phase III RCT.

Photo of Associate Professor Carol Hodgson

Publications:

Tipping CJ, Harrold M, Holland A, Romero L, Nisbet T, Hodgson CL. The effects of active mobilisation and rehabilitation in ICU on mortality and function: a systematic review. Intensive Care Med 2016.

Study Tools:

ICU Mobility Scale (121kB)

ICU Mobility Scale Japanese version (404kB)

ICU Mobility Scale Portuguese version (168kB)

Podcast: http://www.essentialcriticalcare.com/2017/03/long-term-outcomes-for-icu-patients.html

Contact: For further information about this study, please contact Associate Professor Carol Hodgson at the ANZIC-RC by email.