Status:

ACTIVE_NOT_RECRUITING

PICU Up!: A Pilot Stepped-wedge Trial of a Multicomponent Early Mobility Intervention for Critically Ill Children

Lead Sponsor:

Johns Hopkins University

Collaborating Sponsors:

Donaghue Medical Research Foundation

Conditions:

Critical Illness

Eligibility:

All Genders

Up to 24 years

Phase:

NA

Brief Summary

Recent decreases in Pediatric Intensive Care Unit (PICU) mortality rates have been offset by increased morbidity and length of stay for vulnerable young patients. Heavy sedation, bedrest, and delirium...

Eligibility Criteria

Inclusion

  • Inclusion Criteria for Participating Units:
  • Participating PICUs must be a separate physical space dedicated to the care of critically ill infants and children, with the ability to provide mechanical ventilation.
  • Not implemented a PICU mobility protocol and would commit to not implementing a mobility protocol until the randomized time of unit implementation.
  • Inclusion Criteria for Patients:
  • All patients admitted to the PICUs regardless of length of stay will receive the unit-based PICU Up! intervention, which includes criteria for no mobilization based on specific clinical factors (i.e. open chest, surgeon request).10 For inclusion in data analysis, patients will be eligible if
  • Admitted to the participating PICU ≥ 3 days.
  • Exclusion Criteria for Patients:
  • Patients with an active do-not-resuscitate (DNR) order will be excluded.

Exclusion

    Key Trial Info

    Start Date :

    April 1 2019

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    May 31 2026

    Estimated Enrollment :

    2500 Patients enrolled

    Trial Details

    Trial ID

    NCT03860168

    Start Date

    April 1 2019

    End Date

    May 31 2026

    Last Update

    December 22 2025

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Johns Hopkins Hospital

    Baltimore, Maryland, United States, 21287