A prospective randomised controlled trial investigating functional and physiological outcomes following early rehabilitation in sepsis: The i-PERFORM Trial (Protocol Article)

Kayambu, Geetha, Boots, Robert J. and Paratz, Jennifer D. (2011) A prospective randomised controlled trial investigating functional and physiological outcomes following early rehabilitation in sepsis: The i-PERFORM Trial (Protocol Article). BMC Anesthesiology, 11 21-1-21-11. doi:10.1186/1471-2253-11-21


Author Kayambu, Geetha
Boots, Robert J.
Paratz, Jennifer D.
Title A prospective randomised controlled trial investigating functional and physiological outcomes following early rehabilitation in sepsis: The i-PERFORM Trial (Protocol Article)
Journal name BMC Anesthesiology   Check publisher's open access policy
ISSN 1471-2253
Publication date 2011-10-31
Sub-type Article (original research)
DOI 10.1186/1471-2253-11-21
Open Access Status DOI
Volume 11
Start page 21-1
End page 21-11
Total pages 11
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2012
Language eng
Formatted abstract
Background: Patients with sepsis syndromes in comparison to general intensive care patients can have worse outcomes for physical function, quality of life and survival. Early intensive care rehabilitation can improve the outcome in general Intensive Care Unit (ICU) patients, however no investigations have specifically looked at patients with sepsis syndromes. The ‘i-PERFORM Trial’ will investigate if early targeted rehabilitation is both safe and effective in patients with sepsis syndromes admitted to ICU.

Methods/Design:
A single-centred blinded randomized controlled trial will be conducted in Brisbane, Australia. Participants (n = 252) will include those ≥ 18 years, mechanically ventilated for ≥ 48 hours and diagnosed with a sepsis syndrome. Participants will be randomised to an intervention arm which will undergo an early targeted rehabilitation program according to the level of arousal, strength and cardiovascular stability and a control group which will receive normal care. The primary outcome measures will be physical function tests on discharge from ICU (The Acute Care Index of Function and The Physical Function ICU Test). Health-related quality of life will be measured using the Short Form-36 and the psychological component will be tested using The Hospital Anxiety and Depression Scale. Secondary measures will include inflammatory biomarkers; Interleukin-6, Interleukin-10 and Tumour Necrosis Factor-a, peripheral blood mitochondrial DNA content and lactate, fat free muscle mass, tissue oxygenation and microcirculatory flow.

Discussion:
The ‘i-PERFORM Trial’ will determine whether early rehabilitation for patients with sepsis is effective at improving patient outcomes with functional and physiological parameters reflecting long and short-term effects of early exercise and the safety in its application in critical illness.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article number 21.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
 
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Created: Fri, 16 Mar 2012, 15:31:01 EST by Sia Athanasas on behalf of Anaesthesiology and Critical Care - RBWH