Effect of Early Mobilization on Delirium After Cardiac Surgery
The Effect of Timing of Mobilization on Delirium in Patients After Cardiac Surgery: a Pilot Study
This study tests if getting patients moving soon after heart surgery can help reduce confusion and improve recovery in the ICU.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Southeast University, China Academic / other |
| Locations | 1 site (Nanjing, Jiangsu) |
| Trial ID | NCT06069349 on ClinicalTrials.gov |
What this trial studies
This study investigates the impact of early mobilization in the ICU on patients who have undergone cardiac surgery. It aims to determine the optimal timing for mobilization to reduce the incidence and duration of delirium in these patients. By comparing early rehabilitation with usual treatment, the study seeks to clarify how soon after surgery patients can safely begin mobilization. The findings could provide valuable insights into postoperative care and recovery strategies.
Who should consider this trial
Good fit: Ideal candidates are adults over 18 who are postoperative cardiac patients admitted to the ICU within 24 hours of surgery.
Not a fit: Patients with contraindications to mobilization, such as severe cardiac instability or arrhythmias, may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved recovery outcomes and reduced delirium for patients after cardiac surgery.
How similar studies have performed: Other studies have shown promising results with early mobilization in postoperative care, suggesting this approach may be effective.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * 1. \> 18-year-old postoperative cardiac patient admitted to ICU, the time \< 24h * 2. Patients agree to participate in clinical research and sign informed consent before the start of the study Exclusion Criteria: Patients who meet any of the following criteria are not eligible for inclusion in this study: * 1. Pregnant and lactating women * 2. There are contraindications to getting out of bed： * 2.1 Low cardiac output syndrome * (1) Application of IABP or PCPS (percutaneous cardiopulmonary support) * (2) High doses of vasoactive drugs (norepinephrine\> 0.5ug/kg.min) * (3) SBP\<=80mmHg * (4) Acrocyanosis, wet and cold * (5) Metabolic acidosis * (6) Urine output less than 0.5ml/kg.h for more than 2 hours * 2.2 Heart rate greater than or equal to 120 beats per minute at rest * 2.3 Orthostatic hypotension (systolic blood pressure less than 80 mmHg after postural change) * 2.4 Presence of arrhythmias leading to a drop in blood pressure (e.g., decreased blood pressure due to new-onset atrial fibrillation) * 2.5 Difficulty breathing at rest or respiratory rate greater than 30 breaths per minute * 2.6 Postoperative bleeding (200ml in 2-3 hours)
Where this trial is running
Nanjing, Jiangsu
- Zhongda hospital — Nanjing, Jiangsu, China (Recruiting)
Study contacts
- Study coordinator: Jingyuan Xu, M.D.
- Email: 13851417209@163.com
- Phone: 008613851417209
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.