Wrist-worn activity monitoring to support recovery after intensive care
Official title: Post Intensive Care Accelerometery to Study and Support Recovery Outcomes
Run by University of Edinburgh · NCT07466446 · Data updated 2026-11-12
This project will try a wrist-worn activity monitor to see if it helps clinicians understand recovery for adults discharged from intensive care.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | University of Edinburgh Academic / other |
| Locations | 3 sites (Edinburgh and 2 other locations) |
| Status | Recruiting |
| Started | March 30, 2026 |
| Main results expected | February 1, 2027 |
| Study ends | February 1, 2027 |
| Registry record updated | August 26, 2026 |
| Trial ID | NCT07466446 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) who had mechanical ventilation for more than 3 days, an ICU stay over 7 days, are classified as high risk for complex rehabilitation needs, are expected to be discharged soon, and can provide informed consent and wear a wrist device.
✕Probably not a fit
Patients with a primary neurological reason for ICU admission, those on a palliative care pathway, people whose activity is mainly limited by acute injury (e.g., major trauma or limb amputation), those who were non-ambulatory before admission, or those lacking capacity are unlikely to benefit from this monitoring approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study will recruit adults identified as high risk after prolonged ICU care at three NHS Lothian hospitals and follow them for two months after hospital discharge. Participants will wear a wrist accelerometer continuously and complete structured telephone questionnaires on symptoms, daily function, sleep, and cognition. Researchers will link real-world activity patterns with patient-reported outcomes to identify potential digital signs of deterioration or unmet rehabilitation needs. There is no comparison group; the main goal is to test feasibility and the added value of continuous wearable monitoring alongside routine follow-up.
Why it matters
Potential benefit: If successful, this approach could help clinicians spot early deterioration or unmet rehabilitation needs and guide timely, tailored support for ICU survivors.
How similar studies have gone: Prior pilot work has shown wearables can feasibly capture post-hospital activity, but evidence is limited that such data reliably predict post-ICU symptom courses or improve outcomes.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults aged 18 years or older * Mechanical ventilation for more than 3 days * Total ICU length of stay greater than 7 days * Classified as "High Risk" using a validated High-Risk Tool\* * Expected to be discharged from hospital within the next several days Exclusion Criteria: * Primary neurological diagnosis as the reason for ICU admission * Identified by the clinical team as being on the palliative care pathway * Physical activity primarily limited by the acute injury (e.g., major trauma or limb amputation) * Unable to mobilise independently prior to the index hospitalisation requiring ICU admission due to a long-term condition and/or disability * Lack of capacity or inability to provide informed consent * The High-Risk Tool (Walsh et al., 2022) assesses eight domains: recent hospital admissions; multimorbidity (≥4 chronic conditions); polypharmacy (≥4 regular medications); prior mental health disorder; substance misuse history; current antidepressant or antipsychotic therapy; need for assistance with activities of daily living (ADLs); and living alone or fragile social circumstances. Patients meeting ≥3 domains are classified as high risk for post-ICU deterioration and readmission.
Where it's running
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The Royal Infirmary of Edinburgh
Edinburgh, United Kingdom Recruiting -
Western General Hospital
Edinburgh, United Kingdom Recruiting -
St Johns Hospital
Livingston, United Kingdom Recruiting
Study contacts
- Study coordinator: Zoeb Jiwaji, Dr
- Email: zoeb.jiwaji@ed.ac.uk
- Phone: 0044 (0)131 242 1186
Similar studies
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This trial will test whether training ICU staff to use a standard or expanded care bundle helps adults who spend at least 48 hours in the ICU have fewer physical, thinking, or emotional problems three months after hospital discharge.
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This trial will test whether short hypnosis sessions given at ICU discharge and again 7 and 14 days later help ICU survivors feel better by day 28.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.