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Trial registered on ANZCTR
Registration number
ACTRN12625000518460
Ethics application status
Approved
Date submitted
9/05/2025
Date registered
23/05/2025
Date last updated
23/05/2025
Date data sharing statement initially provided
23/05/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Mobilisation and vasoactive infusions: An observational study of practice across critical care
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Scientific title
Mobilisation and vasoactive infusions: An observational study of practice across critical care
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Secondary ID [1]
314416
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None
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Universal Trial Number (UTN)
U1111-1322-5245
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
cardiovascular conditions requiring vasoactive or inotropic support
337435
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hypotension requiring vasoactive or inotropic support
337432
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Condition category
Condition code
Cardiovascular
333873
333873
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0
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Other cardiovascular diseases
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Physical Medicine / Rehabilitation
333808
333808
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0
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Physiotherapy
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This prospective, single centre observational study will be undertaken for all patients admitted to the ICU and Acute Coronary Care Unit (ACCU) at Canberra Hospital over a three-month period requiring vasoactive and/or inotropic infusions (noradrenalin, adrenalin, dobutamine, vasopressin, milrinone, metaraminol, levasemendin, isoprenaline). This study will measure:
-mobility rates
-dosage of drug administer prior, during and post mobilisation
-level of mobilisation utilising ICU mobility scale
-attachments and sedation medication dosages during mobilisation
-SOFA score on day of mobilisation and 24 hours post
-mobility rates
-adverse events during mobilisation and 24 hours post
-functional outcome at ICU discharge (Acute Care Index of Function).
Observation measures will be taken for the highest level of mobility that day on infusions.
Mobility will be defined as any attempt at out of bed mobility (sitting on the edge of the bed, standing, transferring, ambulating, passively transferred to chair). We propose an observational study as mobilisation of patients on vasoactive and inotropic agents is already considered routine practice by physiotherapists and nursing staff in these areas.
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Intervention code [1]
331021
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Adverse events associated with mobilisation with vasoactive and/or inotropic support
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Assessment method [1]
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1. fall, unexpected extubation, new abnormal cardiac rhythm requiring escalation of vasoactive or inotropic support, refractory hypotension below target mean arterial pressure (MAP) not responding to cessation of mobility activity or increase in vasoactive or inotropic dosage, new evidence of cardiac ischaemic on electrocardiograph, death. This will be completed prospectively from the clinician administering the mobilisation 2. new abnormal cardiac rhythm requiring escalation of vasoactive or inotropic support, refractory hypotension below target mean arterial pressure (MAP) not responding to cessation of mobility activity or increase in vasoactive or inotropic dosage, commencement of CPR, new evidence of cardiac ischaemic on electrocardiograph, death Sequential Organ Failure Assessment (SOFA) Score
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Timepoint [1]
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1. During or immediately post mobilisation 2. 24 hours post mobilisation This will be collected from the digital health record
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Secondary outcome [1]
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Functional outcome on ICU discharge
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Assessment method [1]
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Acute Care Index of Function (ACIF)
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Timepoint [1]
447396
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On ICU/ACCU discharge
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Secondary outcome [2]
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Intensity of mobilisation on vasoactive and/or inotropic support
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Assessment method [2]
447397
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ICU Mobility Scale (IMS)
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Timepoint [2]
447397
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During mobilisation
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Eligibility
Key inclusion criteria
All patients admitted to ICU/ACCU at Canberra Hospital requiring vasoactive and inotropic infusions during the study timeframe
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Minimum age
16
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• <16 years old
• Admitted to ICU for end-of-life care
• Medical conditions requiring prescribed bed rest by a medical officer (e.g. spinal precautions, post operative orders)
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Data will be analysed with R software package. Pearson Chi-Square tests will be used and presented as counts and percentages. For data
analysis of continuous variables, the normal distribution of data will be determined via analysis
for skewness and kurtosis and Shapiro-Wilk’s tests applied. Normally distributed data will be
analysed using independent or paired sample t-tests and reported as mean (± standard
deviation [SD]). Linear regression models will be used to determine any relationship between mobilisation rates and functional outcomes. Logistic regression models will be used to calculate risk ratios for mobilisation.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
28/05/2025
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Actual
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Date of last participant enrolment
Anticipated
12/08/2025
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Actual
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Date of last data collection
Anticipated
31/08/2025
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Actual
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Sample size
Target
400
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT
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Recruitment hospital [1]
27918
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The Canberra Hospital - Garran
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Recruitment postcode(s) [1]
44112
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2605 - Garran
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Funding & Sponsors
Funding source category [1]
318944
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Government body
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Name [1]
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ACT Health
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Address [1]
318944
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Country [1]
318944
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Australia
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Primary sponsor type
Hospital
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Name
The Canberra Hospital
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
321409
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Address [1]
321409
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Country [1]
321409
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
317550
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ACT Health Human Research Ethics Committee
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Ethics committee address [1]
317550
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https://health.act.gov.au/act-health-system/research-data-and-publications/research/research-ethics-and-governance
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Ethics committee country [1]
317550
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Australia
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Date submitted for ethics approval [1]
317550
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11/04/2025
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Approval date [1]
317550
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06/05/2025
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Ethics approval number [1]
317550
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2025.LRE.00095
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Summary
Brief summary
Many patients admitted to the intensive care unit or acute coronary care unit require medications to support their blood pressure while they are unwell.. Currently, guidelines are unclear on how safe it is the move patients out of bed when they are on these medications. At Canberra Hospital, we regularly move patients out of bed on these medications. This study will collect information on what happens to patients when they move out of bed while their blood pressure is supported as part of normal care. This will give us information that will allow us to compare information from other hospitals and better inform guidelines on what is safe to do with this group of patients.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
141410
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Mr Vincenzo Marzano
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Address
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Physiotherapy Department, Building 15, Canberra Hospital, Hospital Road, Garran ACT 2605
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Country
141410
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Australia
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Phone
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+61 410658181
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Fax
141410
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Email
141410
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[email protected]
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Contact person for public queries
Name
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Vincenzo Marzano
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Address
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Physiotherapy Department, Building 15, Canberra Hospital, Hospital Road, Garran ACT 2605
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Country
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Australia
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Phone
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+61 410658181
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
141412
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Vincenzo Marzano
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Address
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Physiotherapy Department, Building 15, Canberra Hospital, Hospital Road, Garran ACT 2605
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Country
141412
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Australia
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Phone
141412
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+61 410658181
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Fax
141412
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Email
141412
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment:
This would breach the ethical considerations of the research. Given the small jurisdiction, patients could be identified by components of the data presented
What supporting documents are/will be available?
No Supporting Document Provided
Type
Citation
Link
Email
Other Details
Attachment
Study protocol
[email protected]
from principle investigator
Mobilisation and vasoactive infusions-project plan draft 2(002).docx
Ethical approval
[email protected]
from principle investigator
6.1 - 2025.LRE.00095 - Marzano.pdf.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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