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Trial registered on ANZCTR
Registration number
ACTRN12624000573550
Ethics application status
Approved
Date submitted
18/04/2024
Date registered
6/05/2024
Date last updated
6/05/2024
Date data sharing statement initially provided
6/05/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Inspire Beyond ICU – An audit of usual care physiotherapy in Australian and New Zealand ICU’s
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Scientific title
Inspire Beyond ICU – An audit of usual care physiotherapy in Australian and New Zealand ICU’s for adults who are mechanically ventilated 5 days or longer
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Secondary ID [1]
311987
0
None
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Universal Trial Number (UTN)
U1111-1307-0639
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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:
post ICU syndrome
333601
0
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ventilator-associated respiratory muscle weakness
333602
0
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Condition category
Condition code
Respiratory
330285
330285
0
0
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Other respiratory disorders / diseases
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Physical Medicine / Rehabilitation
330286
330286
0
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
The primary objective is to accurately describe usual respiratory physiotherapy care in Australian and New Zealand Intensive Care Units in patients invasively mechanically ventilated >5 days.
There is no direct involvement of patients in this study, as all data is collected from the medical records and is simply auditing usual practice.
Details recorded include ventilator parameters, and any physiotherapy interventions including breathing techniques, airway clearance activities, exercise, positioning or mobilisation / rehabilitation activities.
The data will be recorded from the time of enrolment until 6 weeks or discharge from physiotherapy services, whichever happens first.
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Intervention code [1]
328447
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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]
338027
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Frequency of usual physiotherapy treatment administered daily
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Assessment method [1]
338027
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File audit
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Timepoint [1]
338027
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Day 5 of mechanical ventilation, then daily until Week 6 or discharge from physiotherapy, whichever happens first
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Secondary outcome [1]
434174
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Recommended physiotherapy treatments on discharge
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Assessment method [1]
434174
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File audit
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Timepoint [1]
434174
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Discharge from physiotherapy (or week 6 following enrolment, whichever happens first)
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Secondary outcome [2]
434424
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Type and nature of physiotherapy intervention (including dosage where appropriate)
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Assessment method [2]
434424
0
File audit
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Timepoint [2]
434424
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From Day 5 of mechanical ventilation, daily until discharge from physiotherapy or discharge from hospital, whichever happens first
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Secondary outcome [3]
434425
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Mobilisation level (score / 10) as recorded in the medical file
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Assessment method [3]
434425
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ICU Mobility Scale (IMS) score / 10
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Timepoint [3]
434425
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Day 5 of mechanical ventilation, then daily until discharge from physiotherapy or discharge from hospital, which ever happens first
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Eligibility
Key inclusion criteria
Participants will be patients aged 16 years and older who are admitted to Australian and New Zealand ICUs and have been invasively mechanically ventilated >5 days
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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
Participants will be excluded from the study if they have been deemed inappropriate to receive physiotherapy treatment and are unlikely to survive the current hospital admission, as documented in the medical record.
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Study design
Purpose
Natural history
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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
Descriptive statistics will be used for the analysis of data collected
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/06/2024
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Actual
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Date of last participant enrolment
Anticipated
31/07/2024
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Actual
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Date of last data collection
Anticipated
11/09/2024
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,TAS,WA,VIC
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Recruitment hospital [1]
26421
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The Canberra Hospital - Garran
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Recruitment hospital [2]
26422
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Ipswich Hospital - Ipswich
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Recruitment hospital [3]
26423
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Sunshine Coast University Hospital - Birtinya
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Recruitment hospital [4]
26424
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Mackay Base Hospital - Mackay
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Recruitment hospital [5]
26425
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The Townsville Hospital - Douglas
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Recruitment hospital [6]
26426
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Toowoomba Hospital - Toowoomba
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Recruitment hospital [7]
26427
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Redcliffe Hospital - Redcliffe
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Recruitment hospital [8]
26428
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Mater Hospital Brisbane - South Brisbane
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Recruitment hospital [9]
26429
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The Prince Charles Hospital - Chermside
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Recruitment hospital [10]
26430
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Princess Alexandra Hospital - Woolloongabba
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Recruitment hospital [11]
26431
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St George Hospital - Kogarah
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Recruitment hospital [12]
26432
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Wollongong Hospital - Wollongong
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Recruitment hospital [13]
26433
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John Hunter Hospital - New Lambton
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Recruitment hospital [14]
26434
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Monash Medical Centre - Clayton campus - Clayton
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Recruitment hospital [15]
26435
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Dandenong Hospital- Monash Health - Dandenong
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Recruitment hospital [16]
26436
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Austin Health - Austin Hospital - Heidelberg
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Recruitment hospital [17]
26437
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Royal Melbourne Hospital - City campus - Parkville
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Recruitment hospital [18]
26438
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Box Hill Hospital - Box Hill
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Recruitment hospital [19]
26439
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Maroondah Hospital - Ringwood East
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Recruitment hospital [20]
26440
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Angliss Hospital - Upper Ferntree Gully
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Recruitment hospital [21]
26441
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Royal Perth Hospital - Perth
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Recruitment hospital [22]
26442
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Launceston General Hospital - Launceston
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Recruitment postcode(s) [1]
42400
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2605 - Garran
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Recruitment postcode(s) [2]
42401
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4305 - Ipswich
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Recruitment postcode(s) [3]
42402
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4575 - Birtinya
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Recruitment postcode(s) [4]
42403
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4740 - Mackay
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Recruitment postcode(s) [5]
42404
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4814 - Douglas
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Recruitment postcode(s) [6]
42405
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4350 - Toowoomba
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Recruitment postcode(s) [7]
42406
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4020 - Redcliffe
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Recruitment postcode(s) [8]
42407
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4101 - South Brisbane
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Recruitment postcode(s) [9]
42408
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4032 - Chermside
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Recruitment postcode(s) [10]
42409
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4102 - Woolloongabba
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Recruitment postcode(s) [11]
42410
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2217 - Kogarah
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Recruitment postcode(s) [12]
42411
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2500 - Wollongong
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Recruitment postcode(s) [13]
42412
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2305 - New Lambton
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Recruitment postcode(s) [14]
42413
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3168 - Clayton
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Recruitment postcode(s) [15]
42414
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3175 - Dandenong
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Recruitment postcode(s) [16]
42415
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3084 - Heidelberg
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Recruitment postcode(s) [17]
42416
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3050 - Parkville
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Recruitment postcode(s) [18]
42417
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3128 - Box Hill
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Recruitment postcode(s) [19]
42418
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3135 - Ringwood East
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Recruitment postcode(s) [20]
42419
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3156 - Upper Ferntree Gully
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Recruitment postcode(s) [21]
42420
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6000 - Perth
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Recruitment postcode(s) [22]
42421
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7250 - Launceston
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Recruitment outside Australia
Country [1]
26250
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New Zealand
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State/province [1]
26250
0
Hamilton
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Funding & Sponsors
Funding source category [1]
316334
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Hospital
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Name [1]
316334
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Canberra Hospital
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Address [1]
316334
0
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Country [1]
316334
0
Australia
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Primary sponsor type
Hospital
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Name
Canberra Hospital
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Address
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Country
Australia
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Secondary sponsor category [1]
318515
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University
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Name [1]
318515
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University of Canberra
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Address [1]
318515
0
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Country [1]
318515
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
315144
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ACT Health Human Research Ethics Committee
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Ethics committee address [1]
315144
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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]
315144
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Australia
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Date submitted for ethics approval [1]
315144
0
22/03/2024
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Approval date [1]
315144
0
17/04/2024
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Ethics approval number [1]
315144
0
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Summary
Brief summary
This study is an audit of usual care physiotherapy for intensive care patients who have experienced mechanical ventilation of 5 days or longer duration. This audit will be conducted for a two-month period following appropriate ethics and governance approvals, or until a minimum of 100 participants have been recruited, to accurately capture the usual care in several hospitals around Australia. This audit is an essential first step prior to launching a multicentre study of a physiotherapy intervention (inspiratory muscle training) later in 2024. Due to the negligible risk to patients, and the need to capture usual care for patients who are unconscious, this observational study has obtained a waiver of consent. This multicentre study will be led by Canberra Hospital intensive care unit (ICU) researchers, but is overseen by a well-established group of expert researchers in ICU rehabilitation. The audit tool has been co-designed and tested by physiotherapists from various sites, with input from a consumer representative. This study will pave the way for high-quality Canberra-led multicentre research in 2024 and beyond.
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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
133806
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Mrs Caitlin Ironside
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Address
133806
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Yamba Drive, Canberra Hospital, Garran ACT 2605
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Country
133806
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Australia
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Phone
133806
0
+61 404 319 234
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Fax
133806
0
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Email
133806
0
[email protected]
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Contact person for public queries
Name
133807
0
Bernie Bissett
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Address
133807
0
University of Canberra, Bruce ACT 2617
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Country
133807
0
Australia
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Phone
133807
0
+61404319234
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Fax
133807
0
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Email
133807
0
[email protected]
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Contact person for scientific queries
Name
133808
0
Bernie Bissett
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Address
133808
0
University of Canberra, Bruce ACT 2617
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Country
133808
0
Australia
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Phone
133808
0
+61 404319234
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Fax
133808
0
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Email
133808
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
As per ethical approval, no individual identifying data will be available
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
22227
Study protocol
[email protected]
387687-(Uploaded-18-04-2024-12-21-31)-Study-related document.docx
22229
Ethical approval
[email protected]
Pending
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.
Download to PDF