Critical Care Observation of Motor Activity (COMA) and SICU Outcomes

Completed

Conditions studied: Motor Activity, Muscle Strength, Muscle Weakness

In brief

In the surgical intensive care unit (SICU), goals of critical care are often discussed in long-term ventilated patients around the time of extubation. Muscle weakness predicts extubation failure but formal muscle strength assessment by the Medical Research Council scale is time-consuming and not part of the daily clinical exam. In this observational study, we hypothesize that COMA measurement, routinely used by the SICU nurses, is a reliable and valid predictor for patients' SICU outcomes. This prospective observational study is carried out within a consecutively enrolled cohort of adult patients who are extubated in two SICUs at Massachusetts General Hospital, Boston.

Key facts

Study ID

NCT02994641

Run by

Massachusetts General Hospital

People needed

761

Starts

2012-12-01

Expected to finish

2014-01-01

Last updated by the study team

2016-12-16

Who can join

Age: 18 and older, up to 112. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Intubated and mechanically ventilated patients in 2 ICUs at Massachusetts General Hospital
• adult patients

You may not qualify if…

• Tracheostomy without extubation attempt
• Death without extubation attempt/terminal extubation

Where it is running

• The Massachusetts General Hospital — Boston, Massachusetts, United States

Full record on ClinicalTrials.gov

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