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Post Intensive Care Accelerometery to Study and Support Recovery Outcomes

Sponsor: University of Edinburgh

NCT ID: NCT07466446

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Health checks and monitoring — no treatment given
Type of study
Observational (no treatment given)
Time in hospital
Mix of remote tasks and in-person visits
Drug or intervention
Not specified by the sponsor
How long the study runs
Study runs about 11 months (dates as stated)
About the drug or intervention
Not specified by the sponsor
Patient visit burden
Not specified by the sponsor
Type of study
Observing health over time
Ages
18 Years and over
Who
All
Number of participants
40
Started
2026-03-30
Last checked
2026-08

Plain English Summary

What is this study?

  • • Testing a new treatment for post intensive care syndrome (pics)
  • • Clinical study - 40 participants
  • • The primary purpose of this study is to find out whether a wrist-worn activity monitor can help healthcare professionals understand how people recover after they leave the intensive care unit (ICU), where they were cared for when they were most unwell

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with post intensive care syndrome (pics)

Where?

  • • Edinburgh - The Royal Infirmary of Edinburgh
  • • Edinburgh - Western General Hospital
  • • Livingston - St Johns Hospital

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

The primary purpose of this study is to find out whether a wrist-worn activity monitor can help healthcare professionals understand how people recover after they leave the intensive care unit (ICU), where they were cared for when they were most unwell. By tracking recovery at home, the device may help identify problems early so that the right support can be provided. The study involves adults who are discharged from the ICU in three hospitals in Edinburgh. The main questions it aims to answer are: * Can movement data from a wearable device give useful information about how people feel and function after they return home following ICU and then hospital discharge? * Do changes in activity levels relate to changes in symptoms like pain, anxiety or behavioural measures like daily functioning, sleep and cognition? There is no comparison group in this study. Participants will: * Wear a wrist-worn activity monitor * Answer a short set of health-related questionnaires

More detail

Many people who survive a critical illness continue to face physical, emotional, and social challenges for a prolonged period afterwards. The Critical Care Recovery Service (CCRS) supports recovery across three acute hospitals in NHS Lothian, providing coordinated physical and psychological rehabilitation for ICU survivors. Within this diverse group, rehabilitation needs are graded as low or high risk using a validated screening checklist to identify patients with complex health and social care needs. This study is designed to collect patient reported outcome data and movement data from the dominant wrist using an accelerometer among CCRS patients. Adult patients identified as being at high risk of complex rehabilitation needs are subjected for voluntary enrolment at hospital discharge. In addition to the routine CCRS follow ups, participants in our study complete a structured telephone assessment to evaluate their health related quality of life, physical capabilities, and cognitive function over the two months following discharge, complemented by continuous wrist worn accelerometry for the entire study period. This study will provide early evidence on the feasibility and value of integrating continuous wearable monitoring with repeated patient-reported assessments during the early post-ICU period. By linking real-world activity patterns with key domains of recovery, the findings will help identify meaningful digital indicators of deterioration or unmet rehabilitation needs.

Post Intensive Care Syndrome (PICS)

How this trial compares with your answers

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders

What the study is looking for

  • ✓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

Who cannot take part

  • ✗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...
  • ✗Lack of capacity or inability to provide agreement to take part
See the full 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 Is This Study? (3 UK sites)

The Royal Infirmary of Edinburgh

Edinburgh EH16 4SA, United Kingdom

Recruiting
Site contact (verified)
Zoeb Jiwaji, Drzoeb.jiwaji@ed.ac.uk
Barat Ospanov, Drb.ospanov@sms.ed.ac.uk

Western General Hospital

Edinburgh EH4 2XU, United Kingdom

Recruiting
Site contact (verified)
Zoeb Jiwaji, Drzoeb.jiwaji@ed.ac.uk

St Johns Hospital

Livingston EH54 6PP, United Kingdom

Recruiting
Site contact (verified)
Zoeb Jiwaji, Drzoeb.jiwaji@ed.ac.uk

How to Get in Touch

Zoeb Jiwaji, Dr

Sponsor contact

CONTACT

0044 (0)131 242 1186 zoeb.jiwaji@ed.ac.uk

Barat Ospanov, Dr

Sponsor contact

CONTACT

b.ospanov@sms.ed.ac.uk
Data sourced from ClinicalTrials.gov · Last verified: 2026-08