| Unique ID issued by UMIN | UMIN000061817 |
|---|---|
| Receipt number | R000070501 |
| Scientific Title | Feasibility and Safety of Increased Early Mobilization Frequency During the Vasospasm Period After Aneurysmal Subarachnoid Hemorrhage: A Single-Center Pilot Randomized Controlled Trial |
| Date of disclosure of the study information | 2026/06/06 |
| Last modified on | 2026/06/06 14:24:02 |
Study on the Feasibility and Safety of Early Mobilization Frequency in Patients With Aneurysmal Subarachnoid Hemorrhage
SAFE-EM Study
Feasibility and Safety of Increased Early Mobilization Frequency During the Vasospasm Period After Aneurysmal Subarachnoid Hemorrhage: A Single-Center Pilot Randomized Controlled Trial
SAFE-EM trial
| Japan |
aneurysmal subarachnoid hemorrhage
| Neurosurgery | Intensive care medicine | Rehabilitation medicine |
Others
NO
The purpose of this study is to evaluate, in patients after definitive treatment for aneurysmal subarachnoid hemorrhage during the vasospasm period, whether early mobilization twice daily is feasible and does not raise major safety concerns compared with standard early mobilization once daily, using a single-center pilot randomized controlled trial design.
Others
Feasibility
Exploratory
Pragmatic
Not applicable
Achievement rate of twice-daily early mobilization in the intervention group
Incidence of symptomatic cerebral vasospasm (SCV)
Interventional
Parallel
Randomized
Individual
Open -but assessor(s) are blinded
Dose comparison
YES
NO
Institution is not considered as adjustment factor.
YES
Numbered container method
2
Treatment
| Other |
In the control group, early mobilization will be performed once daily according to the standardized early mobilization protocol of our hospital until day 14 after onset or discharge from the SCU, whichever occurs first.
In the intervention group, early mobilization will be performed twice daily according to the standardized early mobilization protocol of our hospital until day 14 after onset or discharge from the SCU, whichever occurs first. Each session will be separated by at least 3 hours in principle.
| 18 | years-old | <= |
| Not applicable |
Male and Female
1. Patients aged 18 years or older
2. Patients diagnosed with aneurysmal subarachnoid hemorrhage (aSAH) who have undergone definitive treatment for a ruptured aneurysm
3. Patients judged by the attending physician to be eligible for early mobilization and who meet the early mobilization initiation criteria of our hospital
4. Patients who provide written informed consent, or whose legally acceptable representative provides written informed consent
1. Patients with untreated aneurysms, either ruptured or unruptured, for whom the attending physician considers early mobilization to pose safety concerns
2. Patients judged to be unable to undergo early mobilization because of hemodynamic instability or severe respiratory failure
3. Patients judged to be unable to undergo early mobilization because of conditions requiring sedation
4. Patients judged to be unable to undergo early mobilization because of increased intracranial pressure, uncontrolled intracranial bleeding, or severe stenosis or occlusion of the cerebral or cervical arteries
5. Patients or legally acceptable representatives who do not provide informed consent
50
| 1st name | Tetsuya |
| Middle name | |
| Last name | Takahashi |
Juntendo University
Graduate School of Health Sciences
113-0033
3-2-12 Hongo, Bunkyo-ku, Tokyo
03-3813-3111
te-takahashi@juntendo.ac.jp
| 1st name | Kenji |
| Middle name | |
| Last name | Oike |
Tsuchiura Kyodo General Hospital
Department of Rehabilitation
300-0028
4-1-1, Otsuno, Tsuchiura, Ibaraki
029-830-3711
ek296988@yahoo.co.jp
Department of Rehabilitation, Tsuchiura Kyodo General Hospital
Kenji Oike
None
Other
Tsuchiura Kyodo General Hospital
4-1-1, Otsuno, Tsuchiura, Ibaraki
029-830-3711
rehabilitaion@tkgh.jp
NO
| 2026 | Year | 06 | Month | 06 | Day |
Unpublished
Enrolling by invitation
| 2026 | Year | 05 | Month | 08 | Day |
| 2026 | Year | 05 | Month | 12 | Day |
| 2026 | Year | 06 | Month | 01 | Day |
| 2028 | Year | 09 | Month | 01 | Day |
| 2028 | Year | 09 | Month | 01 | Day |
| 2026 | Year | 06 | Month | 06 | Day |
| 2026 | Year | 06 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070501