Journal ArticleDOI
Safety of Patient Mobilization and Rehabilitation in the Intensive Care Unit. Systematic Review with Meta-Analysis.
Peter Nydahl,Thiti Sricharoenchai,Saurabh Chandra,Firuzan Sari Kundt,Minxuan Huang,M. Fischill,Dale M. Needham +6 more
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TLDR
Patient mobilization and physical rehabilitation in the ICU appears safe, with a low incidence of potential safety events, and only rare events having any consequences for patient management.Abstract:
Background: Early mobilization and rehabilitation of patients in intensive care units (ICUs) may improve physical function, and reduce the duration of delirium, mechanical ventilation, and ICU length of stay. However, safety concerns are an important barrier to widespread implementation.Objectives: To synthesize safety data regarding patient mobilization and rehabilitation in the ICU, including falls, removal of endotracheal tubes, removal or dysfunction of intravascular catheters, removal of other catheters/tubes, cardiac arrest, hemodynamic changes, and desaturation.Data Sources: Systematic literature review, including searches of five databases. Eligible studies evaluated patients who received mobilization-related interventions in the ICU. Exclusion criteria included: (1) case series with fewer than 10 patients; (2) majority of patients under 18 years of age; and (3) data not reported to permit calculation of incidence of safety events.Data Extraction: Number of patients, mobilization/rehabilitation se...read more
Citations
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The Development of a Comprehensive Physical Function Measure for the Intensive Care Unit Using Rasch Analysis and Item Response Theory
TL;DR: In this article , a robust, reliable, and valid 15-item Comprehensive Physical Function Measure for use in the intensive care unit was developed through Rasch analysis and item response theory, which included item fit, hierarchy, reliability, dimensionality, differential item functioning (DIF), and probability.
Journal ArticleDOI
Medidas de funcionalidad en pacientes post- COVID atendidos en un hospital universitario de cuarto nivel. Análisis por ingreso a la unidad de cuidados intensivos
TL;DR: In this article , a study of pacientes recuperados de COVID-19 and atendidos en un hospital universitario de cuarto nivel de Cali, Colombia, revealed that en the pacients with ingreso or sin ingresó a la unidad de cuidados intensivos (UCI), a greater número de comorbilidades and un mayor impacto funcional en escalas como the FIM, in especial el componente motor.
Journal ArticleDOI
Feasibility, safety, and patient acceptability of electronic inspiratory muscle training in patients who require prolonged mechanical ventilation in the intensive care unit: A dual-centre observational study.
TL;DR: In this article , a dual-centre observational cohort study was conducted at two tertiary intensive care units to evaluate the safety, feasibility, and acceptability of using an electronic device to facilitate inspiration muscle training with patients requiring prolonged mechanical ventilation.
Journal ArticleDOI
Factors associated with functional decline in an intensive care unit: a prospective study on the level of physical activity and clinical factors
TL;DR: Age and time spent in inactivity during intensive care unit stay are associated with functional status decline and performing light activities seems to preserve the functional status of patients.
Journal ArticleDOI
Getting the body back on track - Understanding the phenomenon of mobilisation when conscious and mechanically ventilated patients are mobilised in the intensive care unit.
TL;DR: In this paper , a qualitative study with a phenomenological-hermeneutic approach was conducted to gain an in-depth understanding of the phenomenon of mobilisation when conscious and mechanically ventilated patients are mobilised in the intensive care unit.
References
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Journal ArticleDOI
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Journal ArticleDOI
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
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