OBJECTIVES: To develop a comprehensive set of items describing physiotherapy mobilisation practices for critically ill patients, and to document current practices in intensive care units in Australia and New Zealand, focusing on patients having > 48 hours of mechanical ventilation. DESIGN: Prospective, observational, multicentre, single-day, point prevalence study. PARTICIPANTS AND SETTING: All patients in 38 Australian and New Zealand ICUs at 10 am on one of three designated days in 2009 and 2010. MAIN OUTCOME MEASURES: Demographic data, admission diagnosis and mobilisation practices that had occurred in the previous 24 hours. RESULTS: 514 patients were enrolled, with 498 complete datasets. Mean age was 59.2 years (SD, 16.7 years) and 45% were mechanically ventilated. Mobilisation activities were classified into five categories that were not mutually exclusive: 140 patients (28%) completed an in-bed exercise regimen, 93 (19%) sat over the side of the bed, 182 (37%) sat out of bed, 124 (25%) stood and 89 (18%) walked. Predefined adverse events occurred on 24 occasions (5%). No patient requiring mechanical ventilation sat out of bed or walked. On the study day, 391 patients had been in ICU for > 48 hours. There were 384 complete datasets available for analysis and, of these, 332 patients (86%) were not walked. Of those not walked, 76 (23%) were in the ICU for ≥ 7 days. CONCLUSION: Patient mobilisation was shown to be low in a single-day point prevalence study. Future observational studies are required to confirm the results.
OBJECTIVES: To develop a comprehensive set of items describing physiotherapy mobilisation practices for critically illpatients, and to document current practices in intensive care units in Australia and New Zealand, focusing on patients having > 48 hours of mechanical ventilation. DESIGN: Prospective, observational, multicentre, single-day, point prevalence study. PARTICIPANTS AND SETTING: All patients in 38 Australian and New Zealand ICUs at 10 am on one of three designated days in 2009 and 2010. MAIN OUTCOME MEASURES: Demographic data, admission diagnosis and mobilisation practices that had occurred in the previous 24 hours. RESULTS: 514 patients were enrolled, with 498 complete datasets. Mean age was 59.2 years (SD, 16.7 years) and 45% were mechanically ventilated. Mobilisation activities were classified into five categories that were not mutually exclusive: 140 patients (28%) completed an in-bed exercise regimen, 93 (19%) sat over the side of the bed, 182 (37%) sat out of bed, 124 (25%) stood and 89 (18%) walked. Predefined adverse events occurred on 24 occasions (5%). No patient requiring mechanical ventilation sat out of bed or walked. On the study day, 391 patients had been in ICU for > 48 hours. There were 384 complete datasets available for analysis and, of these, 332 patients (86%) were not walked. Of those not walked, 76 (23%) were in the ICU for ≥ 7 days. CONCLUSION:Patient mobilisation was shown to be low in a single-day point prevalence study. Future observational studies are required to confirm the results.
Authors: Selina M Parry; Laura D Knight; Bronwen Connolly; Claire Baldwin; Zudin Puthucheary; Peter Morris; Jessica Mortimore; Nicholas Hart; Linda Denehy; Catherine L Granger Journal: Intensive Care Med Date: 2017-02-16 Impact factor: 17.440
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Authors: Victor D Dinglas; Ann M Parker; Dereddi Raja S Reddy; Elizabeth Colantuoni; Jennifer M Zanni; Alison E Turnbull; Archana Nelliot; Nancy Ciesla; Dale M Needham Journal: Ann Am Thorac Soc Date: 2014-10
Authors: Bhakti K Patel; Krysta S Wolfe; Erica L MacKenzie; Dhafer Salem; Cheryl L Esbrook; Amy J Pawlik; Megan Stulberg; Crystal Kemple; Megan Teele; Erin Zeleny; Julia Macleod; Anne S Pohlman; Jesse B Hall; John P Kress Journal: Crit Care Med Date: 2018-07 Impact factor: 7.598
Authors: D Clark Files; Chun Liu; Andrea Pereyra; Zhong-Min Wang; Neil R Aggarwal; Franco R D'Alessio; Brian T Garibaldi; Jason R Mock; Benjamin D Singer; Xin Feng; Raghunatha R Yammani; Tan Zhang; Amy L Lee; Sydney Philpott; Stephanie Lussier; Lina Purcell; Jeff Chou; Michael Seeds; Landon S King; Peter E Morris; Osvaldo Delbono Journal: Sci Transl Med Date: 2015-03-11 Impact factor: 17.956
Authors: Sarah Elizabeth Jolley; Marc Moss; Dale M Needham; Ellen Caldwell; Peter E Morris; Russell R Miller; Nancy Ringwood; Megan Anders; Karen K Koo; Stephanie E Gundel; Selina M Parry; Catherine L Hough Journal: Crit Care Med Date: 2017-02 Impact factor: 7.598