Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/11546
Title: Safety and feasibility of an exercise prescription approach to rehabilitation across the continuum of care for survivors of critical illness.
Authors: Berney, Susan C;Haines, Kimberley J;Skinner, Elizabeth H;Denehy, Linda
Affiliation: BPhysiotherapy, Intensive Care Unit, Austin Hospital, Melbourne, Victoria, Australia. sue.berney@austin.org.au
Issue Date: 9-Aug-2012
Citation: Physical Therapy 2012; 92(12): 1524-35
Abstract: Survivors of critical illness can experience long-standing functional limitations that negatively affect their health-related quality of life. To date, no model of rehabilitation has demonstrated sustained improvements in physical function for survivors of critical illness beyond hospital discharge.The aims of this study were: (1) to describe a model of rehabilitation for survivors of critical illness, (2) to compare the model to local standard care, and (3) to report the safety and feasibility of the program.This was a cohort study.As part of a larger randomized controlled trial, 74 participants were randomly assigned, 5 days following admission to the intensive care unit (ICU), to a protocolized rehabilitation program that commenced in the ICU and continued on the acute care ward and for a further 8 weeks following hospital discharge as an outpatient program. Exercise training was prescribed based on quantitative outcome measures to achieve a physiological training response.During acute hospitalization, 60% of exercise sessions were able to be delivered. The most frequently occurring barriers to exercise were patient safety and patient refusal due to fatigue. Point prevalence data showed patients were mobilized more often and for longer periods compared with standard care. Outpatient classes were poorly attended, with only 41% of the patients completing more than 70% of outpatient classes. No adverse events occurred.Limitations included patient heterogeneity and delayed commencement of exercise in the ICU due to issues of consent and recruitment.Exercise training that commences in the ICU and continues through to an outpatient program is safe and feasible for survivors of critical illness. Models of care that maximize patient participation across the continuum of care warrant further investigation.
Internal ID Number: 22879441
URI: http://ahro.austin.org.au/austinjspui/handle/1/11546
DOI: 10.2522/ptj.20110406
URL: http://www.ncbi.nlm.nih.gov/pubmed/22879441
Type: Journal Article
Subjects: Ambulatory Care
Australia.epidemiology
Cohort Studies
Continuity of Patient Care
Critical Illness.rehabilitation
Exercise
Exercise Test
Fatigue.epidemiology
Feasibility Studies
Female
Humans
Male
Middle Aged
Patient Compliance.statistics & numerical data
Patient Discharge
Patient Safety
Patient Transfer
Physical Therapy Modalities
Survivors
Appears in Collections:Journal articles

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