Optimizing Post-Intensive Care Unit Rehabilitation

Held, N.; Moss, Marc

doi:10.5152/turkthoracj.2018.18172

Cited by 20 publications

(12 citation statements)

References 29 publications

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“…It has been proposed that future trials should focus on multi-disciplinary follow-up strategies, which might include physicians as well as other professions such as nurses, physiotherapists, occupational, speech and language therapists, psychologists, dieticians, social workers or clinical pharmacists. [56, 61, 62] Our study contributes to this goal by identifying specific medical disciplines that should be considered for multi-disciplinary post-ICU interventions.…”

Section: Discussionmentioning

confidence: 99%

The association of intensive care with utilization and costs of outpatient healthcare services and quality of life

et al. 2019

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BackgroundLittle is known about outpatient health services use following critical illness and intensive care. We examined the association of intensive care with outpatient consultations and quality of life in a population-based sample.MethodsCross-sectional analysis of data from 6,686 participants of the Study of Health in Pomerania (SHIP), which consists of two independent population-based cohorts. Statistical modeling was done using Poisson regression, negative binomial and generalized linear models for consultations, and a fractional response model for quality of life (EQ-5D-3L index value), with results expressed as prevalence ratios (PR) or percent change (PC). Entropy balancing was used to adjust for observed confounding.ResultsICU treatment in the previous year was reported by 139 of 6,686 (2,1%) participants, and was associated with a higher probability (PR 1.05 [CI:1.03;1.07]), number (PC +58.0% [CI:22.8;103.2]) and costs (PC +64.1% [CI:32.0;103.9]) of annual outpatient consultations, as well as with a higher number of medications (PC +37.8% [CI:17.7;61.5]). Participants with ICU treatment were more likely to visit a specialist (PR 1.13 [CI:1.09; 1.16]), specifically internal medicine (PR 1.67 [CI:1.45;1.92]), surgery (PR 2.42 [CI:1.92;3.05]), psychiatry (PR 2.25 [CI:1.30;3.90]), and orthopedics (PR 1.54 [CI:1.11;2.14]). There was no significant effect regarding general practitioner consultations. ICU treatment was also associated with lower health-related quality of life (EQ-5D index value: PC -13.7% [CI:-27.0;-0.3]). Furthermore, quality of life was inversely associated with outpatient consultations in the previous month, more so for participants with ICU treatment.ConclusionsOur findings suggest that ICU treatment is associated with an increased utilization of outpatient specialist services, higher medication intake, and impaired quality of life.

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Section: Discussionmentioning

confidence: 99%

The association of intensive care with utilization and costs of outpatient healthcare services and quality of life

et al. 2019

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“…In addition, physical therapy management should be continued after patients are discharged from ICU to reduce ICU-acquired weakness. For this purpose, management of patients with post-intensive care symptoms should continue rehabilitation in the hospital, but intensive care follow-up programs in post-ICU clinics or at home should also be considered [ 62 , 63 ], as has already been done [ 64 ]; in that sense, telerehabilitation appears as a feasible option [ 65 , 66 ]. That is why we developed a summary of mobilization progression based on different proposals [ 37 , 39 , 41 , 46 ] that can be checked in Figure 3 .…”

Section: Discussionmentioning

confidence: 99%

Could Physical Therapy Interventions Be Adopted in the Management of Critically Ill Patients with COVID-19? A Scoping Review

Bernal‐Utrera

Anarte‐Lazo

González-Gerez

et al. 2021

IJERPH

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As part of COVID-19 consequences, it has been estimated that 5% of patients affected by this disease will require admission to the intensive care unit (ICU), and physical therapy techniques have been implemented in patients with other conditions admitted to ICU. The aim of the present study is to summarize all the available information about the implementation of physical therapy management in critically ill patients. From three clinical guidelines already published, we performed a search in PubMed, Scopus, ScienceDirect, and CINAHL, including systematic reviews, clinical guidelines, and randomized controlled trials, among others. Data extraction was performed independently by two reviewers. Quality assessment was developed through the AMSTAR-2 tool and PEDro Scale. A narrative synthesis was performed and 29 studies were included. The information extracted has been classified into four folders: ICU environment in COVID-19 (security aspects and management of the patient), respiratory physiotherapy (general indications and contraindications, spontaneously breathing and mechanically ventilated patient approaches), positional treatment, and exercise therapy (safety aspects and progression). The implementation of physiotherapy in patients affected with COVID-19 admitted to the ICU is a necessary strategy that prevents complications and contributes to the stabilization of patients in critical periods, facilitating their recovery.

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“…A VM prolongada provoca, também, um maior período de internação hospitalar pós cuidados intensivos e consequentemente acarreta em maiores custos, além de aumentar as necessidades após a alta da unidade 5,21 . Estudos apontam que a mediana do tempo de internação hospitalar pós UTI foi de 17 a 21 dias 10,22 .…”

Section: Discussionunclassified

Análise dos custos da internação hospitalar de pacientes em ventilação mecânica invasiva e fatores associados

Barcellos

Greve

Candaten

et al. 2020

CBR

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Optimizing Post-Intensive Care Unit Rehabilitation

Cited by 20 publications

References 29 publications

The association of intensive care with utilization and costs of outpatient healthcare services and quality of life

The association of intensive care with utilization and costs of outpatient healthcare services and quality of life

Could Physical Therapy Interventions Be Adopted in the Management of Critically Ill Patients with COVID-19? A Scoping Review

Análise dos custos da internação hospitalar de pacientes em ventilação mecânica invasiva e fatores associados

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