scholarly journals EARLY MOBILIZATION IN FRAIL AND NON-FRAIL OLDER ADULTS ADMITTED TO THE CARDIOVASCULAR INTENSIVE CARE UNIT

2018 ◽  
Vol 34 (10) ◽  
pp. S29
Author(s):  
M. Goldfarb ◽  
J. Afilalo ◽  
R. Herscovici ◽  
B. Cercek
Keyword(s):  
Older Adults ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Early Mobilization ◽  
Frail Older Adults ◽  
Cardiovascular Intensive Care

Early mobility in frail and non-frail older adults admitted to the cardiovascular intensive care unit

2018 ◽  
Vol 47 ◽  
pp. 9-14 ◽  
Author(s):  
Michael Goldfarb ◽  
Jonathan Afilalo ◽  
Alice Chan ◽  
Romana Herscovici ◽  
Bojan Cercek
Keyword(s):  
Older Adults ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Early Mobility ◽  
Frail Older Adults ◽  
Cardiovascular Intensive Care

scholarly journals Early Mobilization Interventions in the Intensive Care Unit: Ongoing and Unpublished Randomized Trials

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Janane Maheswaran ◽  
Jake Fromowitz ◽  
Michael Goldfarb
Keyword(s):  
Older Adults ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Outcome Measures ◽  
Assessment Tool ◽  
Controlled Trial ◽  
Early Mobilization ◽  
Evidence Base ◽  
Patient Centered ◽  
Specific Patient

Background. Critical care societies recommend early mobilization (EM) as standard practice in the intensive care unit (ICU) setting. However, there is limited randomized controlled trial (RCT) evidence supporting EM’s effectiveness. Our objective was to identify ongoing or completed RCTs assessing EM’s effectiveness in the ICU. Method. We searched ClinicalTrials.gov and the Australian New Zealand Clinical Trials Registry for ongoing or completed but not published RCTs in an ICU setting with objective outcome measures. Results. There were 14 RCTs included in the analysis. All studies were in the general or mixed ICU setting (N=14). Half of the studies (N=7) were small RCTs (<100 projected participants) and half (N=7) were medium-sized RCTs (100–999 participants). Inclusion criteria included mechanical ventilation use or expected use (N=13) and prehospital functional status (N=7). Primary EM interventions were standard physiotherapist-based activities (N=4), cycling (N=9), and electrical muscle stimulation (N=1). Only one study involved nurse-led EM. The most common assessment tool was the 6-minute walk test (N=6). Primary outcome measures were physiological (N=3), clinical (N=3), patient-centered (N=7), and healthcare resource use (N=1). Most studies (N=8) involved post-ICU follow-up measures up to 1-year posthospitalization. There were no studies targeting older adults or people with acute cardiac disease. Conclusion. Identified studies will further the evidence base for EM’s effectiveness. There is a need for studies looking at specific patient populations that may benefit from EM, such as older adults and cardiac patients, as well as for novel EM delivery strategies, such as nurse-led EM.

An examination of cardiovascular intensive care unit mortality based on admission day and time

Heart & Lung ◽  
2021 ◽  
Vol 50 (5) ◽  
pp. 579-586
Author(s):  
Matthew C. Langston ◽  
Keshab Subedi ◽  
Carly Fabrizio ◽  
Neil J. Wimmer ◽  
Usman I. Choudhry ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Unit Mortality ◽  
Cardiovascular Intensive Care

scholarly journals Importance of High-Performing Teams in the Cardiovascular Intensive Care Unit

2021 ◽  
Author(s):  
Lauren R. Kennedy-Metz ◽  
Atilio Barbeito ◽  
Roger D. Dias ◽  
Marco A. Zenati
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
High Performing ◽  
Cardiovascular Intensive Care

scholarly journals Intensive Care Unit Structure Variation and Implications for Early Mobilization Practices. An International Survey

2016 ◽  
Vol 13 (9) ◽  
pp. 1527-1537 ◽  
Author(s):  
Rita N. Bakhru ◽  
David J. McWilliams ◽  
Douglas J. Wiebe ◽  
Vicki J. Spuhler ◽  
William D. Schweickert
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Early Mobilization ◽  
International Survey ◽  
Structure Variation ◽  
Unit Structure

Effect of early mobilization on sedation practices in the neurosciences intensive care unit: A preimplementation and postimplementation evaluation

2015 ◽  
Vol 30 (2) ◽  
pp. 344-347 ◽  
Author(s):  
Robert Witcher ◽  
Lauren Stoerger ◽  
Amy L. Dzierba ◽  
Amy Silverstein ◽  
Axel Rosengart ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Early Mobilization

scholarly journals EFEITOS DA MOBILIZAÇÃO PRECOCE EM PACIENTES ADULTOS INTERNADOS EM UNIDADE DE TERAPIA INTENSIVA: REVISÃO SISTEMÁTICA / EFFECTS OF EARLY MOBILIZATION IN ADULT PATIENTS ADMITTED TO THE INTENSIVE CARE UNIT: SYSTEMATIC REVIEW

2021 ◽  
Vol 7 (3) ◽  
pp. 30427-30441
Author(s):  
Ranná Barros Souza ◽  
Leticia Maues Marques ◽  
Elana Dayane Chaves Gonçalves ◽  
Gabriel de Freitas Santos da Costa ◽  
Marcos Vinícius da Conceição Furtado ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Early Mobilization ◽  
Adult Patients ◽  
Terapia Intensiva

scholarly journals Association between early mobilization or rehabilitation and intensive care unit acquired weakness: A systematic review and meta-analysis of randomized controlled trials.

2020 ◽  
Author(s):  
Minghang Li ◽  
Mingyue Ding ◽  
Huanzhang Shao ◽  
Bingyu Qin ◽  
Xingwei Wang ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Meta Analysis ◽  
Early Mobilization ◽  
Standard Of Care ◽  
Cochrane Library ◽  
Care Group ◽  
China National Knowledge Infrastructure ◽  
Number Of Patients ◽  
Icu Discharge

Abstract Background The prognosis of intensive care unit acquired weakness (ICUAW) is poor and the treatment effect is not ideal. At present, some effective and safe early prevention means are urgently needed to reduce its incidence.This study evaluated the effectiveness and safety of early activities or rehabilitation in the prevention of ICUAW. Methods We searched for articles in five electronic databases, including PubMed, EMBASE, the Cochrane Library, the China National Knowledge Infrastructure (CNKI) and Wanfang Med Online. All publications until June, 2020 were searched. We have selected trials investigating early mobilization or rehabilitation as compared to standard of care in critically ill adults.The extracted data included adverse events, the number of patients with ICUAW, the length of stay in the ICU (ICU-LOS) the length of mechanical ventilation (MV) etc. Results The final results showed that compared with the usual care group, early mobilization or rehabilitation reduced the prevalence of ICUAW (RR, 0.73; [0.61, 0.87]; I2 = 44%; P = 0.0006), ICU-LOS (MD, − 1.47;[2.83, 0.10]; I2 = 56%; P = 0.04), length of MV (MD, − 1.96; [2.41, 1.51]; I2 = 0%; P = 0.00001), but the mortality (RR, 0.90; [0.62, 1.32]; I2 = 3%; P = 0.60) at ICU discharge was not associated. The subgroup analysis of ICUAW prevalence and ICU-LOS based on the intervention methods showed that early combined rehabilitation could reduce the prevalence of ICUAW (RR, 0.56; [0.43, 0.74]; I2 = 34%; P = 0.0001) and shorten the ICU-LOS (MD, − 2.21; [3.28, 0.97]; I2 = 23%; P = 0.0003). EGDM was not associated with a decrease in ICUAW prevalence (RR, 0.85; [0.65, 1.09]; I2 = 26%; P = 0.20), but it reduced the ICU-LOS (MD, − 2.27; [3.86, 0.68]; I2 = 0%; P = 0.005).Early in-bed cycling was not associated with reduced ICUAW prevalence(RR, 1.25; [0.73, 2.13]; I2 = 0%; P = 0.41) and ICU-LOS(MD, 2.27; [0.27, 4.80]; I2 = 0%; P = 0.08) . Conclusions Early mobilization or rehabilitation was associated with a shorter length of MV and ICU-LOS, but not mortality. Of course, not all early activities or forms of rehabilitation are effective. The early combined rehabilitation model is effective for the prevention of ICUAW. However, EGDM and early in-bed cycling were not effective in preventing ICUAW.

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