scholarly journals 268: OCCUPATIONAL THERAPY OUTCOMES ON ADULTS MECHANICALLY VENTILATED SECONDARY TO COVID-19

2021 ◽  
Vol 50 (1) ◽  
pp. 119-119
Author(s):  
Kyle Shaak ◽  
Lauren Reightler
Author(s):  
Michael Wolfe ◽  
Daniel Saddawi-Konefka

Schweickert et al. studied effects of early physical and occupational therapy in mechanically ventilated patients. 109 mechanically ventilated medical ICU patients (with independent functional status prior to hospitalization) were randomized to receive physical and occupational therapy initiated at time of enrollment (intervention group) vs. physical and occupational therapy ordered at the discretion of the primary team (control group), with both groups receiving daily interruptions of sedation. The primary outcome, independent functional status at time of discharge, was met in 59% of the intervention group vs. 35% of the control group (p = 0.02). Lower rates of ICU and hospital delirium were observed in the intervention group. Hospital length of stay and mortality were unaffected. This study demonstrated that physical and occupational therapy can be safely accomplished in critically ill, mechanically ventilated medical ICU patients, and that early implementation of therapy may improve return to independent functional status at hospital discharge.


Author(s):  
William D Schweickert ◽  
John P Kress

Mechanically ventilated patients in the ICU are commonly immobilized for prolonged time periods due to factors that include the underlying illness, encephalopathy, or sedation. In this setting, severe ICU-acquired weakness is common and may represent both a cause and consequence of immobilization. Physical and occupational therapy is feasible in ICU patients, even very early during mechanical ventilation. This intervention requires a coordinated effort between physicians, nurses, respiratory therapists, and the physical/occupational therapy team. Early physical and occupational therapy can lead to improved strength and functional status, reduced ventilator days and length of stay, and fewer days of ICU delirium.


2010 ◽  
Vol 64 (5) ◽  
pp. 689-694 ◽  
Author(s):  
K. Maitra ◽  
C. Hall ◽  
T. Kalish ◽  
M. Anderson ◽  
E. Dugan ◽  
...  

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