1134: Implementation of the Abcdef Bundle Leads to Increased Patient Mobility and Improved Disposition

Zheng, Matthew; Tan, Mei Chee; Tang, Lili; Rogan, Julie; Colborn, Beth; Singh, Elizabth; McDaniel, Cara; Baram, Michael

doi:10.1097/01.ccm.0000509809.72872.8a

Cited by 3 publications

(15 citation statements)

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“…Characteristics of the 18 included studies are reported in Table 1. They were published between 2014 and 2021 and comprised 13 journal articles (Balas et al, 2014;Barnes-Daly et al, 2017;Bounds et al, 2016;DiSabatino and Grami, 2016;Hsieh et al, 2019;Kram et al, 2015;Lee et al, 2020;Malik et al, 2021;Negro et al, 2018;Patel et al, 2014;Pun et al, 2019;Schallom et al, 2020;Sosnowski et al, 2018), four conference abstracts (Cape et al, 2018;Loffink et al, 2018;Zheng et al, 2016;Zhorne et al, 2018), and one dissertation (Jacob, 2017). A total of 102 intensive care units and 29,576 participants were included in the review.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Study sample sizes ranged from 30 to 15,226 participants. There were seven multi-centred studies (Balas et al, 2014;Barnes-Daly et al, 2017;Bounds et al, 2016;DiSabatino and Grami, 2016;Hsieh et al, 2019;Pun et al, 2019;Schallom et al, 2020) and 11 single-centre studies (Kram et al, 2015;Lee et al, 2020;Malik et al, 2021;Negro et al, 2018;Patel et al, 2014;Sosnowski et al, 2018;Cape et al, 2018;Loffink et al, 2018;Zheng et al, 2016;Zhorne et al, 2018;Jacob, 2017). Most participants (n = 22,911 [77.5%]) were recruited from general intensive care units (n = 90) that admitted a mix of medical and surgical patients.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Most participants (n = 22,911 [77.5%]) were recruited from general intensive care units (n = 90) that admitted a mix of medical and surgical patients. Thirteen studies were conducted in the United States Of America (USA) (Balas et al, 2014;Barnes-Daly et al, 2017;Bounds et al, 2016;DiSabatino and Grami, 2016;Hsieh et al, 2019;Kram et al, 2015;Pun et al, 2019;Schallom et al, 2020;Cape et al, 2018;Loffink et al, 2018;Zheng et al, 2016;Zhorne et al, 2018;Jacob, 2017), while one each was conducted in Korea (Lee et al, 2020), Italy (Negro et al, 2018), India (Malik et al, 2021), United Kingdom (Patel et al, 2014) and Australia (Sosnowski et al, 2018).…”

Section: Study Characteristicsmentioning

confidence: 99%

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The effect of the ABCDE/ABCDEF bundle on delirium, functional outcomes, and quality of life in critically ill patients: A systematic review and meta-analysis

Sosnowski¹,

Lin²,

Chaboyer³

et al. 2023

International Journal of Nursing Studies

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

The effect of the ABCDE/ABCDEF bundle on delirium, functional outcomes, and quality of life in critically ill patients: A systematic review and meta-analysis

Sosnowski¹,

Lin²,

Chaboyer³

et al. 2023

International Journal of Nursing Studies

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“…3 To date, published research of the ABCDEF bundle has described positive short-term clinical outcomes including mortality, length of stay in ICU and hospital. [3][4][5][6][7][8][9][10][11] It is a logical progression to investigate if patient-related benefits are realised once they are discharged from hospital.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…16 The current body of evidence that explores the effect of the ABCDEF bundle suggests promising outcomes for the ICU patient community but is primarily based on before-after studies. [3][4][5][6][7][8][9][10][11] To our knowledge, there are no adequately powered randomised controlled trials (RCTs) focused on patient outcomes related to the ABCDEF bundle compared with standard interdisciplinary healthcare in the ICU. Therefore, a rigorous RCT has been chosen as the methodology to examine the ABCDEF bundle and its effect on ICU survivor's short-term and long-term outcomes.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Effectiveness of the ABCDEF bundle on delirium, functional outcomes and quality of life in intensive care patients: a study protocol for a randomised controlled trial with embedded process evaluation

et al. 2021

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IntroductionHospital mortality for critically ill patients has decreased significantly throughout the developed world over the past two decades, attributable to improvements in the quality of intensive care, advances in critical care medicine and technologies that provide long-term multiorgan support. However, the long-term outcomes of intensive care unit (ICU) survivors is emerging as a real issue. Cognitive and physical impairments suffered by ICU survivors are common including profound weakness, pain and delirium which are inextricably linked. This study aims to determine the effectiveness of the Assess, prevent and manage pain; Both spontaneous awakening and spontaneous breathing trials; Choice of sedation and analgesia; Delirium: assess, prevent and manage; Early mobility and exercise; Family engagement and empowerment (ABCDEF) bundle in reducing ICU-related short-term and long-term consequences of critical illness through a randomised controlled trial (RCT).Methods and analysisThe study will be a single-centre, prospective RCT. A total of 150 participants will be recruited and randomised to either receive the ABCDEF bundle protocol or non-protocolised standard care for the duration of the participant’s admission in the ICU. The primary outcome is delirium status measured using the Confusion Assessment Measure for ICU (CAM-ICU). Secondary outcomes include physical function measured by the Functional Independence Measure and quality of life measured by the European Quality of Life five dimensions, five-level questionnaire. A mixed-method process evaluation will contribute to understanding the experience of health teams who implement the ABCDEF bundle into practice.Ethics and disseminationEthics approval was provided by the Metro South Health Human Research Ethics Committee (HREC) (EC00167) and the Griffith University’s HREC prior to study commencement.Study results will be disseminated by presentations at conferences and via publications to peer-review journals.Trial registration numberACTRN12620000736943; Pre-results.

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Intervenciones y efectividad del Paquete ABCDEF en el tratamiento de delirium: revisión de alcance

Tovar

Castaño

2021

Av. enferm.

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Objetivo: describir las intervenciones de cada componente del paquete ABCDEF y su efectividad para prevenir y tratar el delirium en pacientes hospitalizados en cuidados intensivos. Síntesis de contenido: se realizó una revisión de alcance empleando los términos MeSH delirium e intensive care units, agregando ABCDEF con el operador AND, en las bases de datos Medline, ScienceDirect, Biblioteca Virtual de Salud y Scopus. Se seleccionó un total de 23 artículos según los criterios de inclusión establecidos. Entre estos, se logró identificar intervenciones para el control del dolor (A), el despertar y la respiración espontánea (B), sedación de la analgesia y sedación (C), monitorización del delirium (D), movilidad temprana (E) y el empoderamiento de la familia (F). Todo el paquete ABCDEF y sus componentes mostraron efectividad en la reducción de la incidencia y duración del delirium, así como de los días de ventilación mecánica y de la mortalidad. Conclusiones: las intervenciones del paquete ABCDEF identificadas fueron la monitorización del dolor y su control con fármacos y relajación; la implementación del protocolo de despertar y respiración espontánea, según criterios de seguridad; la administración de analgesia antes de la sedación —siendo esta última nula o mínima—, monitorizando el estado de conciencia y profundidad de la sedación con escalas validadas y monitorizando el delirium al menos una vez al día; movilización temprana, progresiva y al máximo potencial que se pueda lograr; y la vinculación de la familia en las rondas, en el cuidado básico y en la prevención del delirium.

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1134: Implementation of the Abcdef Bundle Leads to Increased Patient Mobility and Improved Disposition

Cited by 3 publications

References 0 publications

The effect of the ABCDE/ABCDEF bundle on delirium, functional outcomes, and quality of life in critically ill patients: A systematic review and meta-analysis

The effect of the ABCDE/ABCDEF bundle on delirium, functional outcomes, and quality of life in critically ill patients: A systematic review and meta-analysis

Effectiveness of the ABCDEF bundle on delirium, functional outcomes and quality of life in intensive care patients: a study protocol for a randomised controlled trial with embedded process evaluation

Intervenciones y efectividad del Paquete ABCDEF en el tratamiento de delirium: revisión de alcance

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