A Mobility Protocol for Acute Respiratory Failure Patients Delivered by an Icu Mobility Team Shortens Hospital Stay.

Morris, Peter E.; Holbrook, Amanda; Thompson, Christopher; Ross, Amelia; Baker, Shirley; Penley, Lauretta; Sanchez, M.E. Vega; Dixon, Luz; Leach, Sue; Daniel, Amie; Howard, April; Passmore, Leah

doi:10.1097/00003246-200612002-00077

Cited by 8 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is likely that interventions have led to improvements in survival and the long‐term burden following critical illness [1, 2]. For example, early mobilisation was shown to reduce ICU and hospital stay for patients with acute respiratory failure requiring mechanical ventilation [35, 36] but the long‐term effects are unknown. The effect of interventions to improve long‐term outcomes e.g.…”

Section: Discussionmentioning

confidence: 99%

Effect of an episode of critical illness on subsequent hospitalisation: a linked data study

Williams¹,

Knuiman²,

Finn³

et al. 2009

Anaesthesia

View full text Add to dashboard Cite

SummaryHealthcare utilisation can affect quality of life and is important in assessing the cost-effectiveness of medical interventions. A clinical database was linked to two Australian state administrative databases to assess the difference in incidence of healthcare utilisation of 19 921 patients who survived their first episode of critical illness. The number of hospital admissions and days of hospitalisation per patient-year was respectively 150% and 220% greater after than before an episode of critical illness (assessed over the same time period). This was the case regardless of age or type of surgery (i.e. cardiac vs non-cardiac). After adjusting for the ageing effect of the cohort as a whole, there was still an unexplained two to four-fold increase in hospital admissions per patient-year after an episode of critical illness. We conclude that an episode of critical illness is a robust predictor of subsequent healthcare utilisation.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of an episode of critical illness on subsequent hospitalisation: a linked data study

Williams¹,

Knuiman²,

Finn³

et al. 2009

Anaesthesia

View full text Add to dashboard Cite

show abstract

“…In another study 14 in which a mobility protocol was delivered by an ICU mobility team, both the ICU stay and the hospital stay were shortened for patients with respiratory failure who required mechanical ventilation. In a 22-month period, 309 N ew technologies in critical care and mechanical ventilation have led to longterm survival of critically ill patients and a dramatic increase in the number of ventilator-dependent patients.…”

mentioning

confidence: 99%

Early Mobility and Walking Program for Patients in Intensive Care Units: Creating a Standard of Care

Perme

Chandrashekar

2009

American Journal of Critical Care

179

139

View full text Add to dashboard Cite

New technologies in critical care and mechanical ventilation have led to long-term survival of critically ill patients. An early mobility and walking program was developed to provide guidelines for early mobility that would assist clinicians working in intensive care units, especially clinicians working with patients who are receiving mechanical ventilation. Prolonged stays in the intensive care unit and mechanical ventilation are associated with functional decline and increased morbidity, mortality, cost of care, and length of hospital stay. Implementation of an early mobility and walking program could have a beneficial effect on all of these factors. The program encompasses progressive mobilization and walking, with the progression based on a patient’s functional capability and ability to tolerate the prescribed activity. The program is divided into 4 phases. Each phase includes guidelines on positioning, therapeutic exercises, transfers, walking reeducation, and duration and frequency of mobility sessions. Additionally, the criteria for progressing to the next phase are provided. Use of this program demands a collaborative effort among members of the multidisciplinary team in order to coordinate care for and provide safe mobilization of patients in the intensive care unit.

show abstract

“…The adoption of modern ICU sedation practices in which benzodiazepine use is avoided, together with early mobilization and ambulation inclusive of ventilated patients were also significant changes to our GIP. 13,14 We speculate that these practice changes were also contributory to the lower mortality, lowreadmission rates and reintubation.…”

Section: Discussionmentioning

confidence: 95%

Application of a Geriatric Injury Protocol Demonstrates High Survival Rates for Geriatric Trauma Patients with High Injury Acuity

Karamanukyan

Pakula

Martin

et al. 2017

The American Surgeon™

View full text Add to dashboard Cite

Geriatric trauma has historically been associated with poor outcomes, particularly in the setting of severe polytrauma. Although geriatric trauma protocols are common, there are limited data on their impact in patients with high injury severity. In this study, we sought to investigate the impact of a geriatric injury protocol on outcomes in patients with severe trauma acuity. Ninety-eight geriatric patients (age ≥65) admitted to our trauma center with injury severity scores (ISS) ≥15 comprised the study cohort. The mean age was 75 ± 7.7 yrs. The mean ISS was 25 ± 9.2, and the mean geriatric trauma outcome score was 150 ± 3. Mortality was 17 per cent and 70 per cent were due to central nervous system injury. When patients with nonsurvivable injuries or advanced directives resulting in early care withdrawal were excluded, the mortality was 6 per cent. Extremes of age did not impact mortality [(>80 years, 21%) vs (65–79, 16%, P = 0.5)]. Most patients (53%) were discharged home. The application of our geriatric trauma protocol led to favorable results despite high injury acuity. These data suggest that even at the extremes of age, a large percentage of patients can be expected to survive. A prospective validation of these findings is warranted.

show abstract

A Mobility Protocol for Acute Respiratory Failure Patients Delivered by an Icu Mobility Team Shortens Hospital Stay.

Cited by 8 publications

References 0 publications

Effect of an episode of critical illness on subsequent hospitalisation: a linked data study

Effect of an episode of critical illness on subsequent hospitalisation: a linked data study

Early Mobility and Walking Program for Patients in Intensive Care Units: Creating a Standard of Care

Application of a Geriatric Injury Protocol Demonstrates High Survival Rates for Geriatric Trauma Patients with High Injury Acuity

Contact Info

Product

Resources

About