Physiotherapie bei kritisch kranken Patienten mit schwerer Sepsis oder septischem Schock

Otto, G.; Menge, Katja; Potratz, K; Bocker, B.; Kabisch, Bjoern; Lösche, Wolfgang; Smolenski, U.; Soßdorf, Maik

doi:10.1055/s-0032-1322851

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“…Zudem verkürzen frühzeitige physio-und ergotherapeutische Maßnahmen die Beatmungsdauer, vermindern das Delir und verbessern den funktionellen Zustand bei Krankenhausentlassung [33]. Frühe Physio-und Ergotherapie sind bei beatmeten Patienten sicher durchführbar und führen neben einer verbesserten Funktionalität auch zu positiven Folgen für die psychische Situation [34][35][36][37]. Gerade zwischen Intensivstation und Normalstation treten jedoch regelmäßig Schnittstellenprobleme in der physiotherapeutischen bzw.…”

Section: Frühmobilisationunclassified

Fachübergreifende Frührehabilitation nach Sepsis – Eine retrospektive Analyse *

et al. 2017

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Surviving sepsis may have consequences of high impact for the patients' further life regarding functioning in mobility and activities of daily living, among other fields. Patients consecutively have a great need of rehabilitation interventions beginning with early mobilization in the Intensive Care Unit ICU. Acute medical rehabilitation is a concept of early rehabilitation still in the acute care hospital, normally beginning after a direct transferal from the ICU. Its aim is to improve the patients' functioning in mobility and activities of daily living (ADL) to enable further post-acute rehabilitation interventions. In this retrospective analysis a sample of patients who received acute medical rehabilitation after surviving a sepsis or severe sepsis was followed. The study targeted the question if basic functions of mobility and ADL could be improved by acute medical rehabilitation. Furthermore, the need for aid supply was evaluated, as well as the type of discharge or transferal after acute care. The increase of mobility and ADL capability before and after acute medical rehabilitation was highly significant (p<0.001 each) and showed very large effect sizes (d=1.3, 1.4 respectively). Aid supply was organized for 92% of patients. A majority of patients could receive consecutive post-acute rehabilitation after re-gaining function. The data shows the enormous gain in functioning that can be reached with an acute medical rehabilitation intervention after ICU treatment of sepsis.

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