【摘要】BACKGROUND Systematic reviews of early rehabilitation within intensive care units have highlighted the need for robust multi-centre randomised controlled trials with longer term follow up. This trial aims to explore the feasibility of earlier and enhanced rehabilitation for patients mechanically ventilated for ≥5days and to assess the impact on possible long term outcome measures for use in a definitive trial.METHODS Patients admitted to a large UK based intensive care unit and invasively ventilated for ≥5 days were randomised to the rehabilitation intervention or standard care on a 1∶1 basis, stratified by age and SOFA score. The rehabilitation intervention involved a structured programme, with progression along a functionally based mobility protocol according to set safety criteria.RESULTS 103 out of 128 eligible patients were recruited into the trial, achieving an initial recruitment rate of 80%. Patients in the intervention arm mobilized significantly earlier (8days vs 10 days,P=0.035), at a more acute phase of illness (SOFA 6 vs 4,P<0.05) and reached a higher level of mobility at the point of critical care discharge (MMS 7 vs 5,P<0.01).CONCLUSION We have demonstrated the feasibility of introducing a structured programme of rehabilitation for patients admitted to critical care.
【关键词】
《建筑知识》 2015-05-12
《中国医疗管理科学》 2015-05-12
《中国医疗管理科学》 2015-05-12
《中国医疗管理科学》 2015-05-12
《现代制造技术与装备》 2015-06-26
《重庆高教研究》 2015-06-26
《中外医疗》 2015-07-03
《阅江学刊》 2015-07-02
Copyright © 2013-2016 ZJHJ Corporation,All Rights Reserved
发表评论
登录后发表评论 (已发布 0条)点亮你的头像 秀出你的观点