Navigation Links
Early Exercise Boosts Outcomes for ICU Patients
Date:5/14/2009

Interrupting sedation for daily physiotherapy led to better post-discharge function, study finds

THURSDAY, May 14 (HealthDay News) -- Interrupting the sedation of critically ill patients in the intensive care unit (ICU) to engage them in brief physical therapy may lead to better outcomes, a new study suggests.

As noted by researchers writing in the May 13 online edition of The Lancet, weakness and neuropsychiatric disease are often complications of the immobilization caused by long-term sedation in the ICU.

The new randomized, controlled trial involved 104 patients who were on mechanical ventilators for less than 72 hours but were expected to continue on ventilation for another 24 hours. A team led by Dr. John Cress of the University of Chicago assigned 49 of the patients to daily interruption of sedation and early exercise and mobilization, while the other 55 patients received standard care.

The team then tracked patients after discharge for signs of "independent functional status" -- the ability to walk unaided and carry out six tasks of daily living.

According to the Chicago researchers, 59 percent of those who got the early exercise achieved that functional milestone over four weeks of follow-up, compared to 35 percent in the standard care group. Early physical therapy also cut the rate of delirium episodes in half and reduced the number of days in which patients required a ventilator.

"A strategy for whole-body rehabilitation -- consisting of interruption of sedation and physical and occupational therapy in the earliest days of critical illness -- was safe and well-tolerated, and resulted in better functional outcomes at hospital discharge, a shorter duration of delirium, and more ventilator-free days compared with standard care," the researchers wrote.

Writing in an accompanying commentary, Dr. Stephan M. Jakob and Dr. Jukka Takala, of University Hospital, Switzerland, noted that "exercise should have a central role in the treatment of critically ill patients... Although physiotherapy is commonly administered to patients in intensive care during recovery from critical illness in the USA, the frequency and type of physiotherapy greatly varies between the type of hospital and clinical scenarios."

More information

There's more on care in the ICU at the Society of Critical Care Medicine.



-- E.J. Mundell



SOURCE: The Lancet, news release, May 13, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Chemotherapy Superior to New Drug for Early Breast Cancer
2. Early Alzheimers diagnosis offers large social, fiscal benefits
3. National Kidney Foundation and Nephroceuticals Partner to Promote Early Detection and Good Nutrition for Kidney Disease
4. Medical Care Corporation Enables Early Detection of Memory Loss Due to Alzheimers Disease
5. Two New Reports Highlight Stalled Progress Against Diarrheal Disease: Nearly 1.6 Million Children Die Each Year From These Preventable and Treatable Diseases
6. MADD Delivers Nearly 7,000 Petitions to Governor Paterson Urging Ignition Interlocks For All Convicted DWI Offenders
7. Swine flu: Early findings about pandemic potential reported in new study
8. Blue Cross Blue Shield of Michigan Plans to Offer Customer Groups Ability to Purchase Coverage of Autism Treatment Programs that Provide Intensive Early Intervention
9. Office Ergonomics Book Reveals Early-Stage Solutions
10. Early Childhood Funding is Focus of Star Power Event
11. A new light on the mechanisms of early stage liver reperfusion injury
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Early Exercise Boosts Outcomes for ICU Patients
(Date:6/24/2016)... ... June 24, 2016 , ... ... for accelerated orthodontic treatment. Dr. Cheng has extensive experience with all areas of ... AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to ...
(Date:6/24/2016)... ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, ... minimum wage raise to $12 an hour by 2020 and then adjusting it yearly to ... value of the minimum wage, assure the wage floor does not erode again, and make ...
(Date:6/24/2016)... ... 2016 , ... EB Medicine presented its first-ever “Issue of ... in Ponte Vedra Beach, FL. The awards honor the outstanding work of leading ... and Pediatric Emergency Medicine Practice. , “With this award, we recognize the efforts ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... The Grove Investment Group (TGIG), has initiated cultivation and processing operations at its ... Vegas and Pahrump, Nevada. , Puradigm is the manufacturer of a complete system ...
(Date:6/24/2016)... ... , ... National recruitment firm Slone Partners is pleased to announce ... experience, as Vice President of North American Capital Sales at HTG Molecular . ... sales team in the commercialization of the HTG EdgeSeq system and associated reagents in ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016  Arkis BioSciences, ... less invasive and more durable cerebrospinal fluid treatments, ... funding.  The Series-A funding is led by Innova ... Fund, and other private investors.  Arkis, new financing ... instrumentation and the market release of its in-licensed ...
(Date:6/23/2016)... 2016  In a startling report released today, National Safety ... lacking a comprehensive, proven plan to eliminate prescription opioid overdoses. ... how states are tackling the worst drug crisis in recorded U.S. ... Kentucky , New Mexico , ... Of the 28 failing states, three – Michigan ...
(Date:6/23/2016)... Bracket , a leading clinical trial technology ... outcomes platform, Bracket eCOA (SM) 6.0, at the 52 ... 30, 2016 in Philadelphia , Pennsylvania.  A ... product of its kind to fully integrate with RTSM, will ... 6.0 is a flexible platform for electronic clinical outcomes assessments ...
Breaking Medicine Technology: