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:6/26/2016)... ... June 26, 2016 , ... Many women are confused ... endometriosis. These women need a treatment plan to not only alleviate symptoms and ... help for preservation of fertility and ultimately achieving a pregnancy. The specialists at ...
(Date:6/25/2016)... ... 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX users can easily ... of Pixel Film Studios. , ProHand Cartoon’s package transforms over 1,300 hand-drawn pictures ... . Simply select a ProHand generator and drag it above media or text in ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van Mitchell, Secretary of ... award to iHire in recognition of their exemplary accomplishments in worksite health promotion. , ... Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire was ...
(Date:6/24/2016)... ... , ... June 19, 2016 is World Sickle Cell Observance Day. In an ... of holistic treatments, Serenity Recovery Center of Marne, Michigan, has issued a ... Cell Disease (SCD) is a disorder of the red blood cells, which can cause ...
(Date:6/24/2016)... CA (PRWEB) , ... June 24, 2016 , ... ... is now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive experience ... Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Guerbet announced today that it has been named a ... One of 12 suppliers to receive the ... of Premier members through exceptional local customer service and ... lower costs. "We ... customer service from Premier," says Massimo Carrara , ...
(Date:6/23/2016)... June 23, 2016 Research and ... Procedure Volumes: Global Analysis (United States, China, Japan, Brazil, ... report to their offering. ... for healthcare business planners, provides surgical procedure volume data ... trends with an in-depth analysis of growth drivers and ...
(Date:6/23/2016)... The Biotechnology industry might still ... great opportunities to investors. Stock-Callers.com assesses the recent performances ... XON ), Vertex Pharmaceuticals Inc. (NASDAQ: ... ARNA ), and Regeneron Pharmaceuticals Inc. (NASDAQ: ... your complimentary trade alerts at: http://stock-callers.com/registration ...
Breaking Medicine Technology: