Early mobilization improves functional outcomes in critically ill patients.docVIP

Brahmbhatt et al. Critical Care 2010,14:321 /content/14/5/321 JOURNAL CLU B CRITIQUE Early mobilization improves functional outcomes in critically ill patients Naishadh Brahmbhatt , Raghavan Murugan* and Eric B Milbrandt 1 1,2 1,2 University of Pittsburgh Department of Critical Care Medicine: Evidence-Based Medicine Journal Club, edited by Sachin Yende Expanded abstract Citation sedation with therapy as ordered by the primary care team (contr erapists who undertook patient assessments were blinded to treatment assignment. Outcomes: e primary endpoint was the number of patients returning to independent functional status at Schweickert WD, Pohlman MC, Pohlman AS, Nigos C, Pawlik AJ, Esbrook CL Spears L, Miller M, Franczyk M, Deprizio D, Schmidt GA, Bowman A, Barr R, McCalliste KE, Hall JB, Kress JP. Early physical and occupational hospital discharge de? ned as the ability to perform six therapy in mechanically ventilated, critically ill patients: a activities of daily living and the ability to walk randomized controlled trial. Lancet 2009; 373(9678): independently. Secondary endpoints included duration 1874-1882. PubMed PM on . is is available of delirium and ventilator-free days during the ? rst 28 days of hospital stay. Background Results Long-term complications of critical illness include e return to independent functional status at hospital intensive care unit (ICU)-acquired weakness and neuro- discharge occurred in 29 (59%) patients in the inter- psychiatric disease. Immobilization secondary to seda- vention group compared with 19 (35%) patients in the tion might potentiate these problems. control group (p=0.02; odds ratio 2.7 [95% CI 1.2–6.1]). Patie