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Active Mobilization for Mechanically Ventilated Patients: A Systematic Review / Z. Li in Archives of Physical Medicine and Rehabilitation, 2013/3 (2013)
Titre : Active Mobilization for Mechanically Ventilated Patients: A Systematic Review Type de document : Article Auteurs : Z. Li ; [et al.] Article en page(s) : pp. 551-561 Langues : Anglais (eng) Descripteurs : HE Vinci
Rééducation et réadaptation ; Respiration ; Traitement par les exercices physiques ; Ventilation artificielle
Mots-clés : Critical illness Maladie critique Exercise therapy Artificial Review literature as topic Littérature de revue comme sujet Résumé : "Objective
To investigate the effectiveness and safety of active mobilization on improving physical function and hospital outcomes in patients undergoing mechanical ventilation for more than 24 hours.
PubMed, Embase, CINAHL, CENTRAL, Physiotherapy Evidence Database, SinoMed, and ISI Web of Knowledge were searched for randomized controlled trials (RCTs), quasi-RCTs, other comparative studies, and case series with 10 or more consecutive cases. Additional studies were identified through references, citation tracking, and by contacting the authors of eligible studies.
Two reviewers independently selected potential studies according to the inclusion criteria.
Two reviewers independently extracted data and assessed the methodologic quality.
A narrative form was used to summarize study characteristics and outcomes, because the substantial heterogeneity between the individual studies precluded formal meta-analyses. Among the 17 eligible studies, 7 RCTs, 1 quasi-RCT, 1 prospective cohort study, and 1 history controlled study were used to examine the effectiveness; and 2 RCTs, 1 prospective cohort study, and 7 case series were used to examine the safety of active mobilization in patients receiving mechanical ventilation for more than 24 hours. We found that active mobilization may improve muscle strength, functional independence, and the ability to wean from ventilation and may decrease the length of stay in the intensive care unit (ICU) and hospital. However, only 1 study reported that active mobilization reduced the 1-year mortality rate. No serious adverse events were reported among included studies.
Active mobilization appears to have a positive effect on physical function and hospital outcomes in mechanical ventilation patients. Early active mobilization protocols may be initiated safely in the ICU setting and continued in post-ICU settings. However, the current available studies have great heterogeneity and limited methodologic quality. Further research is needed to provide more robust evidence to support the effectiveness and safety of active mobilization."
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in Archives of Physical Medicine and Rehabilitation > 2013/3 (2013) . - pp. 551-561[article]The Chelsea Critical Care Physical Assessment Tool (CPAx): validation of an innovative new tool to measure physical morbidity in the general adult critical care population; an observational proof-of-concept pilot study / E.J. Corner in Physiotherapy, 2013/1 (2013)
Titre : The Chelsea Critical Care Physical Assessment Tool (CPAx): validation of an innovative new tool to measure physical morbidity in the general adult critical care population; an observational proof-of-concept pilot study Type de document : Article Auteurs : E.J. Corner, Auteur ; H. Wood, Auteur ; C. Englebretsen, Auteur Année de publication : 2013 Article en page(s) : pp.33-41 Langues : Anglais (eng) Descripteurs : HE Vinci
Évaluation de résultat (soins) ; Rééducation et réadaptation
Mots-clés : Maladie critique Maladies musculaires Disponible en ligne : Non Permalink :
in Physiotherapy > 2013/1 (2013) . - pp.33-41[article]