a six week supervised exercise programme in post icu patients
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Ceri Battle Clinical Specialist Physiotherapist in Critical Care Research team: Ceri Battle, Dr Paul Temblett , Karen James, Sandra Jones, Dr Hayley Hutchings. A six week supervised exercise programme in post ICU patients. Introduction. - PowerPoint PPT PresentationTRANSCRIPT
A six week supervised exercise programme in post ICU patients
A six week supervised exercise programme in post ICU patientsCeri BattleClinical Specialist Physiotherapist in Critical Care
Research team: Ceri Battle, Dr Paul Temblett, Karen James, Sandra Jones, Dr Hayley Hutchings
IntroductionCritical illness affects over 1000 adults in Swansea per year with a mortality rate of 20%. (ICNARC)
Severe weakness is common in patients with prolonged critical illness
Rehabilitation after critical illness is neglected when compared with other patient groups.
The NICE 83 guidelines Rehabilitation in Critical CareThe NICE 83 guidelines Rehabilitation in Critical 2StudiesJones et al 2003: Crit Care Med. Rehab after Critical Illness: A RCT. Whiston Hospital. Self Help manual. All psychological interventions.Mc Williams et al 2009. Physiotherapy Theory and Practice: 6 week ex prog, 6mwt hads, improvements in both but no control groupLau et al 2005. A RCT of the effectiveness of an exercise training prog in pts recovering from SARS. 6mwt, vo2 max, strength. Significant improvements 3MethodologyRandomised controlled trial ParticipantsRecruitmentStratified randomisationInterventionsOutcome measuresAnalysis
Results (so far)Exercise Conclusions
Rehabilitation in ICU survivors is recommended (NICE83)Early results indicate the exercise group have better outcomes than the control groupAnxiety is increased in the exercise groupFeasible to introduce this programme with minimal additional resourcesSubjective feedback is very positiveReferencesJones C, Skirrow P, Griffiths R. Rehabilitation after critical illness: a randomised controlled trial. Crit Care Med. 2003;31:2456-2460. Lau H et al. A randomised controlled trial of the effectiveness of an exercise training program in patients recovering from severe acute respiratory distress syndrome. Aust J of Physiotherapy. 2005;51:213-217.McWilliams et al. Feasibility and impact of a structured exercise-based rehabilitation programme for intensive care survivors. Physiotherapy Theory and Practice. 2009;25:566-571.NICE Guidelines 83: Critical Illness Rehabilitation CG83. Thanks for listening. Any questions?