Safety profile and feasibility of early physical therapy and mobility for critically ill patients in the medical intensive care unit: Beginning experiences in Korea
- Authors
- Lee, Hyun; Ko, Young Jun; Suh, Gee Young; Yang, Jeong Hoon; Park, Chi-Min; Jeon, Kyeongman; Park, Yun Hee; Chung, Chi Ryang
- Issue Date
- Aug-2015
- Publisher
- W B SAUNDERS CO-ELSEVIER INC
- Keywords
- Exercise therapy; Extracorporeal membrane oxygenation; Intensive care unit; Patient safety; Physical therapy modalities
- Citation
- JOURNAL OF CRITICAL CARE, v.30, no.4, pp.673 - 677
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF CRITICAL CARE
- Volume
- 30
- Number
- 4
- Start Page
- 673
- End Page
- 677
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/156555
- DOI
- 10.1016/j.jcrc.2015.04.012
- ISSN
- 0883-9441
- Abstract
- Purpose: To evaluate risk factors for potential safety events during mobility physical therapy sessions in the medical intensive care unit.
Methods: The safety profiles and potential risk factors of 99 patients who were admitted to the medical intensive care unit of a single teaching hospital in Korea between May 1 and December 31, 2013, were retrospectively evaluated.
Results: A total of 26 potential safety events (5.0%; 95% confidence interval [CI], 3.4%-7.3%) during 520 mobilization sessions were observed in 17 (17.2%; 95% CI, 10.6%-26.4%) of 99 patients. The common potential safety events were as follows in order of frequency: 11 events of tachypnea or bradypnea (2.1%; 95% CI, 1.1%-3.9%), 6 events of desaturation (1.2 %; 95% CI, 0.5%-2.6%), 4 events of tachypnea or bradycardia (0.8%; 95% CI, 0.3%-2.1%), 4 events of patients' intolerance (0.8%; 95% CI, 0.3%-2.1%), and 1 event of tracheostomy tube removal (0.2%; 95% CI, 0%-1.2%). In multivariate analysis, the use of extracorporeal membrane oxygenation was associated with potential adverse events with an adjusted odds ratio of 5.8 (95% CI, 2.2-15.6), respectively.
Conclusion: Early mobility physical therapy performed by a newly established group was feasible for critically ill patients in Korea. However, potential safety events need to be monitored carefully for patients with extracorporeal membrane oxygenation support. (C) 2015 Elsevier Inc. All rights reserved.
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