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Early occupational therapy in mechanically ventilated patients improves functional status: Study protocol
Evelyn Álvarez1,2, Maricel Garrido3, Felipe Salech4,5
1Departamento de Terapia Ocupacional y Ciencia de la Ocupación, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
The British Journal of Occupational Therapy
|May 8, 2025
Summary
This study investigates if early occupational therapy improves functional independence in mechanically ventilated patients. Findings will guide ICU protocols for better patient outcomes.
Area of Science:
- Critical Care Medicine
- Rehabilitation Therapy
- Occupational Therapy
Background:
- Mechanical ventilation (MV) necessitates comprehensive patient care strategies, including analgesia, sedation, delirium prevention, and early mobilization (ASDM).
- Evidence for the specific role of occupational therapy in enhancing outcomes for mechanically ventilated patients remains limited.
- This research addresses the need for evidence-based occupational therapy interventions within intensive care settings.
Purpose of the Study:
- To compare the efficacy of an intensive, early occupational therapy protocol against standard ASDM strategies.
- To evaluate the impact of occupational therapy on functional independence in patients requiring mechanical ventilation.
- To assess the effects on motor and cognitive status at 28 and 90 days post-intervention.
Main Methods:
- A prospective, multicenter, randomized clinical trial with parallel control and intervention groups.
- Inclusion criteria: hospitalized patients over 18 years old in the intensive care unit (ICU) requiring invasive MV.
- Intervention group received two 30-minute occupational therapy sessions daily for 10 days.
Main Results:
- This section is to be filled upon study completion.
Conclusions:
- Occupational therapy protocols can significantly enhance patient independence and functionality in the ICU.
- This research aims to establish systematized, feasible protocols for occupational therapists working with mechanically ventilated patients.
- Findings will contribute to the theoretical and practical advancement of occupational therapy in critical care.
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