在重症监护室入院后,通过理疗助理改善身体功能 (EMPRESS):一种随机对照可行性研究
Rebecca J Cusack1,2, Andrew Bates1,2, Hannah Golding2
1University of Southampton, Southampton, UK.
Journal of the Intensive Care Society
|May 19, 2025
概括
危急病患者的早期康复是可行的,有物理治疗助理. 未来的试验需要改进招募和盲目的结果措施,以提高早期干预的有效性.
科学领域:
- 关键护理医学 关键护理医学
- 康复疗法康复疗法康复疗法
- 临床试验 临床试验
背景情况:
- 危急病患者的早期康复因人力资源有限而面临挑战.
- 协议化的早期康复旨在改善重症监护室 (ICU) 患者的治疗结果.
研究的目的:
- 评估随机对照试验 (RCT) 的可行性,用于由物理治疗助理提供的早期康复.
- 在可行性研究中评估招聘率,干预交付和结果评估完成.
主要方法:
- 一项随机的可行性研究在三个英国混合医疗/外科ICU中进行.
- 符合条件的患者在ICU入院前被输管,通风 <72小时,并且在功能上独立.
- 患者被随机分配到早期康复以及常规护理或常规护理.
主要成果:
- 招募平均为0.9名患者/月/地点,低于目标的1-2.
- 90%的患者在72小时内开始干预,但只有63%的计划干预得到了交付.
- 64%的幸存者完成了结果评估,63%的幸存者失明.
结论:
- 由物理治疗助理提供协议化康复是可行的.
- 未来的RCT设计需要策略来增强患者招募,并确保完整的盲目的结果评估.
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