Rehabilitation within Scottish intensive care units: a national survey

Appleton, R.T.D., Mackinnon, M., Booth, M., Wells, J. and Quasim, T. (2011) Rehabilitation within Scottish intensive care units: a national survey. Journal of Intensive Care Society, 12(3), pp. 221-227. (doi: 10.1177/175114371101200309)

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Abstract

The National Institute for Health and Clinical Excellence (NICE) in Clinical Guideline 83: Rehabilitation after critical illness has set challenging recommendations regarding the routine evaluation for, and provision of, rehabilitation within critical care units. There is no published information regarding current practice in the UK. To establish current practice in Scotland we undertook a telephone survey of all 23 Scottish ICU lead clinicians and physiotherapists — 96% of lead clinicians and 100% of lead physiotherapists completed the survey. Routine assessment for physical (median two (IQR 1-3 [range 0-4])) and non-physical sequelae (median zero (IQR 0-2 [range 0-5])) is low. Aproximately half of ICUs (52%) provide an individualised, structured rehabilitation programme, 32% include activities of daily living and all provide low intensity rehabilitation (eg limb stretching and positioning exercises). There are significant differences (all p<0.05) in the number of units routinely providing more intensive rehabilitation (eg mobilising) while patients have an endotracheal tube versus once extubated.

Item Type:Articles (Other)
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Quasim, Professor Tara and Booth, Dr Malcolm
Authors: Appleton, R.T.D., Mackinnon, M., Booth, M., Wells, J., and Quasim, T.
Subjects:R Medicine > R Medicine (General)
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Journal of Intensive Care Society
Publisher:SAGE Publications
ISSN:1751-1437

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