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    Exploring the capacity to ambulate after a period of prolonged mechanical ventilation.

    187699_187699.pdf (265.6Kb)
    Access Status
    Open access
    Authors
    Patman, Shane
    Dennis, D.
    Hill, Kylie
    Date
    2012
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Patman, Shane M. and Dennis, Dianne M. and Hill, Kylie. 2012. Exploring the capacity to ambulate after a period of prolonged mechanical ventilation. Journal of Critical Care. 27: pp. 2-7.
    Source Title
    Journal of Critcal Care
    DOI
    10.1016/j.jcrc.2011.12.020
    ISSN
    0883-9441
    Remarks

    NOTICE: this is the author’s version of a work that was accepted for publication in Journal of Critical Care. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Critical Care, Vol. 27, no.6 (2012). Doi.org/10.1016/j.jcrc.2011.12.020

    URI
    http://hdl.handle.net/20.500.11937/11189
    Collection
    • Curtin Research Publications
    Abstract

    Purpose: The purposes were to assess the functional recovery of those who survived a prolonged intensive care unit (ICU) stay by reporting the proportion who were able to ambulate independently at hospital discharge and also to examine if the time duration between admission and when the patient first stood impacted on their capacity to ambulate at discharge. Materials and Methods: A retrospective review was conducted of medical records of ICU patients in 2007 to 2008, who were mechanically ventilated for 168 hours or more, and survived their acute care stay. Main outcome measures were (1) ambulation status before admission and at time of hospital discharge and (2) time between admission to the ICU and when the patient first stood. Results: A total of 190 patients were included. Before admission, 189 (99%; 95% confidence interval [CI], 98%-100%) were ambulating independently, of whom 180 (95%) did not require a gait aid. On discharge from acute care, 89 (47%; 95% CI, 40%-54%) were ambulating independently, of whom 54 (61%) did not require a gait aid. Compared with those who stood within 30 days of ICU admission, a delay in standing of between 30 and 60 days increased the odds 5-fold (95% CI, 2-11) of being unable to ambulate independently at the time of discharge. Conclusions: After a prolonged ICU admission, more than 50% of patients were unable to ambulate independently by hospital discharge, with the time between admission and first stand, being an important predictor of this outcome.

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