The purpose of this study is to determine whether an early rehabilitation program in surgical intensive care unit is safe and effective in preventing critical care illness and intensive care unit acquired weakness.
Due to the complications like intensive care unit-acquired weakness, critical illness polyneuropathy and neuropsychiatric disease of critical care, many organizations focus on rehabilitation in critically ill patients' management. Despite the good outcomes from papers, there are debatable issues of method, safety and efficacy of rehabilitation. The investigators developed an early rehabilitation program (ERP) in our surgical ICU management and assessed safety and efficacy of it. The ERP started in November 2014 in our 14-bed surgical ICU in Asan Medical Center. The investigators focused on early and 5-step rehabilitation program for patients who were admitted to SICU for at least 3 days. The investigators enrolled 69 patients (pre-ERP group) for 6 months before November 2014 and 62 patients (post-ERP group) for 6 months 1 year after the ERP started. The main measures were safety issues, delirium days, 28-d ventilator free-days, 28-d ICU free-days, hospital length of stay (LOS), ICU mortality, in-hospital mortality and 1 year mortality.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
131
The investigators evaluated patients who were admitted SICU for more than 3 days for an early rehabilitation program and delivered one of 5-stepped rehabilitation program if the patient was eligible.
28-day Ventilator-free days (days)
Patients who died during the study were assigned scores of 0 for 28-day ventilator-free days.
Time frame: up to 28-day
28-day ICU-free days (days)
Patients who died during the study were assigned scores of 0 for 28-day ICU-free days
Time frame: up to 28-day
Time to start rehabilitation from ICU admission (days)
Time frame: up to 2 weeks
ICU delirium days (days)
Time frame: up to 4 weeks
Total rehabilitation days within ICU days (days)
Time frame: up to 4 weeks
ICU readmission rate (%)
Time frame: up to 24 weeks
ICU mortality rate (%)
Time frame: up to 24 weeks
in-hospital mortality rate (%)
Time frame: up to 24 weeks
1 year mortality rate (%)
Time frame: 1 year follow up from ICU admission
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