Exploring the capacity to ambulate after a period of prolonged mechanical ventilation.
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 firs...
| Main Authors: | , , |
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| Format: | Journal Article |
| Published: |
Elsevier
2012
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| Online Access: | http://hdl.handle.net/20.500.11937/11189 |
| _version_ | 1848747738928250880 |
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| author | Patman, Shane Dennis, D. Hill, Kylie |
| author_facet | Patman, Shane Dennis, D. Hill, Kylie |
| author_sort | Patman, Shane |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T06:53:56Z |
| format | Journal Article |
| id | curtin-20.500.11937-11189 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T06:53:56Z |
| publishDate | 2012 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-111892019-02-19T05:34:46Z Exploring the capacity to ambulate after a period of prolonged mechanical ventilation. Patman, Shane Dennis, D. Hill, Kylie 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. 2012 Journal Article http://hdl.handle.net/20.500.11937/11189 10.1016/j.jcrc.2011.12.020 Elsevier fulltext |
| spellingShingle | Patman, Shane Dennis, D. Hill, Kylie Exploring the capacity to ambulate after a period of prolonged mechanical ventilation. |
| title | Exploring the capacity to ambulate after a period of prolonged mechanical ventilation. |
| title_full | Exploring the capacity to ambulate after a period of prolonged mechanical ventilation. |
| title_fullStr | Exploring the capacity to ambulate after a period of prolonged mechanical ventilation. |
| title_full_unstemmed | Exploring the capacity to ambulate after a period of prolonged mechanical ventilation. |
| title_short | Exploring the capacity to ambulate after a period of prolonged mechanical ventilation. |
| title_sort | exploring the capacity to ambulate after a period of prolonged mechanical ventilation. |
| url | http://hdl.handle.net/20.500.11937/11189 |