Rehabilitation within Scottish Intensive Care Units: A National Survey

Author:

Appleton Richard TD12,MacKinnon Mairianne32,Booth Malcolm G42,Wells Julie52,Quasim Tara62

Affiliation:

1. Clinical Lecturer and Specialty Registrar, Section of Anaesthesia, Pain and Critical Care Medicine

2. University of Glasgow, Glasgow Royal Infirmary, Glasgow, UK

3. Specialty Registrar, Department of Anaesthesia

4. Consultant, Department of Anaesthesia

5. Specialist Physiotherapist, Department of Physiotherapy

6. Senior Lecturer and Consultant, Section of Anaesthesia, Pain and Critical Care Medicine

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.

Publisher

SAGE Publications

Subject

Critical Care and Intensive Care Medicine,Critical Care

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