In this section
@article{Woodbridge:2024:10.1186/s13054-024-04919-x,
author = {Woodbridge, H and McCarthy, C and Jones, M and Willis, M and Antcliffe, D and Alexander, C and Gordon, A},
doi = {10.1186/s13054-024-04919-x},
journal = {Critical Care (UK)},
title = {Assessing the safety of physical rehabilitation in critically ill patients: a Delphi study},
url = {http://dx.doi.org/10.1186/s13054-024-04919-x},
volume = {28},
year = {2024}
}
TY - JOUR
AB - BackgroundPhysical rehabilitation of critically ill patients is implemented to improve physical outcomes from an intensive care stay. However, before rehabilitation is implemented, a risk assessment is essential, based on robust safety data. To develop this information, a uniform definition of relevant adverse events is required. The assessment of cardiovascular stability is particularly relevant before physical activity as there is uncertainty over when it is safe to start rehabilitation with patients receiving vasoactive drugs.MethodsA three-stage Delphi study was carried out to (a) define adverse events for a general ICU cohort, and (b) to define which risks should be assessed before physical rehabilitation of patients receiving vasoactive drugs. An international group of intensive care clinicians and clinician researchers took part. Former ICU patients and their family members/carers were involved in generating consensus for the definition of adverse events. Round one was an open round where participants gave their suggestions of what to include. In round two, participants rated their agreements with these suggestions using a five-point Likert scale; a 70% consensus agreement threshold was used. Round three was used to re-rate suggestions that had not reached consensus, whilst viewing anonymous feedback of participant ratings from round two.ResultsTwenty-four multi-professional ICU clinicians and clinician researchers from 10 countries across five continents were recruited. Average duration of ICU experience was 18 years (standard deviation 8) and 61% had publications related to ICU rehabilitation. For the adverse event definition, five former ICU patients and one patient relative were recruited. The Delphi process had a 97% response rate. Firstly, 54 adverse events reached consensus; an adverse event tool was created and informed by these events. Secondly, 50 risk factors requiring assessment before physical rehabilitation of patients receiving vasoactive drugs
AU - Woodbridge,H
AU - McCarthy,C
AU - Jones,M
AU - Willis,M
AU - Antcliffe,D
AU - Alexander,C
AU - Gordon,A
DO - 10.1186/s13054-024-04919-x
PY - 2024///
SN - 1364-8535
TI - Assessing the safety of physical rehabilitation in critically ill patients: a Delphi study
T2 - Critical Care (UK)
UR - http://dx.doi.org/10.1186/s13054-024-04919-x
UR - https://ccforum.biomedcentral.com/articles/10.1186/s13054-024-04919-x
VL - 28
ER -