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A six week supervised exercise programme in post ICU patients

Ceri Battle Clinical Specialist Physiotherapist in Critical Care Research team: Ceri Battle, Dr Paul Temblett , Karen James, Sandra Jones, Dr Hayley Hutchings. A six week supervised exercise programme in post ICU patients. Introduction.

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A six week supervised exercise programme in post ICU patients

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  1. Ceri Battle Clinical Specialist Physiotherapist in Critical Care Research team: Ceri Battle, Dr Paul Temblett, Karen James, Sandra Jones, Dr Hayley Hutchings A six week supervised exercise programme in post ICU patients

  2. Introduction • Critical illness affects over 1000 adults in Swansea per year with a mortality rate of 20%. (ICNARC) • Severe weakness is common in patients with prolonged critical illness • Rehabilitation after critical illness is neglected when compared with other patient groups. The NICE 83 guidelines ‘Rehabilitation in Critical Care’

  3. Studies

  4. Methodology • Randomised controlled trial • Participants • Recruitment • Stratified randomisation • Interventions • Outcome measures • Analysis

  5. Results (so far…) Exercise

  6. Conclusions • Rehabilitation in ICU survivors is recommended (NICE83) • Early results indicate the exercise group have better outcomes than the control group • Anxiety is increased in the exercise group • Feasible to introduce this programme with minimal additional resources • Subjective feedback is very positive

  7. References • Jones C, Skirrow P, Griffiths R. Rehabilitation after critical illness: a randomised controlled trial. Crit Care Med. 2003;31:2456-2460. • Lau H et al. A randomised controlled trial of the effectiveness of an exercise training program in patients recovering from severe acute respiratory distress syndrome. Aust J of Physiotherapy. 2005;51:213-217. • McWilliams et al. Feasibility and impact of a structured exercise-based rehabilitation programme for intensive care survivors. Physiotherapy Theory and Practice. 2009;25:566-571. • NICE Guidelines 83: Critical Illness Rehabilitation CG83.

  8. Thanks for listening. Any questions?

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