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Andreychenko S.A.

Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies

Serezhechkin A.V.

Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies

Bychinin M.V.

Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies

Klypa T.V.

Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies

Comparison of early and delayed rehabilitation outcomes in patients at the intensive care unit

Authors:

Andreychenko S.A., Serezhechkin A.V., Bychinin M.V., Klypa T.V.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2020;(6): 51‑56

DOI: 10.17116/anaesthesiology202006151

Read: 2668 times

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Table of contents

COMPARISON OF EARLY AND DELAYED REHABILITATION OUTCOMES IN PATIENTS AT THE INTENSIVE CARE UNIT
COMPARISON OF EARLY AND DELAYED REHABILITATION OUTCOMES IN PATIENTS AT THE INTENSIVE CARE UNIT

To cite this article:

Andreychenko SA, Serezhechkin AV, Bychinin MV, Klypa TV. Comparison of early and delayed rehabilitation outcomes in patients at the intensive care unit. Russian Journal of Anesthesiology and Reanimatology. 2020;(6):51‑56. (In Russ.)
https://doi.org/10.17116/anaesthesiology202006151

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Abstract:

OBJECTIVE

To evaluate an efficacy and safety of rehabilitation in intensive care unit (ICU) depending on the time of rehabilitation onset.

MATERIAL AND METHODS

The study included data of 148 patients (106 patients with sepsis and postoperative complications and 42 patients with acute brain impairment) who received daily rehabilitation treatment for at least 7 days at the ICU for the period from 2017 to 2019. All patients were retrospectively assigned to the group of early rehabilitation (ER), if rehabilitation treatment was started within 48 hours after admission to ICU. The group of delayed rehabilitation (DR) included instable patients and those with impossible early mobilization.

RESULTS

Baseline clinical and demographic characteristics were similar in both groups. Incidence of infectious complications and vasopressor support was also comparable throughout rehabilitation. Duration of mechanical ventilation in patients without acute brain impairment was 8 (6) days in the ER group and 13 (9) days in the DR group (p=0.003). ICU-stay in the same category of patients was longer in the DR group compared to the ER group (19 (13—30) and 12 (9—16) days, respectively; p<0.001); hospital-stay was 31 (13) and 23 (12) days, respectively (p=0.005). In patients with acute brain impairment, incidence of delirium (p=0.024) and depression (p=0.040) was lower in the ER group. Mortality and the incidence of major complications were comparable in both groups.

CONCLUSION

The earliest onset of rehabilitation reduces duration of respiratory support and hospital-stay. In patients with acute cerebral insufficiency, this approach reduces the incidence of delirium and depression.

Keywords:

early rehabilitation
ICU
post-intensive care syndrome

Authors:

Andreychenko S.A.

Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies

Serezhechkin A.V.

Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies

Bychinin M.V.

Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies

Klypa T.V.

Federal Scientific and Clinical Center for Specialized Types of Medical Care and Medical Technologies

Received:

12.06.2020

Accepted:

07.07.2020

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