Extended Physiotherapy After Intensive Care Unit (ICU) Stay

Extended Physiotherapy After Intensive Care Unit (ICU) Stay: A Prospective Before and After Study

Patients in an Intensive Care Unit (ICU) are at great risk of muscle atrophy and neuromuscular complications, that could lead to respiratory complications, decreased physical functioning and deteriorated health related quality of life. The objective is to investigate if extended physical therapy in a general ward could lead to increased physical functioning for post-ICU patients.The study hypothesis is that extended physical therapy would lead to increased physical function at hospital discharge compared to standard amount of physical therapy.

The study design is a before and after study. A control group was included for three months and received standard amount of physical therapy at surgical wards, corresponding to 1.75 employment. An intervention group was then included for six months and received extended amount of physical therapy corresponding to an extra 0.5 employment for study participants (2-4 patients/day). The primary outcome was physical function measured with the Chelsea Critical Care Physical Assessment Tool (CPAx), in the ICU and the surgical ward.

Inclusion Criteria:

• Age over 18 years
• ICU stay >48 hours
• Understand the Swedish language

Exclusion Criteria:

• Patients palliative care with no intention of rehabilitation