Commencing Out-of-Bed Rehabilitation in Critical Care-What Influences Clinical Decision-Making?

Archives of Physical Medicine and Rehabilitation
Sue C BerneyElizabeth H Skinner

Abstract

To develop a decision tree that objectively identifies the most discriminative variables in the decision to provide out-of-bed rehabilitation, measure the effect of this decision and to identify the factors that intensive care unit (ICU) practitioners think most influential in that clinical decision. A prospective 3-part study: (1) consensus identification of influential factors in mobilization via survey; (2) development of an early rehabilitation decision tree; (3) measurement of practitioner mobilization decision-making. Treating practitioners of patients expected to stay >96 hours were asked if they would provide out-of-bed rehabilitation and rank factors that influenced this decision from an a priori defined list developed from a literature review and expert consultation. Four tertiary metropolitan ICUs. Practitioners (ICU medical, nursing, and physiotherapy staff) (N=507). Not applicable. A decision tree was constructed using binary recursive partitioning to determine the factor that best classified patients suitable for out-of-bed rehabilitation. Descriptive statistics were used to describe practitioner and patient samples as well as patient adverse events associated with out-of-bed rehabilitation and the factors priorit...Continue Reading

Citations

Mar 7, 2020·Journal of Evaluation in Clinical Practice·Cathrine TadyanemhanduVeronica Ntsiea
Apr 3, 2020·Developmental Medicine and Child Neurology·Georgina L ClutterbuckLeanne M Johnston
Sep 22, 2020·Journal of Cardiopulmonary Rehabilitation and Prevention·Jennifer R A JonesSue Berney
Feb 12, 2021·International Journal of Environmental Research and Public Health·Carlos Bernal-UtreraCleofas Rodriguez-Blanco
May 20, 2021·Nursing in Critical Care·Marta Raurell-TorredàUNKNOWN MOviPre group

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