Walking While Dialyzing: A Retrospective Observation of Early Mobility and Ambulation for Patients on Continuous Renal Replacement Therapy.

Critical Care Explorations
Haley A BentoJoseph E Tonna

Abstract

To describe the practice of physical therapy for patients requiring continuous renal replacement therapy and assess data related to the safety and feasibility of physical therapy interventions. A retrospective observational cohort study. Surgical and cardiovascular patients receiving continuous renal replacement therapy during a 2-year period from December 2016 to November 2018. Two ICUs at a single academic medical center. Physical mobility and ambulation while on continuous renal replacement therapy. Therapy data including ICU Mobility Scale score, number of physical therapy sessions with and without ambulation and gait distance, along with safety data including filter life, safety events, and mortality were analyzed. The cohort of patients receiving continuous renal replacement therapy during the 2-year period was 206. Of these, 172 (83.49%) received simultaneous physical therapy. The median ICU Mobility Scale was 5 (interquartile range, 4-7) over a total of 1,517 physical therapy sessions. Ambulation with concomitant continuous renal replacement therapy connected was achieved in 78 patients (37.86%). There were 377 ambulation sessions (24.85% of all sessions) with a mean of 4.83 (sds 4.94) ambulation sessions per ambulatory...Continue Reading

References

Jul 29, 2005·Intensive Care Medicine·Annika AhlströmVille Pettilä
Dec 1, 2007·Epidemiology·Jan P VandenbrouckeUNKNOWN STROBE Initiative
Sep 26, 2008·Critical Care Nursing Quarterly·George ChrysochoouBrian W Carlin
Oct 9, 2008·JAMA : the Journal of the American Medical Association·Dale M Needham
Oct 21, 2010·Critical Care Medicine·Sanjay V DesaiDale M Needham
Oct 7, 2011·Kidney International·Kai Singbartl, John A Kellum
Dec 12, 2012·Critical Care Nursing Quarterly·Regi Freeman, Kimberly Maley
Mar 19, 2013·Journal of Critical Care·Abdulla DamlujiDale M Needham
Jan 1, 2014·Heart & Lung : the Journal of Critical Care·Carol HodgsonSue Berney
Jul 6, 2014·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Cherylynn A BrownbackSusan Klaus
Jul 30, 2014·Critical Care : the Official Journal of the Critical Care Forum·Yi Tian WangElizabeth H Skinner
Oct 18, 2014·Journal of the American Medical Informatics Association : JAMIA·Kensaku KawamotoVivian S Lee
Feb 27, 2015·Critical Care : the Official Journal of the Critical Care Forum·UNKNOWN TEAM Study InvestigatorsSteven Webb
Oct 13, 2015·Extreme Physiology & Medicine·Selina M Parry, Zudin A Puthucheary
Jan 21, 2016·Annals of the American Thoracic Society·Amy L ToonstraDale M Needham
Apr 21, 2016·Respiratory Care·Mohamed D HashemDale M Needham
Aug 25, 2016·Annals of Intensive Care·Cheryl Elizabeth HickmannPierre-François Laterre
Feb 24, 2017·Annals of the American Thoracic Society·Peter NydahlDale M Needham
Jan 20, 2018·Current Opinion in Anaesthesiology·Kristina Fuest, Stefan J Schaller
Sep 3, 2018·Archives of Physical Medicine and Rehabilitation·Joshua K JohnsonJoseph E Tonna
Jan 16, 2019·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Carolyn RaglandTonja Hartjes

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Citations

Dec 19, 2020·Critical Care Medicine·Haley A Bento, Kirby P Mayer

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