Post Hospital Discharge Functional Recovery of Critical Illness Survivors. Systematic Review
Article Category: Review
Data publikacji: 08 maj 2023
Zakres stron: 87 - 96
Otrzymano: 04 gru 2022
Przyjęty: 02 mar 2023
DOI: https://doi.org/10.2478/jccm-2023-0011
Słowa kluczowe
© 2023 Irini Patsaki et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Background
Millions of people face critical illnesses and need to be hospitalized in an Intensive Care Unit (ICU) annually worldwide. Despite the fact that survival rates of these patients have increased, they develop various cognitive, psychological and functional impairments. This study aims to investigate the significance of the recovery interventions following intensive care unit discharge, the effectiveness of the rehabilitative protocols and their possible deficits.
Methods
MEDLINE (PubMed) and Physiotherapy Evidence Database (PEDro) were searched for studies analyzing the recovery potentials post-ICU among adults, who spent at least 48 hours at the ICU. Methodological quality of the studies was assessed via PEDro Scale.
Results
Nine randomized controlled trials were included. These took place mainly at specialized rehabilitation gyms as well as patients home environments. Studies analyses showed that treatment group showed improvement in functional ability in relation to control group. Nevertheless, differences between two groups were not statistically significant (P<0.05). The majority of studies assessed cardiorespiratory endurance and muscular strength.
Conclusions
The included rehabilitation programs were determined to be effective. Although they didn’t prove any statistically significant difference between groups, quality of life enhancements and stress reduction were reported. Hence, new randomized controlled trials are required in order to provide more accurate data on the potential benefits of rehabilitation strategies among post-ICU patients.