A descriptive report of early mobilization for critically Ill ventilated patients with cancer Journal Article

Authors: Weeks, A.; Campbell, C.; Rajendram, P.; Shi, W.; Voigt, L. P.
Article Title: A descriptive report of early mobilization for critically Ill ventilated patients with cancer
Abstract: Background: Early mobilization protocols have been successfully implemented to improve function in critically ill patients; however, no study has focused on the oncology population. Objectives: To investigate the feasibility of early mobilization and describe the rehabilitation interventions and discharge outcomes in a cohort of critically ill patients with cancer. Design: Retrospective review. Methods: A retrospective analysis of patients with cancer who participated in occupational and physical therapy while on mechanical ventilation, using an institutional early mobilization protocol from June 2010 to July 2011, was completed. Demographic and clinical variables were abstracted, as well as occupational and physical therapy interventions. Results: A cohort of 42 patients with cancer on mechanical ventilation in the mixed medical/surgical intensive care unit of a comprehensive cancer center received early mobilization during the study period. The majority of participants demonstrated improved cognitive and functional status from the intensive care unit to hospital discharge. There were no reported adverse events during the occupational and physical therapy sessions. Among the 30 hospital survivors, 53% required continued rehabilitation services in their home environment and 40% were transferred to a rehabilitation facility. Limitations: Because of the small sample size, these findings are not generalizable to all critically ill patients with cancer. There was no post-acute care follow-up of cognitive and physical functional performance. Conclusion: Early mobilization appears to be feasible in addressing the cognitive and functional needs of oncology patients in the intensive care unit. © 2017 Oncology Section, APTA.
Keywords: cognition; icu; mechanical ventilation; cancer; early mobility
Journal Title: Rehabilitation Oncology
Volume: 35
Issue: 3
ISSN: 2168-3808
Publisher: American Physical Therapy Association  
Date Published: 2017-07-01
Start Page: 144
End Page: 150
Language: English
DOI: 10.1097/01.reo.0000000000000070
PROVIDER: scopus
PMCID: PMC5505670
PUBMED: 28713659
Notes: Article -- Export Date: 2 August 2017 -- Source: Scopus
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  1. Weiji Shi
    117 Shi