Surviving critical illness, what is next?: an expert consensus statement on physical rehabilitation after hospital discharge

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Amsterdam University of Applied Sciences

Surviving critical illness, what is next?

an expert consensus statement on physical rehabilitation after hospital discharge Major-Helsloot, Mel; van der Schaaf, M.; Engelbert, R.H.H.

Publication date 2017

Document Version Final published version License

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Citation for published version (APA):

Major-Helsloot, M., van der Schaaf, M., & Engelbert, R. H. H. (2017). Surviving critical illness, what is next? an expert consensus statement on physical rehabilitation after hospital

discharge. Abstract from WCPT , Capetown.

http://www.abstractstosubmit.com/wcpt2017/abstracts/main.php?do=YToyOntzOjU6Im1vZHV sIjtzOjY6ImRldGFpbCI7czo4OiJkb2N1bWVudCI7aTo5NTt9&

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Download date:27 Nov 2021

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SURVIVING CRITICAL ILLNESS, WHAT IS NEXT?

Mel Major-Helsloot

PhD candidate in the field of post-ICU rehabilitation European School of Physiotherapy

Amsterdam University of Applied Sciences Dr. M. Van der Schaaf

Prof. Dr. R.H.H. Engelbert

An expert consensus statement on physical rehabilitation

after critical illness

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CONTENT

• The bumpy road to recovery

• Research question

• Methods

• Results

• Further questions

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THE BUMPY ROAD TO RECOVERY: HOW CAN WE

HELP?

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RESEARCH QUESTION

What are physical therapy goals, what are recommended

measurement tools and what constitutes an optimal physical

therapy intervention for survivors of critical illness?

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DELPHI CONSENSUS METHODOLOGY

1:

Generating ideas

2: Ranking statements

3: Reaching consensus

Hand Grip Strength

Circuit training

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ESSENTIAL HOSPITAL DISCHARGE INFORMATION

Premorbid level of functioning Course of recovery

Mental, cognitive, physical state Delirium

ICU-Acquired Weakness ICU & hospital length of stay

Severity of illness

Physiological response to exercise

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PT GOALS AFTER ICU & HOSPITAL DISCHARGE

-Aerobic capacity -Muscle strength

-ADL function -Quality of Life -Understanding

of recovery process

-Pain

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OUTCOME MEASURES TO USE

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PT INTERVENTIONS

Heyland et al (2015), Jones et al (2015)

Combine strength training with

nutrition (protein / amino acids)

Don’t forget the respiratory

muscles

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SCREEN FOR ADDITIONAL PROBLEMS

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CAN WE FILL THE POTHOLES IN THE BUMPY

ROAD?

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FURTHER QUESTIONS

• What are the needs and experiences of patients and caregivers with regards to recovery after critical illness?

• Is the proposed consensus framework feasible in primary care?

• Is such a PT intervention effective?

• Can we validate outcome measures for this specific population?

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ACKNOWLEDGEMENTS

All members of the Delphi panel

ACHIEVE - Centre of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands

European School of Physiotherapy, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands

Academic Medical Center, University of Amsterdam, Department of rehabilitation medicine, Amsterdam, the Netherlands

This research is funded by the Netherlands Organization for scientific research (NWO)

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