Physiotherapy intervention in intensive care is safe: an observational study

Zeppos, L., Patman, S., Berney, S., Adsett, J. A., Bridson, J. M. and Paratz, J. D. (2007) Physiotherapy intervention in intensive care is safe: an observational study. Australian Journal of Physiotherapy, 53 4: 279-283. doi:10.1016/S0004-9514(07)70009-0


Author Zeppos, L.
Patman, S.
Berney, S.
Adsett, J. A.
Bridson, J. M.
Paratz, J. D.
Title Physiotherapy intervention in intensive care is safe: an observational study
Journal name Australian Journal of Physiotherapy   Check publisher's open access policy
ISSN 0001-9514
Publication date 2007
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/S0004-9514(07)70009-0
Open Access Status DOI
Volume 53
Issue 4
Start page 279
End page 283
Total pages 5
Editor J. Waters
R. Herbert
Place of publication Melbourne, Vic, Australia
Publisher Australian Physiotherapy Association
Collection year 2008
Language eng
Subject 730303 Occupational, speech and physiotherapy
C1
321009 Intensive Care
Formatted abstract
QUESTION:
How often do adverse events (including adverse physiological changes) occur during physiotherapy intervention in intensive care?

DESIGN:
A multi-centre prospective observational study.

PARTICIPANTS:
Five tertiary level university-affiliated intensive care units.

OUTCOME MEASURES:
All physiotherapy intervention in five intensive care units over a three month period. When certain specified changes occurred during physiotherapy intervention, details were noted including diagnosis of patient, intervention, vital signs, radiological changes, co-morbidities, chemical pathology, and fluid balance.

RESULTS:
12 281 physiotherapy interventions were completed with 27 interventions resulting in adverse physiological changes (0.2%). This incidence was significantly lower than a previous study of adverse physiological changes (663 events in 247 patients over a 24-hour period); the incidence during physiotherapy intervention was lower than during general intensive care. Common factors in the patients who had an adverse physiological change were a deterioration in cardiovascular status (ie, decrease in blood pressure or arrhythmia) in patients on medium to high doses of inotropes/vasopressors, unstable baseline hemodynamic values, previous cardiac co-morbidities and intervention consisting of positive pressure or right side lying.

CONCLUSION:

The incidence of adverse events during physiotherapy intervention in these five tertiary hospitals was low, demonstrating that physiotherapy intervention in intensive care is safe. (author abstract)
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Excellence in Research Australia (ERA) - Collection
2008 Higher Education Research Data Collection
 
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Created: Thu, 24 Apr 2008, 13:37:17 EST by Sarah Elliott on behalf of Anaesthesiology and Critical Care - RBWH