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 2007-01-01
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
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
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 28 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Thu, 24 Apr 2008, 23:37:17 EST by Sarah Elliott on behalf of Anaesthesiology and Critical Care - RBWH