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Exercise interventions are delayed in critically ill patients: a cohort study in an Australian tertiary intensive care unit

Nickels, M. R., Aitken, L. M. ORCID: 0000-0001-5722-9090, Walsham, J. , Crampton, L. J., Barnett, A. G. & McPhail, S. M. (2019). Exercise interventions are delayed in critically ill patients: a cohort study in an Australian tertiary intensive care unit. Physiotherapy (United Kingdom), doi: 10.1016/


Objectives: This study aims to (i) describe the time to exercise commencement (sitting and upright activities) relative to ICU admission and relative to achievement of initial neurological, respiratory and cardiovascular stability; (ii) examine factors associated with whether sitting and upright activities occurred in ICU; and (iii) examine factors associated with time taken to commence these activities after stability has been achieved.

Design: Five-year historical cohort study.

Setting: An Australian tertiary mixed medical, surgical, trauma ICU.

Participants: The cohort (n = 3222, mean (SD) age 54 (18) years, 67% male) included consecutive ICU patients with length of stay over 48 hours admitted to a tertiary ICU who achieved stability.

Main outcome measures: Time from stability to patients’ first completed sitting and upright activities was calculated. Logistic regression (and Cox proportional hazard models) examined whether sitting and upright activities in ICU occurred (and time to these events).

Interventions: None.

Results: For patients who completed exercise interventions (n = 1845/3222, 57%), this commenced a median (IQR) 2.3 (1.3–4.4) days after stability for upright activities and 2.7 (1.5–5.7) days for sitting. A large proportion of patients did not complete exercise interventions despite achieving stability (n = 1377/3222, 43%). Elective surgical admissions, lower illness severity and older age were associated with completion (and earlier completion) of sitting and upright activity (P < 0.01).

Conclusions: Many stable patients did not commence sitting or upright activity in ICU despite known benefits, or commencement was somewhat delayed. Opportunities may exist to improve patient outcomes through timely implementation of exercise-based interventions.

Publication Type: Article
Additional Information: © Elsevier 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
Publisher Keywords: Critical illness; Intensive care units; Rehabilitation; Physical therapy (specialty); Cohort studies; Early ambulation
Subjects: R Medicine > RC Internal medicine
Departments: School of Health & Psychological Sciences > Nursing
Text - Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

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