Top

Published in:

01-03-2014 | Editorial

Early cognitive and physical rehabilitation: one step towards improving post-critical illness outcomes

Author: Ramona O. Hopkins

Published in: Intensive Care Medicine | Issue 3/2014

Excerpt

Current data indicate that large numbers of individuals not only survive an episode of critical illness but many of these survivors develop new and long-lasting physical, cognitive, and psychological (depression, anxiety, and post-traumatic stress disorder) morbidities that adversely affect their functional outcome and quality of life [1]. A recent systematic review found that moderate to severe post-ICU cognitive impairments occur in 45–80 % of survivors of critical illness, affecting a wide range of cognitive domains and persisting years after ICU discharge [2]. Given the prevalence and severity of cognitive impairments following critical illness, interventions are needed to prevent or ameliorate cognitive morbidity with the ultimate goal to improve functional outcomes. …

Adhikari NK, Fowler RA, Bhagwanjee S, Rubenfeld GD (2010) Critical care and the global burden of critical illness in adults. Lancet 376(9749):1339–1346PubMedCrossRef

Wolters AE, Slooter AJ, van der Kooi AW, van Dijk D (2013) Cognitive Impairment after intensive care unit admission: a systematic review. Intensive Care Med 39:376–386. doi:10.1007/s00134-012-2784-9 PubMedCrossRef

Brummel NE, Girard TD, Ely EW, Pandharipande PP, Morandi A, Hughes CG, Graves AJ, Shintani A, Murphy E, Work B et al (2013) Feasibility and safety of early combined cognitive and physical therapy for critically ill medical and surgical patients: the activity and cognitive therapy in ICU (ACT-ICU) trial. Intensive Care Med. doi:10.1007/s00134-013-3136-0

Bailey P, Thomsen GE, Spuhler VJ, Blair R, Jewkes J, Bezdjian L, Veale K, Rodriquez L, Hopkins RO (2007) Early activity is feasible and safe in respiratory failure patients. Crit Care Med 35(1):139–145PubMedCrossRef

Morris PE, Goad A, Thompson C, Taylor K, Harry B, Passmore L, Ross A, Anderson L, Baker S, Sanchez M et al (2008) Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit Care Med 36(8):2238–2243PubMedCrossRef

Needham DM (2008) Mobilizing patients in the intensive care unit: improving neuromuscular weakness and physical function. JAMA 300(14):1685–1690PubMedCrossRef

Schweickert WD, Pohlman MC, Pohlman AS, Nigos C, Pawlik AJ, Esbrook CL, Spears L, Miller M, Franczyk M, Deprizio D et al (2009) Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet 373(9678):1874–1882PubMedCrossRef

Needham DM, Korupolu R, Zanni JM, Pradhan P, Colantuoni E, Palmer JB, Brower RG, Fan E (2010) Early physical medicine and rehabilitation for patients with acute respiratory failure: a quality improvement project. Arch Phys Med Rehabil 91(4):536–542PubMedCrossRef

Morris PE, Griffin L, Berry M, Thompson C, Hite RD, Winkelman C, Hopkins RO, Ross A, Dixon L, Leach S et al (2011) Receiving early mobility during an intensive care unit admission is a predictor of improved outcomes in acute respiratory failure. Am J Med Sci 341(5):373–377PubMedCentralPubMedCrossRef

10.

Cicerone KD, Langenbahn DM, Braden C, Malec JF, Kalmar K, Fraas M, Felicetti T, Laatsch L, Harley JP, Bergquist T et al (2011) Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Arch Phys Med Rehabil 92(4):519–530PubMedCrossRef

11.

Hopkins RO, Suchyta MR, Farrer TJ, Needham D (2012) Improving post-intensive care unit neuropsychiatric outcomes: understanding cognitive effects of physical activity. Am J Respir Crit Care Med 186(12):1220–1228PubMedCrossRef

12.

Woon FL, Dunn CB, Hopkins RO (2012) Predicting cognitive sequelae in survivors of critical illness with cognitive screening tests. Am J Respir Crit Care Med 186:333–340PubMedCrossRef

13.

Needham DM, Davidson J, Cohen H, Hopkins RO, Weinert C, Wunsch H, Zawistowski C, Bemis-Dougherty A, Berney SC, Bienvenu OJ et al (2012) Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders’ conference. Crit Care Med 40(2):502–509PubMedCrossRef

14.

Jackson JC, Ely EW, Morey MC, Anderson VM, Denne LB, Clune J, Siebert CS, Archer KR, Torres R, Janz D et al (2012) Cognitive and physical rehabilitation of intensive care unit survivors: results of the RETURN randomized controlled pilot investigation. Crit Care Med 40(4):1088–1097PubMedCentralPubMedCrossRef

Title: Early cognitive and physical rehabilitation: one step towards improving post-critical illness outcomes
Author: Ramona O. Hopkins
Publication date: 01-03-2014
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 3/2014
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-014-3233-8

At a glance: The STEP trials

Springer Medicine

Early cognitive and physical rehabilitation: one step towards improving post-critical illness outcomes

Excerpt

At a glance: The STEP trials

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 3/2014

Year in review in Intensive Care Medicine 2013: II. Sedation, invasive and noninvasive ventilation, airways, ARDS, ECMO, family satisfaction, end-of-life care, organ donation, informed consent, safety, hematological issues in critically ill patients

Feasibility and safety of early combined cognitive and physical therapy for critically ill medical and surgical patients: the Activity and Cognitive Therapy in ICU (ACT-ICU) trial

Expanding the pool of healthcare providers to perform penicillin skin testing in the ICU

Research accomplishments that are too good to be true: reply to Ting

One-year mortality and predictors of death among hospital survivors of acute respiratory distress syndrome

Is the volume of mechanically ventilated admissions to UK critical care units associated with improved outcomes?