University Library
  • Login
A gateway to Melbourne's research publications
Minerva Access is the University's Institutional Repository. It aims to collect, preserve, and showcase the intellectual output of staff and students of the University of Melbourne for a global audience.
View Item 
  • Minerva Access
  • Medicine, Dentistry & Health Sciences
  • Melbourne School of Health Sciences
  • Melbourne School of Health Sciences Collected Works
  • Melbourne School of Health Sciences Collected Works - Research Publications
  • View Item
  • Minerva Access
  • Medicine, Dentistry & Health Sciences
  • Melbourne School of Health Sciences
  • Melbourne School of Health Sciences Collected Works
  • Melbourne School of Health Sciences Collected Works - Research Publications
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

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

    Thumbnail
    Download
    published version (1022.Kb)

    Citations
    Scopus
    Web of Science
    Altmetric
    31
    32
    Author
    Major, ME; Kwakman, R; Kho, ME; Connolly, B; McWilliams, D; Denehy, L; Hanekom, S; Patman, S; Gosselink, R; Jones, C; ...
    Date
    2016-10-29
    Source Title
    Critical Care (UK)
    Publisher
    BMC
    University of Melbourne Author/s
    Denehy, Linda
    Affiliation
    Melbourne School of Health Sciences
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Major, M. E., Kwakman, R., Kho, M. E., Connolly, B., McWilliams, D., Denehy, L., Hanekom, S., Patman, S., Gosselink, R., Jones, C., Nollet, F., Needham, D. M., Engelbert, R. H. H. & van der Schaaf, M. (2016). Surviving critical illness: what is next? An expert consensus statement on physical rehabilitation after hospital discharge. CRITICAL CARE, 20 (1), https://doi.org/10.1186/s13054-016-1508-x.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/257062
    DOI
    10.1186/s13054-016-1508-x
    Abstract
    BACKGROUND: The study objective was to obtain consensus on physical therapy (PT) in the rehabilitation of critical illness survivors after hospital discharge. Research questions were: what are PT goals, what are recommended measurement tools, and what constitutes an optimal PT intervention for survivors of critical illness? METHODS: A Delphi consensus study was conducted. Panelists were included based on relevant fields of expertise, years of clinical experience, and publication record. A literature review determined five themes, forming the basis for Delphi round one, which was aimed at generating ideas. Statements were drafted and ranked on a 5-point Likert scale in two additional rounds with the objective to reach consensus. Results were expressed as median and semi-interquartile range, with the consensus threshold set at ≤0.5. RESULTS: Ten internationally established researchers and clinicians participated in this Delphi panel, with a response rate of 80 %, 100 %, and 100 % across three rounds. Consensus was reached on 88.5 % of the statements, resulting in a framework for PT after hospital discharge. Essential handover information should include information on 15 parameters. A core set of outcomes should test exercise capacity, skeletal muscle strength, function in activities of daily living, mobility, quality of life, and pain. PT interventions should include functional exercises, circuit and endurance training, strengthening exercises for limb and respiratory muscles, education on recovery, and a nutritional component. Screening tools to identify impairments in other health domains and referral to specialists are proposed. CONCLUSIONS: A consensus-based framework for optimal PT after hospital discharge is proposed. Future research should focus on feasibility testing of this framework, developing risk stratification tools and validating core outcome measures for ICU survivors.

    Export Reference in RIS Format     

    Endnote

    • Click on "Export Reference in RIS Format" and choose "open with... Endnote".

    Refworks

    • Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References


    Collections
    • Minerva Elements Records [45689]
    • Melbourne School of Health Sciences Collected Works - Research Publications [174]
    Minerva AccessDepositing Your Work (for University of Melbourne Staff and Students)NewsFAQs

    BrowseCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects
    My AccountLoginRegister
    StatisticsMost Popular ItemsStatistics by CountryMost Popular Authors