Prolonged Weaning, Early Mobilization, Chest Physiotherapy
Conditions
Brief summary
Weaning from mechanical ventilator is essential to liberate patients to normal life. Prolong weaning is defined as failure of 3 times spontaneous breath trial (SBT) and requiring more than 7 days weaning from mechanical ventilation after first SBT. higher unsuccessful rate of extubation and higher mortality rate. Possible reasons to cause prolong weaning could be attributed to intensive care unit acquired weakness (ICU-AW) and poor lung hygiene. In order to solve these two problems and increase the weaning rate, early mobilization (EM) and chest physiotherapy (CPT) are considered as possible strategy to attain the goal. According to previous articles, lacking of control group and small sample size made it difficult to confirm the true effect of EM and CPT on prolong weaning patients. Thus, the aims of this articles are discussing the influence from EM with CPT on weaning rate and other hospitalization outcomes with larger sample sizes and control group.
Interventions
OTHEREarly mobilization plus chest physiotherapy
Early mobilization:early mobilization has been confirmed its positive effectiveness on cutting down the MV use days and mortality rate, attenuating the side effect such as muscle strength loss and functional activity dysfunction resulting from ICU acquired weakness among the patients with mechanical ventilation. Chest physiotherapy:a common technique to reduce the respiratory complications in ICU, has been proved certain positive influence on airway clearance and hospital lengths of stay.
Sponsors
Taoyuan General Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The study retrospectively reviewed the medical record from the medical team. Patients before 2019/01/01 who didn't receive physiotherapy are regarded as control group. Patients after 2019/01/01 are assigned to the experiment group.
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* The subjects' data which met the inclusion criteria are: 1. Age\>20 2. Patient with or without 3. Patient who met the criteria of received physiotherapy (Figure 1.) 4. No usage of life support device such as ECMO and so on. 5. Continuous mechanical ventilator use over 21 days.
Exclusion criteria
* The
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Weaning success rate | up to 6 weeks in respiratory care center | Weaning success was defined as patients being free from MV or BiPAP for 5 days based on Taiwan |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| hospital mortality rate | up to 6 weeks in respiratory care center | the mortality rate during the hospital course |
| discharge to home rate | after 6 weeks in respiratory care center | The rate of going home after discharge |
| RCC mortality rate | up to 6 weeks in respiratory care center | the mortality rate of respiratory care center |
| RCC days of stay | up to 6 weeks in respiratory care center | The days staying in respiratory care center |
| total hospital days of stay | up to 10 weeks in the hospital | The days staying in the hospital |
| total mechanical ventilator use | up to 6 weeks in respiratory care center | The days of mechanical use during the admission time |
Countries
Taiwan
Outcome results
None listed