Early rehabilitation for severe acquired XXXX in intensive care unit: multicenter observational study.

@entity1545 @entity1 @entity16 @entity772 @entity1213
BACKGROUND: The increased survival after a severe Acquired @entity1545 (sABI) raise the problem of making most effective the treatments in @entity1213 ( @entity1213 )/NeuroIntensive Care Unit (NICU), also integrating rehabilitation care. Despite previous studies reported that early mobilization in @entity1213 was effective in preventing complications and reducing hospital stay, few studies addressed the rehabilitative management of sABI @entity1 in @entity1213 /NICU. AIM: To collect clinical and functional data about the early rehabilitative management of sABI @entity1 during @entity1213 /NICU stay. DESIGN: Prospective, observational, multi-centre study. SETTING: Fourteen facilities supplied by intensive neurorehabilitation units and @entity1213 /NICUs. POPULATION: consecutive sABI @entity1 admitted to @entity1213 /NICU. METHODS: @entity1 were evaluated at admission and then every 3-5 days. Clinical, functional and rehabilitative data, including Glasgow @entity772 Scale (GCS), Disability Rating Scale (DRS), The Rancho Los Amigos Levels of Cognitive Functioning Scale (LCF), Early Rehabilitation Barthel Index (ERBI), Glasgow Outcome scale (GOS) and Functional Independence Measure (FIM) were collected. RESULTS: 102 @entity1 (44F/58M) were enrolled. The mean duration of @entity1213 stay was 24.7    13.9 days and the first rehabilitative evaluation occurred after 8.7    8.8 days. Regular postural changes and multijoint mobilization were prescribed in 63.7% and 64.7%. cases respectively. The mean session duration was 38    11.5 minutes. Swallowing evaluation was performed in 14.7% @entity1 , psychological support was provided to 12.7% of @entity1 ' caregivers, while 17.6% received a psycho- educational intervention, and 28.4% were involved in interdisciplinary team meetings. The main discharge destinations were Severe Acquired @entity1545 rehabilitation units for 43.7%, intensive neurorehabilitation units for 20.7%. CONCLUSION: Data showed that early rehabilitation was not diffusely performed in sABI subjects in @entity1213 /NICU and rehabilitative interventions were variable; one third of subjects was not referred to dedicated rehabilitation unit at discharge. CLINICAL REHABILITATION IMPACT: The study stresses the need to spread and implement a rehabilitative culture also for critical ill @entity1 due to @entity16 .
