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PRELIMINARY OUTCOMES OF EARLY MOBILIZATION FOR MECHANICALLY VENTILATED PATIENTS IN THE INTENSIVE CARE UNIT AT HO CHI MINH CITY UNIVERSITY MEDICAL CENTER
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Abstract
Introduction: Nowadays, the rate of intensive care patients, especially mechanically ventilated ones suffered from complications and death is still high. Some main reasons are prolonged bed rest, late mobilization, specially standing and ambulation. Although early mobilization and ambulation program has brought so many advantages to mechanically ventilated patients, until now there was no research showing result of the program in this group of patient in VietNam. Purpose: To show result of early physical exercise, mobilization and ambulation program for mechanically ventilated patients in the intensive care unit at Ho Chi Minh city University Medical Center. Methods: Case series research was conducted in the Intensive care unit at Ho Chi Minh city University Medical Center from June, 2021 to June, 2022. Results: A total of 30 patients, 56,7% were men and the average age was 64,93 ± 17,43 years old. The average length of stay from admission to the beginning of the program was 4,13 ± 3,14 days. The mean mechanically ventilated duration was 8,27 ± 6,14 days. The average length of stay in the intensive care unit and hospitalisation was 11,27 ± 6,98 days and 21,3 ± 6,9 days, respectively. Mortality rate during hospitalisation was 0%. Perme score before applying early mobilization, particularly early ambulation program and when discharge from the intensive care unit was 17,93 ± 4,23 and 25,17 ± 3,68, respectively. The mean improvement of Perme score was 7,23 ± 3,66, statistically different (p < 0,05). No adverse effect happened during the program. Conclusion : In this research, early mobilization and ambulation program seem to reduce mechanically ventilated duration, length of stay in the intensive care unit and improve survival rate, functional status, physical capacity for mechanically ventilated patients.
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Keywords
exercise, early physiotherapy, early mobilzation, mechanically ventilated, time, Perme scale
References
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