{"id":27528,"date":"2023-08-09T03:45:54","date_gmt":"2023-08-09T03:45:54","guid":{"rendered":"https:\/\/www.goodacademic.com\/blog\/questions\/the-effect-of-early-active-mobilization-on-long-term-physical-function-in-former-intensive-care-patients-a-systematic-overview\/"},"modified":"2023-08-09T03:45:54","modified_gmt":"2023-08-09T03:45:54","slug":"the-effect-of-early-active-mobilization-on-long-term-physical-function-in-former-intensive-care-patients-a-systematic-overview","status":"publish","type":"questions","link":"https:\/\/www.goodacademic.com\/blog\/questions\/the-effect-of-early-active-mobilization-on-long-term-physical-function-in-former-intensive-care-patients-a-systematic-overview\/","title":{"rendered":"The effect of early active mobilization on long-term physical function in former intensive care patients – a systematic overview"},"content":{"rendered":"
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The effect of early active mobilization on long-term physical function in former intensive care patients<\/font><\/span><\/div>\n
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    \n
  • The articles used in the essay have to be quantitative studies <\/u>about long term outcome of early moblization done in the icu, and  how it effects physical function <\/span>measured<\/span> after discharge of the icu, 3 months or more after the discharge. <\/span>It can be buy telephone or physical measures.<\/font><\/li>\n
  • The essay is a master and it has to be systematisk review,<\/u> with introduction, method, results, discussion and conclusion.<\/font><\/span><\/li>\n<\/ul>\n
    Purpose: <\/span>To examine the effect of early active mobilization on long-term physical function in former intensive care patients.<\/i><\/span>
    <\/font><\/div>\n

    <\/i><\/span><\/font><\/div>\n
    physical function domain of post intensive care syndrome\/<\/span>intensive care unit acquired weakness, measured <\/span>after hospital discharge<\/span>
    <\/i><\/span><\/font><\/div>\n

    <\/font><\/span><\/div>\n
    Results: The sources are should be seen together and compared, what is similar and differences: – the measurement tools, did they use the same or not, how will that effect the outcome.
    \n– was the intervention done the same, was it initiated at the same time. Some articles write that they initiated it within 48 hours and others within a week,
    \n– did the patients have the same starting point at the start of the intervention, were they equally ill, approximately the same age. 2 of the articles showing a significant difference had with self-breathing patients…<\/font><\/span><\/div>\n
    -Only measurment done after hospital <\/span>discharge (<\/span>muscle status, ADL, strength.<\/span>)<\/span><\/font><\/div>\n
     -confidence interval needs be mentioned for  all the articles- have the articles taken this into account, are their results trustworthy. <\/font><\/span><\/div>\n
     -reliability and validity, bias<\/span>
    <\/font><\/div>\n

    <\/font><\/span><\/div>\n
    Discussion<\/span>:<\/p>\n

    All included studies mention 4 factors that are fundamental to increased functional status, 1 activity level (how often and how much they were mobilized), 2 how early activity was initiated, 3. level of sedation and how sick the patients were during admission to the intensive care unit.. Self-breathing patients-> less sedation. 4. measurement tools. lost to follow-up – how it affects the result. <\/font><\/span><\/span><\/div>\n

    -reliability, validity, bias, generalizability of the results.<\/span>
    <\/font><\/span><\/div>\n
    – limitations, strength and suggestions for future research<\/font><\/span><\/span><\/div>\n

    <\/font><\/span><\/span><\/div>\n
    <\/div>\n

    <\/font><\/div>\n

    <\/font><\/div>\n<\/div>\n
    Here are some of articles i was thinking of using, you can add more if you want.  But not other reviews. <\/font><\/span><\/div>\n

    <\/font><\/span><\/div>\n
    – <\/span>Amundadottir OR, J\u00f3nasd\u00f3ttir
    \nRJ, Sigvaldason K, Gunnsteinsdottir E, Haraldsdottir B, Sveinsson T, et al.
    \nEffects of intensive upright mobilisation on outcomes of mechanically
    \nventilated patients in the intensive care unit: a randomised controlled trial
    \nwith 12-months follow-up. European Journal of Physiotherapy. 2021;23(2):68-78.<\/span><\/font><\/div>\n

    <\/font><\/span><\/div>\n
    \n

    – Eggmann S, Verra ML, Luder
    \nG, Takala J, Jakob SM. <\/span>Effects of early, combined endurance and resistance training
    \nin mechanically ventilated, critically ill patients: A randomised controlled
    \ntrial. PloS one. 2018;13(11):e0207428.<\/span><\/font><\/p>\n


    <\/font><\/span><\/p>\n

    – Hodgson CL, Bailey M, Bellomo R, Berney S, Buhr H, Denehy L,
    \net al. A Binational Multicenter Pilot Feasibility Randomized Controlled Trial
    \nof Early Goal-Directed Mobilization in the ICU*. Critical Care Medicine.
    \n2016;44(6).<\/font><\/span><\/p>\n


    <\/font><\/span><\/p>\n

    -Hodgson CL, Bailey M, Bellomo
    \nR, Brickell K, Broadley T, Buhr H, et al. Early Active Mobilization during
    \nMechanical Ventilation in the ICU. New England Journal of Medicine.
    \n2022;387(19):1747-58.<\/span>
    <\/font><\/span><\/p>\n


    <\/font><\/span><\/p>\n

    – Schujmann DS, Teixeira Gomes T, Lunardi AC, Zoccoler Lamano M,
    \nFragoso A, Pimentel M, et al. Impact of a Progressive Mobility Program on the
    \nFunctional Status, Respiratory, and Muscular Systems of ICU Patients: A
    \nRandomized and Controlled Trial*. Critical Care Medicine. 2020;48(4).<\/font><\/span><\/p>\n


    <\/font><\/span><\/p>\n

    -Stephen EW,
    \nKirsty T, Gillian W, Catherine B, Andrew B, Thomas JC, et al. Intensive versus
    \nstandard physical rehabilitation therapy in the critically ill (EPICC): a
    \nmulticentre, parallel-group, randomised controlled trial. <\/span>Thorax. 2018;73(3):213.<\/span><\/font><\/p>\n<\/div>\n<\/div>\n<\/div>\n

    \n
    \n
    \n
    \n

    \n

    These are what my school required:<\/span>
    <\/font><\/div>\n

    <\/p>\n

    Assessment criteria
    \nThe overall impression of the assignment is central to the assessment. By an article based
    \nMaster’s thesis, must justify and elaborate methodological questions.
    \nFurthermore, the following areas are emphasized:<\/span>
    <\/font><\/div>\n

    <\/span><\/p>\n


    <\/font><\/p>\n
     1. Academic content <\/font><\/span><\/div>\n
    \u2022 Purpose\/The problem is limited and within the candidate(s).
    \narea of \u200b\u200bspecialization in advanced clinical nursing <\/font><\/span><\/div>\n
    \u2022 The candidate(s) uses previous research to justify\/argue for
    \nown problem and study <\/font><\/span><\/div>\n
    \u2022 The candidate(s) has in-depth knowledge of research that is relevant to
    \nthe problem and relates critically to previous studies <\/font><\/span><\/div>\n
    \u2022 The candidate(s) assesses the background for the issue\/purpose, methodically
    \napproach and own findings in a factual, critical and deliberative manner <\/font><\/span><\/div>\n

    <\/font><\/span><\/div>\n
    2. Knowledge of methods <\/font><\/span><\/div>\n
    \u2022 The candidate(s) shows in-depth knowledge of and understanding of the method which
    \nis used, and justifies the choice of method in relation to the issue\/purpose<\/font><\/span><\/div>\n
     \u2022 The candidate(s) make a critical assessment of the method used <\/font><\/span><\/div>\n
    \u2022 The candidate(s) gives an account of research ethics assessments <\/font><\/span><\/div>\n

    <\/font><\/span><\/div>\n
    3. Independence <\/font><\/span><\/div>\n
    \u2022 The candidate(s) shows independence in the presentation of the academic and methodological aspects
    \nthe content<\/font><\/span><\/div>\n

    <\/font><\/span><\/div>\n
     4. Written presentation <\/font><\/span><\/div>\n
    \u2022 The Master’s thesis has a logical and systematic structure and a clear writing
    \nmanufacture. <\/font><\/span><\/div>\n
    \u2022 The Master’s thesis is consistent in the use of the chosen reference system. <\/font><\/span><\/div>\n
    \u2022 The master’s thesis is in accordance with the university’s framework for the master’s thesis<\/font><\/span><\/div>\n<\/div>\n

    \n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

    The effect of early active mobilization on long-term physical function in former intensive care patients The articles used in the essay have to be quantitative studies about long term outcome of early moblization done in the icu, and  how it effects physical function measured after discharge of the icu, 3 months or more after the discharge. It can […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":[],"disciplines":[190],"paper_types":[],"tagged":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions\/27528"}],"collection":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions"}],"about":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/types\/questions"}],"author":[{"embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/comments?post=27528"}],"version-history":[{"count":0,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions\/27528\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/media?parent=27528"}],"wp:term":[{"taxonomy":"disciplines","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/disciplines?post=27528"},{"taxonomy":"paper_types","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/paper_types?post=27528"},{"taxonomy":"tagged","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/tagged?post=27528"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}