Реанимационные метрики
Показатель
|
Диапазон значений (Баллы)
|
Номатив
|
При поступлении
|
При выписке
|
Шкала Рэнкин
|
0-6
|
<6
|
|
|
Шкала исходов Glasgow
|
1-9
|
>3
|
|
|
Шкала двигательного дефицита (MRC)
|
0-5
|
5
|
|
|
Суточная длительность вертикализации
|
0-12 час
|
12
|
|
|
Модифицированный индекс мобильности Рэнкин (IMR-ICU)
|
0-7
|
7
|
|
|
Ноцицептивная шкала сознания NCS /CRS
|
0-12
|
>10
|
|
|
Шкала болевого поведения (BPS)
|
0-10
|
0
|
|
|
Шкала интенсивности боли (ВАШ)
|
0-10
|
0
|
|
|
Шкала дисфагии v/s коэффициент
|
1-2,5
|
2,3-2,5
|
|
|
Интеллектуальный статус MMSE
|
0-30
|
29-30
|
|
|
Госпитальная шкала тревоги и депрессии HADS
|
Т 0-21
Д 0-21
|
Т 0-7
Д 0-7
|
|
|
Нутритивный дефицит
|
0-100%
|
0
|
|
|
Толерантности к (физическим, интеллектуальным) нагрузкам
|
0-100%
|
100
|
|
|
Список литературы
Белкин АА, Алашеев АМ, Давыдова НС, Левит АЛ, Халин АВ. Обоснование реанимационной реабилитации в профилактике и лечении синдрома «после интенсивной терапии» ПИТ-синдром). Вестник восстановительной медицины. 2014;1:37–43.
Иванова Г.Е., Поляев Б.А., Петрова Е.А. и др. Организация ранней физической реабилитации больных с церебральным инсультом / Материалы научно- практической конференции «Диагностика, лечение, реабилитация», Москва. – 2006. – С.73-75.
Иванова Г.Е., Шкловский В.М., Петрова Е.А. и соавт. Принципы организации ранней реабилитации больных с инсультом // Качество жизни. Медицина. -2006. - №2. - С.62-70.
Одинак М.М., Вознюк И.А., Анисимова Л.Н. Реабилитация больных в раннем восстановительном периоде инсульта // Спб.: Вестник ВМедА. – 2008. - № 4. – С.45-47.
Cидякина И.В., Шаповаленко Т.В., Лядов К.В. Вопросы реабилитации в остром периоде инсульта // Вестник восстановительной медицины. – 2011. - № 2. – С. 9-13.
Суворов А.Ю., Нивина Ю.В., Скворцов Д.В. Особенности поддержания вертикального положения тела у больных церебрально-ишемическим инсультом в острый период заболевания. Материалы докладов Третьей научной конференции «Актуальные вопросы спортивной медицины, лечебной физической культуры, физиотерапии и курортологии, 2004» // Журнал Российской ассоциации по спортивной медицине и реабилитации больных и инвалидов, 2004. – №3 – С. 28.
Berry MJ, Morris PE. Early exercise rehabilitation of muscle weakness in acute respiratory failure patients. Exerc Sport Sci Rev. 2013;41(4):208–15..
Adler J, Malone D. Early Mobilization in the Intensive Care Unit : A Systematic Review. 2012;23(1):5–13.
Brower RG. Consequences of bed rest. Crit Care Med. 2009;37(10 Suppl):S422–8. doi:10.1097/CCM.0b013e3181b6e30a.
-
Barr J, Fraser GL, Puntillo K, et al. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med. 2013;41(1):263–306.
Burtin C, Clerckx B, Robbeets C, et al. Early exercise in critically ill patients enhances short-term functional recovery. Crit Care Med. 2009;37(9):2499–505. doi:10.1097/CCM.0b013e3181a38937.
Care N, Roth C, Stitz H, et al. Effect of Early Physiotherapy on Intracranial Pressure and Cerebral Perfusion Pressure. 2012. doi:10.1007/s12028-012-9799-5.
Cavallaro F, Sandroni C, Marano C, et al. Diagnostic accuracy of passive leg raising for prediction of fluid responsiveness in adults: systematic review and meta-analysis of clinical studies. Intensive Care Med. 2010;36(9):1475–83. doi:10.1007/s00134-010-1929-y.
Clark DE, Lowman JD, Griffin RL, Matthews HM, Reiff D a. Effectiveness of an early mobilization protocol in a trauma and burns intensive care unit: a retrospective cohort study. Phys Ther. 2013;93(2):186–96. doi:10.2522/ptj.20110417.
Denehy L, Skinner EH, Edbrooke L, et al. Exercise rehabilitation for patients with critical illness: a randomized controlled trial with 12 months follow up. Crit Care. 2013;17(4):R156. doi:10.1186/cc12835.
Duncan P., Studenski S., Richars L. et al. Randomized clinical trial of therapeutic exercise in subacute stroke // Stroke. – 2003. - V. 34. – P. 2713-2180.
Ely EW. We Should Mobilize Both Body and Brain. In: EuroNeuro.; 2014.
Engel HJ, Needham DM, Morris PE, Gropper M a. ICU early mobilization: from recommendation to implementation at three medical centers. Crit Care Med. 2013;41(9 Suppl 1):S69–80. doi:10.1097/CCM.0b013e3182a240d5.
Friedman WA. Textbook of Neurointensive Care. (Layon AJ, Gabrielli A, Friedman WA, eds.). London: Springer London; 2013. doi:10.1007/978-1-4471-5226-2.
Gebhart GF. Non-Pharmacological Interventions. 2013:2297–2297. doi:10.1007/978-3-642-28753-4_101473.
Geetha Kayambu, BSc Phyt (Hons); Robert Boots, PhD1, 2 ; Jennifer Paratz P. Physical Therapy for the Critically Ill in the ICU: A Systematic Review and Meta-Analysis. Crit Care Med. 2013;(c):1–12. doi:10.1097/CCM.0b013e31827ca637.
Hanekom SD, Louw Q, Coetzee A. The way in which a physiotherapy service is structured can improve patient outcome from a surgical intensive care: a controlled clinical trial. Crit Care. 2012;16(6):R230. doi:10.1186/cc11894.
Indredavik B., Loge A., Rohweder G. et al. Early mobilisation of acute stroke patients is tolerated well, increases mean blood pressure and oxygen saturation and improves consciousness // Cerebrovasc. Dis. - 2007. – V. 23(suppl 2). – 65 p.
Luther MS, Krewer C, Müller F, Koenig E. Comparison of orthostatic reactions of patients still unconscious within the first three months of brain injury on a tilt table with and without integrated stepping. A prospective, randomized crossover pilot trial. Clin Rehabil. 2008;22(12):1034–41. doi:10.1177/0269215508092821.
Marik PE, Lemson J. Fluid responsiveness: an evolution of our understanding. Br J Anaesth. 2014;112(4):617–20. doi:10.1093/bja/aet 590.
Marik PE, Monnet X, Teboul J-L. Hemodynamic parameters to guide fluid therapy. Ann Intensive Care. 2011;1(1):1. doi:10.1186/2110-5820-1-1.
Mendez-Tellez P a, Dinglas VD, Colantuoni E, et al. Factors associated with timing of initiation of physical therapy in patients with acute lung injury. J Crit Care. 2013. doi:10.1016/j.jcrc.2013.06.001.
Mendez-tellez PA, Needham DM. Early Physical Rehabilitation in the ICU and Ventilator Liberation. 2012:1663–1669. doi:10.4187/respcare.01931.
Miller EL, Murray L, Richards L, et al. Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient: a scientific statement from the American Heart Association. Stroke. 2010;41(10):2402–48. doi:10.1161/STR.0b013e3181e7512b.
Needham DM, Truong AD, Fan E. Technology to enhance physical rehabilitation of critically ill patients. Crit Care Med. 2009;37(10 Suppl):S436–41. doi:10.1097/CCM.0b013e3181b6fa29.
-
Needham DM, Davidson J, Cohen H, et al. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders’ conference. Crit Care Med. 2012;40(2):502–9. doi:10.1097/CCM.0b013e318232da75.
-
Marshall JC. Critical illness is an iatrogenic disorder. Crit Care Med. 2010;38(10 Suppl):S582–9. doi:10.1097/CCM.0b013e3181f2002a.
Parker A, Tehranchi KM, Needham DM. Critical care rehabilitation trials: the importance of “usual care.” Crit Care. 2013;17(5):R183. doi:10.1186/cc12884.
Parker AM, Sricharoenchai T, Needham DM. Early Rehabilitation in the Intensive Care Unit: Preventing Impairment of Physical and Mental Health. Curr Phys Med Rehabil Reports. 2013;1(4):307–314. doi:10.1007/s40141-013-0027-9.
Perme BC, Chandrashekar R. EARLY MOBILITY AND WALKING PROGRAM FOR PATIENTS IN INTENSIVE CARE UNITS: CREATING A STANDARD OF CARE. 2009;18(3):212–221. doi:10.4037/ajcc2009598.
Pires-Neto RC. Very Early Passive Cycling Exercise in Mechanically Ventilated Critically Ill Patients: Physiological and Safety Aspects - A Case Series. 2013.
Poulsen JB, Rose MH, Jensen BR, Møller K, Perner A. Biomechanical and Nonfunctional Assessment of Physical Capacity in Male ICU Survivors*. Crit Care Med. 2013;(7):93–101. doi:10.1097/CCM.0b013e31826a3f9e.
Sprenkle KJ, Pechulis M. Early Mobility of Patients Poststroke in the Care Unit. 2013;4(3):101–109.
Vasilevskis EE, Pandharipande PP, Girard TD, Ely EW. A screening, prevention, and restoration model for saving the injured brain in intensive care unit survivors. Crit Care Med. 2010;38(10 Suppl):S683–91. doi:10.1097/CCM.0b013e3181f245d3.
Young P. mobilisation : do we need a trial of this ? In: EuroNeuro.; 2014.
Zomorodi M, Topley D, McAnaw M. Developing a mobility protocol for early mobilization of patients in a surgical/trauma ICU. Crit Care Res Pract. 2012;2012:964547. doi:10.1155/2012/964547.
Marik PE, Lemson J. Fluid responsiveness: an evolution of our understanding. Br J Anaesth. 2014;112(4):617–20. doi:10.1093/bja/aet590.
2. Rubenfeld GD. Long-term outcomes after critical illness : how bad ? how often ? how fixable ? In: EuroNeuro.; 2014.
Corner E. Measuring functional recovery from critical illness. In: EuroNeuro.; 2014.
Review S, Points K. Orthostatic Hypotension. 2014.
Ali N, Ali NA. Continuity of care in critical care - After the ICU Presenter Disclosures. In: EuroNeuro.; 2014.
Ely EW. We Should Mobilize Both Body and Brain. In: EuroNeuro.; 2014.
Young P. mobilisation : do we need a trial of this ? In: EuroNeuro.; 2014.
8. Corner E. “ Rehabilitation on ICU is easy … you just get them out of bed .” In: EuroNeuro.; 2014.
9. Berry MJ, Morris PE. Early exercise rehabilitation of muscle weakness in acute respiratory failure patients. Exerc Sport Sci Rev. 2013;41(4):208–15. doi:10.1097/JES.0b013e3182a4e67c.
10. O’Kelly J, James L, Palaniappan R, Taborin J, Fachner J, Magee WL. Neurophysiological and behavioral responses to music therapy in vegetative and minimally conscious States. Front Hum Neurosci. 2013;7(December):884. doi:10.3389/fnhum.2013.00884.
11. Geetha Kayambu, BSc Phyt (Hons); Robert Boots, PhD1, 2 ; Jennifer Paratz P. Physical Therapy for the Critically Ill in the ICU: A Systematic Review and Meta-Analysis. Crit Care Med. 2013;(c):1–12. doi:10.1097/CCM.0b013e31827ca637.
12. P.P. Pandharipande, T.D. Girard, J.C. Jackson, A. Morandi, J.L. Thompson, B.T. Pun, N.E. Brummel, C.G. Hughes, E.E. Vasilevskis AKS, K.G. Moons, S.K. Geevarghese, A. Canonico, R.O. Hopkins, G.R. Bernard RS. Long-Term Cognitive Impairment after Critical Illness. N Engl J Med. 2013;369:1306–16.
13. Jane Batt C dos S. State of the Art Intensive Care Unit – acquired Weakness Clinical Phenotypes and Molecular Mechanisms The Outcome of ICUAW. Am J Respir Crit Care Med. 2013;187:238–246. doi:10.1164/rccm.201205-0954SO.
|