The Implementation of Early Mobilization and Chest Physiotherapy on Weaning Rate of Prolong Weaning Patients. A Retrospective Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 202
- 试验地点
- 2
- 主要终点
- Weaning success rate
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The subjects' data which met the inclusion criteria are:
- •Patient with or without
- •Patient who met the criteria of received physiotherapy (Figure 1.)
- •No usage of life support device such as ECMO and so on.
- •Continuous mechanical ventilator use over 21 days.
排除标准
- •The exclusion criteria are
- •Patients diagnosed as brain death
- •Patients who were ventilator dependent before admission
- •Patients who were against advice discharge under critical condition.
- •Patients received emergency intervention during course.
- •Patient who didn't meet the criteria of received physiotherapy (Figure 1.).
结局指标
主要结局
Weaning success rate
时间窗: 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
次要结局
- RCC mortality rate(up to 6 weeks in respiratory care center)
- discharge to home rate(after 6 weeks in respiratory care center)
- hospital mortality rate(up to 6 weeks in respiratory care center)
- total mechanical ventilator use(up to 6 weeks in respiratory care center)
- total hospital days of stay(up to 10 weeks in the hospital)
- RCC days of stay(up to 6 weeks in respiratory care center)