A survey of identifying the status of intensive care unit on rehabilitation for critically ill patients

SESSION TITLE: Pulmonary Rehabilitation and Outcomes in Chronic Respiratory Diseases SESSION TYPE: Rapid Fire Original Inv PRESENTED ON: 10/10/2023 12:55 pm - 01:40 pm PURPOSE: Early rehabilitation begun in the intensive care unit (ICU) is emerging as an important strategy both to prevent and treat ICU-acquired weakness, in an effort to facilitate and improve the quality of life of post-intensive care. This study aimed to identify unbiased information for domestic tertiary hospitals about ICU rehabilitation's current status, implementation, and perception of healthcare staff. METHODS: A multicenter, prospective survey study was conducted on the healthcare staff working in tertiary hospital ICUs. We investigated the status of intensive care rehabilitation and the awareness of healthcare staff about intensive care rehabilitation. RESULTS: A total of 189 healthcare staff were analyzed. Their ICU working periods were 5.09 years. Only 42.3% of the respondents had experienced participation in ICU rehabilitation treatment. The most frequently performed rehabilitation methods were a passive range of motion (33.9%), followed by an active range of motion (28.0%), dangling (20.6%), and electrical muscle stimulation (19.6%). The average number of rehabilitation times for the patients was 4.4 times per week. Among the rehabilitation tools, bicycles (19.0%) and Hillrom beds (19.0%) were used the most, followed by electrical muscle stimulation (16.9%) and walking aids (15.9%). Only 25.9% of respondents answered that their hospitals had a multidisciplinary round team for critical care rehabilitation. As the biggest barrier to rehabilitation, 175 (92.6%) individuals answered lack of nursing staff. In addition, 145 (76.7%) of who had never experienced education on rehabilitation for critically ill patients. CONCLUSIONS: The present study findings show that education is needed to improve the awareness of critically ill medical staff on intensive care rehabilitation. In parallel, organizational efforts such as manpower reinforcement should be made to overcome barriers that prevent the successful implementation of the intervention. CLINICAL IMPLICATIONS: There is a need for an early rehabilitation protocol in an intensive care unit suitable for domestic situation. This should be a program that guarantees patient safety and is effective. In addition, continuous education on early rehabilitation in the intensive care unit is needed. DISCLOSURES: No relevant relationships by Taehwa Kim No relevant relationships by Yun Seong Kim