Journal article
Safety and Feasibility of an Early Mobilization Program for Patients With Aneurysmal Subarachnoid Hemorrhage
Physical therapy, v 93(2), pp 208-215
01 Feb 2013
PMID: 22652987
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background. Survivors of aneurysmal subarachnoid hemorrhage (SAH) are faced with a complicated recovery, which typically includes surgery, prolonged monitoring in the intensive care unit, and treatment focusing on the prevention of complications.
Objective. The purpose of this study was to determine the safety and feasibility of an early mobilization program for patients with aneurysmal SAH.
Design. This study was a retrospective analysis.
Methods. Twenty-five patients received early mobilization by a physical therapist or an occupational therapist, or both, which focused on functional training and therapeutic exercise in more progressively upright positions. Participation criteria focused on neurologic and physiologic stability prior to the initiation of early mobilization program sessions.
Results. Patients met the criteria for participation in 86.1% of the early mobilization program sessions attempted. Patients did not meet criteria for the following reasons: Lindegaard ratio >3.0 or middle cerebral artery (MCA) mean flow velocity (MFV) >120 cm/s (8.1%), mean arterial pressure (MAP) <80 mm Hg (1.8%), intracranial pressure (ICP) >15 mm Hg (1.8%), unable to Open eyes in response to voice (0.9%), respiratory rate >40 breaths/min (0.6%), MAP >110 mm Hg (0.3%), and heart rate <40 bpm (0.3%). Adverse events occurred in 5.9% of early mobilization program sessions for the following reasons: MAP <70 mm Hg (3.1%) or >120 mm Hg (2.4%) and heart rate >130 bpm (0.3%). The 30-day mortality rate for all patients was 0%. Participation in the early mobilization program began a mean of 3.2 days (SD=1.3) after aneurysmal SAH, and patients received an average of 11.4 sessions (SD=4.3). Patients required a mean of 5.4 days (SD = 4.2) to participate in out-of-bed activity and a mean of 10.7 days (SD=6.2) to walk >= 15.24 m (50 ft).
Conclusions. The results of this study suggest that an early mobilization program for patients with aneurysmal SAH is safe and feasible.
Metrics
Details
- Title
- Safety and Feasibility of an Early Mobilization Program for Patients With Aneurysmal Subarachnoid Hemorrhage
- Creators
- Brian F. Olkowski - Capital District Health AuthorityMary Ann Devine - Capital HealthLaurie E. Slotnick - Capital District Health AuthorityErol Veznedaroglu - Capital HealthKenneth M. Liebman - Capital HealthMelissa L. Arcaro - Capital District Health AuthorityMandy Jo Binning - Capital Health
- Publication Details
- Physical therapy, v 93(2), pp 208-215
- Publisher
- Oxford Univ Press
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurology; Neurosurgery
- Web of Science ID
- WOS:000314203400010
- Scopus ID
- 2-s2.0-84873340202
- Other Identifier
- 991021918105104721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Orthopedics
- Rehabilitation