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Early Physical and Occupational Therapy in Mechanically Ventilated, Critically Ill Patients: A Randomized Controlled Trial

Schweickert, et al. | The Lancet | 2009

A caregiver holding a patient's arm while they walk in the hospital.

This randomized trial evaluated the impact of physical and occupational therapy on functional outcomes in mechanically vented patients in the ICU. Of 104 patients, 59% returned to independent functional status at discharge in the intervention arm, compared with 35% in the control arm. Patients in the intervention arm also had shorter duration of delirium (P=0.02) and more ventilator-free days (P=0.05) compared to the control arm. Discontinuation due to patient instability occurred in 4% of all therapy sessions.

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Care Settings: Acute Care

Clinical Focus: Early Mobility

Content Type: Journal Articles

Reference: Schweickert WD, Pohlman MC, Pohlman AS, Nigos C, et al. Early Physical and Occupational Therapy in Mechanically Ventilated, Critically Ill Patients: A Randomized Controlled Trial. The Lancet. 2009; 373(9678):1874-1882.