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Study of the intensive care unit activity scale in the early rehabilitation of patients after direct cardiac surgery. | LitMetric

AI Article Synopsis

  • The ICU activity scale is vital for assessing and improving recovery in patients after cardiac surgery, focusing on guiding rehabilitation efforts post-operation.
  • A study involving 120 patients divided into two groups showed that those rated with the ICU activity scale experienced shorter tracheal intubation and ICU stay times, and had fewer complications.
  • Results indicated that the group monitored with the ICU activity scale had higher activity scores and significantly reduced adverse events compared to the standard rehabilitation group.

Article Abstract

Background: Direct cardiac surgery often necessitates intensive post-operative care, and the intensive care unit (ICU) activity scale represents a crucial metric in assessing and guiding early rehabilitation efforts to enhance patient recovery.

Aim: To clarify the clinical application value of the ICU activity scale in the early recovery of patients after cardiac surgery.

Methods: One hundred and twenty patients who underwent cardiac surgery between September 2020 and October 2021 were selected and divided into two groups using the random number table method. The observation group was rated using the ICU activity scale and the corresponding graded rehabilitation interventions were conducted based on the ICU activity scale. The control group was assessed in accordance with the routine rehabilitation activities, and the postoperative rehabilitation indexes of the patients in both groups were compared (time of tracheal intubation, time of ICU admission, occurrence of complications, and activity scores before ICU transfer). The two groups were compared according to postoperative rehabilitation indicators (time of tracheal intubation, length of ICU stay, and occurrence of complications) and activity scores before ICU transfer.

Results: In the observation group, tracheal intubation time lasted for 18.30 ± 3.28 h and ICU admission time was 4.04 ± 0.83 d, which were significantly shorter than the control group (-values: 2.97 and 2.038, respectively, < 0.05). The observation group also had a significantly lower number of complications and adverse events compared to the control group ( < 0.05). Before ICU transfer, the observation group (6.7%) had few complications and adverse events than the control group (30.0 %), and this difference was statistically significant ( < 0.05). Additionally, the activity score was significantly higher in the observation (26.89 ± 0.97) compared to the control groups (22.63 ± 1.12 points) (-value; -17.83, < 0.05).

Conclusion: Implementation of early goal-directed activities in patients who underwent cardiac surgery using the ICU activity scale can promote the recovery of cardiac function.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11287495PMC
http://dx.doi.org/10.12998/wjcc.v12.i26.5930DOI Listing

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