Cognitive and physical rehabilitation of intensive care unit survivors: results of the RETURN randomized controlled pilot investigation.
Source: Jackson, J. C., et al. 2012 - Pubmed ID: 22080631
Setting: USA, University medical center
RCT
Follow up: 3 months
Sample size:
Total: 21 (17)
IG: 13 (9)
CG: 8 (8)
Inclusion criteria:
- > 18 years of age
- Intensive care unit patient survivors
Phone call
- Motivation
- Assess barriers and/or progres-sion in treatment
Videoconsultation
- Physical and functional training
Intervention: A total of 12 visits – 6 in person visits for cognitive rehabilitation and 6 televisits for physical and functional rehabilitation, each 60-75 minutes in length, with sessions following an alternating format (i.e., first cognitive then physical-functional and so on). Televisits used interactive 2-way videophones facilitated by an assistant in the home and/or were video recorded for subsequent review. Visits were supplemented with brief telephone calls by study personnel from relevant disciplines during alternate weeks. Participants completed a workbook between visits to help track compliance.
Duration: 12 weeks
Add on: NA
Control group: Usual care including physical therapy, occupational therapy, and nursing care, delivered to in-patient, out-patient, or home-health settings.
Clinical effect:
- TOWER test (cognition) ↑
- TUG →
- IADL ↑
Patient safety:
- One adverse event was reported – a participant in the intervention group experienced a minor ankle sprain while participating in a walking exercise.
Patient experiences: NA
Staff experiences: NA
Investment:
Equipment/Materials
- Videoequipment
Running:
Staff resources
- Videovisits
- Phone call
Organization: NA
Health care utilization: NA