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

Study design:

RCT

Follow up:
3 months

Patient group:

Sample size:

Total: 21 (17)

IG: 13 (9)

CG: 8 (8)

Inclusion criteria:

> 18 years of age

– Intensive care unit patient survivors

Type of technology:

Phone call
– Motivation
– Assess barriers and/or progres-sion in treatment

Videoconsultation
– Physical and functional training

Intervention:

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/ Patient safety:

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/ Staff experiences:

Patient experiences:

NA 

Staff experiences:

NA

Costs and organization:

Investment:

Equipment

– videoequipment

Running:

Staff resources

– Videovisits

– phone call

Organization:

NA

Health care utilization:

NA

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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)