[Early mobilization in the intensive care unit for patients with subarachnoid hemorrhage-a review].

IF 1.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2025-01-12 DOI:10.1007/s00063-024-01231-y

Jacqueline Widmaier, Denise Schindele, Karin Lichtinger

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引用次数: 0

Abstract

Background: Early mobilization of critical ill patients in the intensive care unit (ICU) has a positive effect on outcome. Currently, due to concerns of cerebral vasospasm and rebleeding patients with subarachnoid hemorrhage (SAH) have a prolong bedrest for 12-14 days.

Objective: What effect does early mobilization have on vasospasm, clinical outcome, length of stay and ICU complication rate in patients with SAH compared to standard treatment?

Methods: A systematic literature search was conducted in MEDLINE via the PubMed® (U.S. National Library of Medicine®, Bethesda, MD, USA) and CINAHL® (EBSCO, Ipswich, MA, USA) databases.

Results: A total of 14 studies were identified. Overall, the studies showed an improved functional outcome and a reduction in the length of hospitalization and ventilation time. Only in one study did vasospasms occur more frequently and the outcome of patients with early mobilization was worse.

Conclusion: Further research is needed to identify possible positive effects of early mobilization in patients with SAH and to be able to describe the risk-benefit ratio more precisely.

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[蛛网膜下腔出血患者在重症监护室的早期康复--综述]。

背景：重症监护病房（ICU）危重患者的早期动员对预后有积极影响。目前，由于担心脑血管痉挛和再出血，蛛网膜下腔出血（SAH）患者的卧床时间延长至12-14天。目的：与标准治疗相比，早期动员对SAH患者的血管痉挛、临床结局、住院时间和ICU并发症发生率有何影响？方法：通过PubMed®（U.S. National Library of Medicine®，Bethesda， MD， USA）和CINAHL®（EBSCO, Ipswich， MA， USA）数据库在MEDLINE进行系统文献检索。结果：共纳入14项研究。总体而言，研究显示功能结果得到改善，住院时间和通气时间缩短。只有在一项研究中，血管痉挛的发生频率更高，早期活动患者的预后更差。结论：需要进一步的研究来确定早期活动对SAH患者可能产生的积极作用，并能够更准确地描述风险-收益比。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medizinische Klinik-Intensivmedizin Und Notfallmedizin MEDICINE, GENERAL & INTERNAL-

CiteScore

2.60

自引率

9.10%

发文量

审稿时长

6-12 weeks

期刊介绍： Medizinische Klinik – Intensivmedizin und Notfallmedizin is an internationally respected interdisciplinary journal. It is intended for physicians, nurses, respiratory and physical therapists active in intensive care and accident/emergency units, but also for internists, anesthesiologists, surgeons, neurologists, and pediatricians with special interest in intensive care medicine. Comprehensive reviews describe the most recent advances in the field of internal medicine with special focus on intensive care problems. Freely submitted original articles present important studies in this discipline and promote scientific exchange, while articles in the category Photo essay feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. In the rubric journal club well-respected experts comment on outstanding international publications. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice. The rubrics "Nursing practice" and "Physical therapy" round out the information.