A5070216040- Intensive Care Unit Cognitive Disorders
- Cancer survivorship and care
- Respiratory Support and Mechanisms
- Cardiac, Anesthesia and Surgical Outcomes
- Frailty in Older Adults
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Nutrition and Health in Aging
- Hip and Femur Fractures
- Family and Patient Care in Intensive Care Units
- Childhood Cancer Survivors' Quality of Life
- Delphi Technique in Research
- Long-Term Effects of COVID-19
- Enhanced Recovery After Surgery
- Airway Management and Intubation Techniques
- Cardiac Health and Mental Health
- Surgical site infection prevention
- Pelvic floor disorders treatments
- Cerebral Palsy and Movement Disorders
- Stroke Rehabilitation and Recovery
- Balance, Gait, and Falls Prevention
- Head and Neck Cancer Studies
- Lung Cancer Diagnosis and Treatment
- Health Systems, Economic Evaluations, Quality of Life
- Pleural and Pulmonary Diseases
- Palliative Care and End-of-Life Issues
The University of Melbourne
2016-2025
Peter MacCallum Cancer Centre
2018-2025
RMIT University
2013-2024
Melbourne Health
2010-2024
Emory University
2024
Institute for Breathing and Sleep
2011-2023
Austin Health
2011-2023
University of Exeter
2023
William Harvey Research Institute
2023
Queen Mary University of London
2023
To update and expand the 2013 Clinical Practice Guidelines for Management of Pain, Agitation, Delirium in Adult Patients ICU.Thirty-two international experts, four methodologists, critical illness survivors met virtually at least monthly. All section groups gathered face-to-face annual Society Critical Care Medicine congresses; virtual connections included those unable to attend. A formal conflict interest policy was developed a priori enforced throughout process. Teleconferences electronic...
Abstract Introduction The purpose of this trial was to investigate the effectiveness an exercise rehabilitation program commencing during ICU admission and continuing into outpatient setting compared with usual care on physical function health-related quality life in survivors. Methods We conducted a single-center, assessor-blinded, randomized controlled trial. One hundred fifty participants were stratified receive or intervention if they for 5 days more had no permanent neurological insult....
Abstract Introduction The aim of this study was to investigate current mobilization practice, strength at ICU discharge and functional recovery 6 months among mechanically ventilated patients. Method This a prospective, multi-centre, cohort conducted in twelve ICUs Australia New Zealand. Patients were previously functionally independent expected be for >48 hours. We measured during invasive ventilation, sedation depth using the Richmond Agitation Sedation Scale (RASS), co-interventions,...
<h3>Abstract</h3> <h3>Objective</h3> To assess the efficacy of a single preoperative physiotherapy session to reduce postoperative pulmonary complications (PPCs) after upper abdominal surgery. <h3>Design</h3> Prospective, pragmatic, multicentre, patient and assessor blinded, parallel group, randomised placebo controlled superiority trial. <h3>Setting</h3> Multidisciplinary preadmission clinics at three tertiary public hospitals in Australia New Zealand. <h3>Participants</h3> 441 adults aged...
Clinical practice guidelines are published and promoted, often by professional societies, because they provide a current transparently analyzed review of relevant research written with the aim to guide clinical practice. The 2018 Pain, Agitation/sedation, Delirium, Immobility (rehabilitation/mobilization), Sleep (disruption) (PADIS) (1) first 1) builds on this mission updating 2013 PAD (2); 2) adding two inextricably related care topics (immobility sleep); 3) including patients as...
Objectives: To determine if the early goal-directed mobilization intervention could be delivered to patients receiving mechanical ventilation with increased maximal levels of activity compared standard care. Design: A pilot randomized controlled trial. Setting: Five ICUs in Australia and New Zealand. Participants: Fifty critically ill adults mechanically ventilated for greater than 24 hours. Intervention: Patients were randomly assigned either (intervention) or care (control). Early...
Objectives: To develop a comprehensive set of items describing physiotherapy mobilisation practices for critically ill patients, and to document current in intensive care units Australia New Zealand, focusing on patients having > 48 hours mechanical ventilation. Design: Prospective, observational, multicentre, single-day, point prevalence study. Participants setting: All 38 Australian Zealand ICUs at 10 am one three designated days 2009 2010. Main outcome measures: Demographic data,...
Background Several tests have recently been developed to measure changes in patient strength and functional outcomes the intensive care unit (ICU). The original Physical Function ICU Test (PFIT) demonstrates reliability sensitivity. Objective aims of this study were further develop PFIT, derive an interval score (the PFIT-s), test clinimetric properties PFIT-s. Design A nested cohort was conducted. Methods One hundred forty-four 116 participants performed PFIT at admission discharge,...
With growing awareness of the importance rehabilitation, new measures are being developed specifically for use in intensive care unit (ICU). There currently 26 reported to assess function ICU survivors. The Physical Function Intensive Test scored (PFIT-s) has established clinimetric properties. It is unknown how other functional perform comparison PFIT-s or which measure may be most clinically applicable within ICU. aims this study were determine (1) criterion validity Functional Status...
There is growing interest in the use of quantitative high-resolution neuromuscular sonography to evaluate skeletal muscles patients with critical illness. currently considerable methodological variability measurement technique muscle analysis. The reliability parameters using different techniques and assessor expertise levels has not been examined primary objective this study was determine interobserver sonographic analyses (thickness echogenicity) between assessors for selecting region...
Rationale: The ICU Mobility Scale (IMS) is a measure of mobility milestones in critically ill patients.Objectives: This study aimed to determine the validity and responsiveness IMS from prospective cohort adults admitted intensive care unit (ICU).Methods: Construct predictive were assessed by comparing values at discharge 192 patients other variables using Spearman rank correlation coefficient, Mann-Whitney U tests, logistic regression. Responsiveness was change over time, effect size, floor...
The study objective was to obtain consensus on physical therapy (PT) in the rehabilitation of critical illness survivors after hospital discharge. Research questions were: what are PT goals, recommended measurement tools, and constitutes an optimal intervention for illness? A Delphi conducted. Panelists were included based relevant fields expertise, years clinical experience, publication record. literature review determined five themes, forming basis round one, which aimed at generating...