A5025131925- Intensive Care Unit Cognitive Disorders
- Nutrition and Health in Aging
- Clinical Nutrition and Gastroenterology
- Frailty in Older Adults
- Family and Patient Care in Intensive Care Units
- Respiratory Support and Mechanisms
- Long-Term Effects of COVID-19
- Sepsis Diagnosis and Treatment
- Body Composition Measurement Techniques
- Hemodynamic Monitoring and Therapy
- Geriatric Care and Nursing Homes
- Hip and Femur Fractures
- Thermal Regulation in Medicine
- Esophageal and GI Pathology
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Neonatal Respiratory Health Research
- Child Nutrition and Feeding Issues
- COVID-19 and Mental Health
- Health Systems, Economic Evaluations, Quality of Life
- Cardiac Arrest and Resuscitation
- Pleural and Pulmonary Diseases
- Healthcare Operations and Scheduling Optimization
- COVID-19 Clinical Research Studies
- Clinical practice guidelines implementation
- Interprofessional Education and Collaboration
The Royal Melbourne Hospital
2013-2024
Melbourne Health
2015-2020
Abstract Background There are few reports of new functional impairment following critical illness from COVID-19. We aimed to describe the incidence death or disability, and changes in health-related quality life patients after COVID-19 at 6 months. Methods In a nationally representative, multicenter, prospective cohort study illness, we determined prevalence disability months, primary outcome. measured mortality, return work with World Health Organization Disability Assessment Schedule 2.0...
The outcomes of survivors critical illness due to coronavirus disease (COVID-19) compared with non-COVID-19 are yet be established.
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...
Abstract Background International guidelines recommend greater protein delivery to critically ill patients than they currently receive. This pilot randomized clinical trial aimed determine whether a volume‐target enteral protocol with supplemental delivered amounts of and energy compared standard care. Methods Sixty participants received either the intervention (volume‐based protocol, supplementation) or nutrition care (hourly‐rate‐based without in intensive unit (ICU). Coprimary outcomes...
This document provides an update to the recommendations for physiotherapy management adults with coronavirus disease 2019 (COVID-19) in acute hospital setting. It includes: workforce planning and preparation; a screening tool determining requirement physiotherapy; use of treatments personal protective equipment. New advice are provided on: workload management; staff health, including vaccination; providing clinical education; equipment; interventions, awake proning, mobilisation...
Abstract Background Beta‐hydroxy‐beta‐methylbutyrate (HMB) is a nutrition supplement that may attenuate muscle wasting from critical illness. This trial aimed to determine feasibility of administering blinded in the intensive care unit (ICU) and continuing it after ICU discharge. Methods Single‐center, parallel‐group, blinded, placebo‐controlled, randomized trial. After traumatic injury necessitating admission ICU, participants were receive an enteral study 3 g HMB (intervention) or placebo...
Long-term recovery after critical illness can be affected by post-intensive care syndrome (PICS), a significant burden, which impact return to activities and work. There is need for streamlined support intensive unit (ICU) patients in their while enduring PICS symptoms.
Objective: To explore the incidence of falls and associated risk factors in first year after hospital discharge survivors critical illness. Design: Prospective single-site observational study. Setting: University-affiliated mixed ICU. Patients: One hundred ICU adults who required invasive ventilation for 48 hours an at least 4 days. Interventions: Not applicable. Measurements Main Results: Falls were monitored prospectively 1 with completion monthly calendars. data included number people had...
Aim Major chest trauma is associated with significant morbidity and mortality. Management of patients major includes pain relief, ventilatory management, surgical fixation early rehabilitation to improve both short- long-term outcomes. Physiotherapy widely considered an integral component the multidisciplinary team aims respiratory status reduce sequelae immobility reduced physical function. Despite this there scarce evidence describing or investigating physiotherapy interventions how these...
Abstract Background Patients who survive critical illness frequently develop muscle weakness that can impact on quality of life; nutrition is potentially a modifiable risk factor. The present study aimed to explore the associations between cumulative energy deficits (using indirect calorimetry and estimated requirements), nutritional functional outcomes. Methods A prospective single‐centre observational 60 intensive care unit ( ICU ) patients, were mechanically ventilated for at least 48 h,...
Current guidelines for the provision of protein critically ill patients are based on incomplete evidence, due to limited data from randomised controlled trials. The present pilot trial is part a program work expand knowledge about clinical effects delivery patients. primary aim this study determine whether an enteral feeding protocol using volume target, with additional supplementation, delivers greater amount and energy mechanically ventilated than standard nutrition protocol. secondary...
Ongoing symptoms of COVID-19 can persist for weeks or months after the initial infection. The aim this study was to identify persistent (fatigue, cognition, quality life, anxiety, depression and physical measures) in unvaccinated community-managed patients following
Abstract Background The potential for bioimpedance spectroscopy (BIS) to identify muscle weakness and functional limitations in critical illness is unknown; this study aimed determine association of BIS with strength/function differences between 3 intensive care units (ICUs). Methods A retrospective post hoc analysis BIS, strength, data from adults who required ≥48 hours mechanical ventilation was conducted. Measures body composition included the proportion (%) total water (TBW), fat mass...
There are no therapies proven to diminish the muscle wasting that occurs in patients after major trauma who admitted intensive care unit (ICU). β-Hydroxy-β-methylbutyrate (HMB) is a nutrition intervention may attenuate loss and, thereby, improve recovery. The primary aim of this study determine feasibility blinded randomised clinical trial HMB supplementation ICU. Secondary aims establish estimates for impact when compared placebo on mass and nutrition-related patient outcomes.This...