A5064298971- Intensive Care Unit Cognitive Disorders
- Respiratory Support and Mechanisms
- Family and Patient Care in Intensive Care Units
- Cardiac, Anesthesia and Surgical Outcomes
- Frailty in Older Adults
- Primary Care and Health Outcomes
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Long-Term Effects of COVID-19
- Balance, Gait, and Falls Prevention
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Emergency and Acute Care Studies
- Healthcare Decision-Making and Restraints
- Chronic Disease Management Strategies
- Enhanced Recovery After Surgery
- Sepsis Diagnosis and Treatment
- Hip and Femur Fractures
- Palliative Care and End-of-Life Issues
- Innovations in Medical Education
- Hospital Admissions and Outcomes
- Healthcare Policy and Management
- Health Sciences Research and Education
- Simulation-Based Education in Healthcare
- Global Health Workforce Issues
- Healthcare cost, quality, practices
Western Health
2014-2024
The University of Melbourne
2013-2024
Monash University
2015-2024
Footscray Hospital
2014-2024
Alfred Health
2022-2024
Australian Institute for Musculoskeletal Science
2016-2022
Institute for Breathing and Sleep
2018-2022
The Alfred Hospital
2021
Monash Health
2013-2019
Kingston Centre
2018
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...
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...
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,...
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...
To develop an outcome measure as a basis for prescribing and evaluating rehabilitation in the critically ill, to its reliability responsiveness change. The study also aimed assess feasibility safety of pilot exercise training protocol intensive care unit.We developed battery tests (the Physical Function ICU Test [PFIT]) endurance, strength, cardiovascular capacity functional level. Patients with tracheostomy who were mechanically ventilated recruited from medical-surgical respiratory weaning...
Background Survivors of critical illness can experience long-standing functional limitations that negatively affect their health-related quality life. To date, no model rehabilitation has demonstrated sustained improvements in physical function for survivors beyond hospital discharge. Objective The aims this study were: (1) to describe a illness, (2) compare the local standard care, and (3) report safety feasibility program. Design This was cohort study. Methods As part larger randomized...
Question: What is the efficacy and acceptability of a peer-assisted learning model compared with traditional for paired students in physiotherapy clinical education? Design: Prospective, assessor-blinded, randomised crossover trial. Participants: Twenty-four third year 4-year undergraduate degree. Intervention: Participants each completed 5 weeks placement, utilising (a standardised series activities undertaken by student pairs educators to facilitate peer interaction using guided...
Objective: Achieving competency in critical care entry-level physiotherapy courses across Australia and New Zealand is not essential, accredited training for qualified physiotherapists working units lacking. As a result, practice standards may vary. The objective was to establish consensus-based minimum clinical settings Zealand. Design: A modified Delphi technique, which consisted of three rounds questionnaires, used obtain consensus on items. Setting: Australian settings. Participants:...
Physical therapist practice has a distinct focus that is holistic (ie, patient centered) and at the same time connected to range of other providers within health care systems. Although there growing body literature in physical therapy ethics knowledge, including clinical obligations underlying philosophical principles, less known about unique ethical issues therapists encounter, how why they make decisions. As moral agents, are required autonomous decisions based on connections relationships...
Despite studies demonstrating benefit, patients with femoral vascular catheters placed for continuous renal replacement therapy are frequently restricted from mobilization. No researchers have reported filter pressures during mobilization, and it is unknown whether mobilization safe or affects lifespan. Our objective in this study was to test the safety feasibility of population.A total 33 undergoing via femoral, subclavian internal jugular access at two general medical-surgical intensive...
Summary Background: Hospital length of stay and discharge destination are important outcome measures in evaluating effectiveness efficiency health services. Although hospital administrative data readily used as a collection source services research, no research has assessed this method against other commonly methods. Objective: Determine if from electronic patient management programs an effective for key when compared with alternative Method: Prospective observational study comparing the...
Community-acquired pneumonia remains a leading cause of hospitalization, mortality, and health care costs worldwide. Randomized clinical trials support the use adjunctive corticosteroids, early progressive mobilization, antibiotic switching rules, dietary interventions in improving outcomes. However, it is uncertain whether implementing these will translate into effectiveness under routine conditions.To evaluate bundle evidence-supported treatments conditions representative population...
Is preoperative physiotherapy cost-effective in reducing postoperative pulmonary complications (PPC) and improving quality-adjusted life years (QALYs) after major abdominal surgery? Cost-effectiveness analysis from the hospitals' perspective within a multicentre randomised controlled trial with concealed allocation, blinded assessors intention-to-treat analysis. Four hundred forty-one adults awaiting elective upper surgery attending pre-anaesthetic clinics at three public hospitals Australia...