A5001534016- Intensive Care Unit Cognitive Disorders
- Family and Patient Care in Intensive Care Units
- Respiratory Support and Mechanisms
- Long-Term Effects of COVID-19
- Frailty in Older Adults
- Healthcare Decision-Making and Restraints
- Nutrition and Health in Aging
- Sepsis Diagnosis and Treatment
- Traumatic Brain Injury and Neurovascular Disturbances
- Heart Rate Variability and Autonomic Control
- Clinical Nutrition and Gastroenterology
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Health and Mental Health
- Cardiovascular and exercise physiology
- Anesthesia and Neurotoxicity Research
- Body Composition Measurement Techniques
- Optical Imaging and Spectroscopy Techniques
- Heart Failure Treatment and Management
- Emergency and Acute Care Studies
- Geriatric Care and Nursing Homes
Nihon University
2012
To investigate implementation of evidence-based and supportive cares in ICUs, such as the ABCDEF, nutrition therapy, ICU diary, for patients with coronavirus disease 2019 infection ICUs their association clinical practice setting.A worldwide, 2-day point prevalence study.The study was carried out on June 3, 2020, July 1, 2020. A total 212 38 countries participated. Clinicians each participating completed web-based online surveys.The 2019.None.The rate elements ABCDEF bundle, other care...
Background: Data regarding delivery of evidence-based care to critically ill patients in Intensive Care Units (ICU) during the COVID-19 pandemic is crucial but lacking. This study aimed evaluate implementation rate ABCDEF bundle, which a collection six ICU initiatives are strongly recommended be incorporated into clinical practice, and diaries for with without infections ICUs, analyze impact on each element bundle independent associated factors. Methods: A world-wide 1-day point prevalence...
Mobilization and acute rehabilitation are essential in the intensive care unit (ICU), with substantial evidence supporting their benefits. This study aimed to characterize ICU mobilization practices during COVID-19 pandemic for patients without COVID-19.This was a secondary analysis of an international point prevalence study. All ICUs across world were eligible participate required enroll all each on survey date, 27 January 2021. The primary outcome achievement at level sitting over edge...
Introduction: Heart failure with reduced ejection fraction (HFrEF) is well-known as a systemic disease that involves cardiac and extracardiac issues, respiratory function playing on of the key role in rehabilitation prognosis. Biomarkers such soluble suppression tumorigenicity 2 (sST2), myostatin, miRNA-133, NT-proBNP indicate progression. Notably, sST2, which also produced by lungs, predicts heart outcomes. This study examines relationship between comprehensive assessments (e.g.,...
Background: The dose level and duration needed for early rehabilitation of mechanically ventilated patients in the ICU need to be characterized. Therefore, this study aimed assess association between mobilization level, time, (defined as mean quantification score [MQS]) during admission end point walking independence at hospital discharge subjects needing admission. Methods: This prospective, multi-center, cohort included 9 ICUs. Consecutive admitted September 2022-March 2023 receiving...
Objective: Sepsis often leads to heterogeneous symptoms of post-intensive care syndrome (PICS) composing physical, cognitive, and psychiatric disabilities, resulting in deteriorated quality life (QoL), with limited interventions. This study aimed identify phenotypes sepsis-associated PICS by function QoL at hospital discharge. Design: A prospective observational study. Setting: Twenty-one mixed ICUs. Patients: All consecutive adult patients between November 2020 April 2022, diagnosed sepsis...
Gait independence is one of the most important factors related to returning home from hospital for patients treated in intensive care unit (ICU), but affecting gait have not been clarified. This study aimed determine at discharge using a standardized early mobilization protocol that was shared by participating hospitals.Patients who entered ICU January 2017 March 2018 were screened. The exclusion criteria mechanical ventilation < 48 hours, age 18, loss before hospitalization, being...
This is a prospective multicenter cohort study aiming to investigate the association between early mobilization (EM), defined as rehabilitation level of sitting at edge bed or higher within 72 h ICU admission, and psychiatric outcome. Consecutive patients, admitted for more than 48 h, were enrolled. The primary outcome was incidence symptoms 3 months after hospital discharge presence any three symptoms: depression, anxiety, post-traumatic stress disorder (PTSD). Risk ratio (RR) multiple...
Purpose The purpose of this study was to verify the feasibility and inter-rater reliability Japanese version Intensive Care Unit Mobility Scale (IMS). Methods A prospective observational conducted at two intensive care units (ICUs) in Japan. IMS assessed by 25 ICU staff (12 physical therapists 13 nurses) using a 10-item questionnaire. Inter-rater experienced nurses working with 100 patients IMS. Results In questionnaire survey assessing feasibility, high agreement rate shown 8 out 10...
The aim of this study is to clarify the incidence and risk factors patient-related safety events (PSE) in situations limited intubated patients which active mobilization, such as sitting on edge bed/standing/walking, was carried out. A multi-center retrospective observational conducted at nine hospitals between January 2017 March 2018. profiles PSE 87 were analyzed. occurred 10 out (11.5%) 13 198 sessions (6.6%). types that hypotension (8, 62%), heart rate instability (3, 23%), desaturation...
This study was undertaken to investigate the rate of mobilization, defined as a rehabilitation level sitting on edge bed or higher, and its association with changes in barriers intensive care unit (ICU). Consecutive patients from January 2016 March 2019 admitted ICU, 18 years old older, who did not meet exclusion criteria, were eligible. The primary outcome mobilization. Barriers, their daily basis, clinical outcomes, such walking independence at hospital discharge, also investigated....
Background: Limited information is currently available on the barriers to implementing mobilization at bedside for critically ill patients. Therefore, we investigated current practice of and implementation in intensive care units (ICU). Methods: A multicenter prospective observational study was conducted nine hospitals between June 2019 December 2019. Consecutive patients admitted ICU more than 48 h were enrolled. Quantitative data analyzed descriptively, qualitative thematically. Results:...
Understanding the significance of handgrip strength is essential for identifying frailty in heart failure patients. The aim this study was to identify association between and cardiorespiratory endurance while highlighting importance musculoskeletal system cardiac rehabilitation patients with failure. An observational cross-sectional conducted at Harapan Kita Hospital, Jakarta, Indonesia, from April 2022 2023, among reduced ejection fraction (HFrEF) attributed cardiomyopathy or coronary...
Muscle mass is an important factor for surviving illness. Ultrasound has gained increased attention as a muscle assessment method because of its noninvasiveness and portability. However, data on the frequency ultrasound-based are limited, there some barriers to implementation. Hence, web-based cross-sectional survey was conducted healthcare providers in Japan, which comprised four parts: 1) participant characteristics; 2) general assessment; 3) 4) necessity of, interest in, Necessity were...
Objective: To examine the association between mobilization level during intensive care unit (ICU) admission and independence in activity of daily living (ADL), defined as Barthel Index (BI)≥70. Methods: This was a post-hoc analysis EMPICS study involving nine hospitals. Consecutive patients who spend >48 hours ICU were eligible for inclusion. Mobilization performed at each hospital according to shared protocol highest mobility score (IMS) stay, baseline characteristics, BI discharge....
Introduction Sepsis is not only the leading cause of death in intensive care unit (ICU) but also a major risk factor for physical and cognitive impairment mental disorders, known as postintensive syndrome (PICS), reduced health-related quality life (HRQoL) even health disorders patient families (PICS-family; PICS-F). The ABCDEF bundle strongly recommended to overcome them, while association between implementing long-term outcomes unknown. Methods analysis This multicentre prospective...
Background The mobilization quantification score (MQS) provides an opportunity to quantify the duration and intensity of therapy in intensive care unit (ICU) predict functional outcomes ICU patients after surgery stroke. MQS is a numerical measurement early dose ICU, its relationship with activities daily living (ADL) dependence has been shown. We created validated Japanese version using endpoint ADL mixed population ICU. Materials methods In this prospective study, consecutive who were...
Acute hypoxia may impair dynamic cerebral autoregulation. However, previous studies have been controversial. The difference in methods of estimation autoregulation is reported to be responsible for conflicting reports. We, therefore, conducted this study using two representative test our hypothesis that impaired during acute exposure mild hypoxia.Eleven healthy men were exposed 15% oxygen concentration hours. They examined under normoxia (21% O(2)) and (15% O(2)). mean arterial pressure...
Abstract Background Although the number of patients with COVID-19 infection is increasing and concerns for their long-term disabilities are increasing, there a lack data about delivery ABCDEF-bundle supportive care in Intensive Care Units (ICUs). The aim this study to investigate implementation provided infections ICUs. Methods This was world-wide two-day point prevalence study, on June 3 July 1, 2020. A total 212 ICUs 38 countries (166 Day 1 2) participated. Clinicians each participating...