The development of a clinical management algorithm for early physical activity and mobilization of critically ill patients : synthesis of evidence and expert opinion and its translation into practice

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dc.contributor.authorHanekom, Susanen_ZA
dc.contributor.authorGosselink, Riken_ZA
dc.contributor.authorDean, Elizabethen_ZA
dc.contributor.authorVan Aswegen, Helenaen_ZA
dc.contributor.authorRoos, Ronelen_ZA
dc.contributor.authorAmbrosino, Nicolinoen_ZA
dc.contributor.authorLouw, Quinetteen_ZA
dc.date.accessioned2012-01-31T10:41:34Z
dc.date.issued2011-04
dc.descriptionThe original publication is available at http://cre.sagepub.com/content/early/2011/04/15/0269215510397677en_ZA
dc.descriptionIncludes bibliography
dc.description.abstractObjective: To facilitate knowledge synthesis and implementation of evidence supporting early physical activity and mobilization of adult patients in the intensive care unit and its translation into practice, we developed an evidence-based clinical management algorithm. Methods: Twenty-eight draft algorithm statements extracted from the extant literature by the primary research team were verified and rated by scientist clinicians (n¼7) in an electronic three round Delphi process. Algorithm statements which reached a priori defined consensus – semi-interquartile range <0.5 – were collated into the algorithm. Results: The draft algorithm statements were edited and six additional statements were formulated. The 34 statements related to assessment and treatment were grouped into three categories. Category A included statements for unconscious critically ill patients; Category B included statements for stable and cooperative critically ill patients, and Category C included statements related to stable patients with prolonged critical illness. While panellists reached consensus on the ratings of 94% (32/34) of the algorithm statements, only 50% (17/34) of the statements were rated essential.en_ZA
dc.description.sponsorshipMedical Research Council of South Africa
dc.description.versionPost-printen_ZA
dc.format.extentp. 1-17 : ill.
dc.identifier.citationHanekom, S. et al. 2011. The development of a clinical management algorithm for early physical activity and mobilization of critically ill patients : synthesis of evidence and expert opinion and its translation into practice. Clinical rehabilitation, 25(9), 771-787, doi: 10.1177/0269215510397677.en_ZA
dc.identifier.issn02692155
dc.identifier.urihttp://hdl.handle.net/10019.1/19427
dc.language.isoen_ZAen_ZA
dc.publisherSage publishersen_ZA
dc.rights.holderSage publishersen_ZA
dc.subjectPhysiotherapists -- Evidence-based clinical decision makingen_ZA
dc.subjectRehabilitation -- Critically ill -- Researchen_ZA
dc.subjectIntensive care units -- Patient -- Managementen_ZA
dc.subjectDelphien_ZA
dc.subjectCritical ill -- Physical activity -- Researchen_ZA
dc.titleThe development of a clinical management algorithm for early physical activity and mobilization of critically ill patients : synthesis of evidence and expert opinion and its translation into practiceen_ZA
dc.typeArticleen_ZA
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