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 S.
dc.contributor.authorGosselink R.
dc.contributor.authorDean E.
dc.contributor.authorVan Aswegen H.
dc.contributor.authorRoos R.
dc.contributor.authorAmbrosino N.
dc.contributor.authorLouw Q.
dc.date.accessioned2011-10-13T16:59:32Z
dc.date.available2011-10-13T16:59:32Z
dc.date.issued2011
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 (n=7) 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.Conclusion: The evidence-based clinical management algorithm developed through an established Delphi process of consensus by an international inter-professional panel provides the clinician with a synthesis of current evidence and clinical expert opinion. This framework can be used to facilitate clinical decision making within the context of a given patient. The next step is to determine the clinical utility of this working algorithm. © 2011 The Author(s).
dc.description.versionArticle
dc.identifier.citationClinical Rehabilitation
dc.identifier.citation25
dc.identifier.citation9
dc.identifier.citationhttp://www.scopus.com/inward/record.url?eid=2-s2.0-80052745158&partnerID=40&md5=210108c7a7590a41d57f7d6cbfa1d784
dc.identifier.issn2692155
dc.identifier.other10.1177/0269215510397677
dc.identifier.urihttp://hdl.handle.net/10019.1/17150
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 practice
dc.typeArticle
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