Newsletter

 

A newsletter is sent within the network by D. Needham. If you would like to receive the newsletter, please send an email.


Here is a list of topics of the newsletter during the last year:



ICU REHAB UPDATES FOR OCTOBER 2021


  

Registration Deadline is Oct 30! -- 10th Johns Hopkins Virtual* Critical Care Rehab Conference 

i.       Conference website:  https://icurehabnetwork.org/

ii.      UPDATED Conference brochure is here 2021 ICU Rehab Conf Brochure-9.21.21-compressed.pdf

iii.       Dates:  STARTING Oct 21, 2021…

*On-demand (8 weeks: Oct 21 to Dec 15, 2021) + *Live (Nov 4 to 6, 2021)

iv.      *The entire Conference is delivered in 2 formats (with English subtitles)

“Live” via Zoom Webinar (Nov 4 to 6), incl’g live Q&A, workshops, posters, & networking

Unlimited “On-Demand” via an online learning platform: Oct 21 to Dec 15, 2021

Both formats are available as part of the registration fee

v.      Brief Videos explaining Virtual format & Registration: Intro to Virtual Format & Registration Options

vi.      Register here:  https://icurehabnetwork.org/register-now/  

 

Archives of free @ICURehab “September Webinars”

i.      Each webinar is archived at “Free Webinar” webpage at this site: https://icurehabnetwork.org/

Latest Updates on Post-Intensive Care Syndrome

COVID-19 Recovery for Hospitalized Patients

Pediatric ICU Rehab & Outcomes Updates

Hospital-wide Activity & Mobility 

 

Resources/tools for adult ICU, pediatric ICU, & hospital-wide mobility:

http://www.johnshopkinssolutions.com/solution/activity-mobility-promotion-amp/ 

https://browse.welch.jhmi.edu/early-mobility

 

Fundamentals of ICU Rehab Webinar by Chris Perme, PT CCS FCCM

i.      More info:  www.permeseminars.com

 

For info about ICU & post-ICU functional measures, see: www.ImproveLTO.com

This website was created from a NIH-funded grant for improving outcomes measurement in critical care research

There is info about ICU-specific measures & long-term outcome measures (physical, cognitive, mental health & quality of life)

Free full-text review article on ICU mobility/physical function measures here:  http://rdcu.be/wszU

Free full-text review article on understanding patient outcomes after ICU:  https://bit.ly/2NTM77u

FREE web-based, self-assessment of RASS/CAM-ICU sedation/delirium assessments, at:

www.ImproveLTO.com/instruments; scroll down to Cognitive>ICU Delirium 

i.      Free registration required to access the assessment

Functional Status Score for the ICU (FSS-ICU) instrument information:

Website registration for free access to FSS-ICU:  www.ImproveLTO.com

20-minute instructional video is available at above website

Turkish, Spanish & Portuguese translations available (see www.ImproveLTO.com)

Korean, Japanese, & Italian translation are “in process”

FSS-ICU version for retrospective assessment of patient’s pre-ICU baseline status is at above website       

 

Validated Survey to Assess Barriers to ICU Mobility - free full text article available at:  https://bit.ly/2zbYHGA

i.      Survey is freely available at:  bit.ly/icurehabsol

 

ICU Rehab eResource Sheet is here ICU Rehab eResource Sheet September 2021 Email-9.21.21.pdf

share with colleagues; latest version is available at: http://www.hopkinsmedicine.org/oacis/icurehab 

 

 

COVID resources

COVID-19 Related Papers

1.       Awake Prone Positioning for COVID-19: RCT https://bit.ly/3kGyDf0

2.       Critical Illness Neuropathy in Severe COVID‑19: Case Series https://bit.ly/3uhOvaM

3.       Delirium & Neuropsychological Outcomes in Critically Ill with COVID-19: Cohort study https://bit.ly/3EXRHxi

4.       Safety, Feasibility & Outcomes of Long-Duration Inpatient Rehab After COVID-19 https://bit.ly/2XM8Dpv

5.       Effectiveness of Pulmonary Rehab in Severe & Critically Ill COVID-19: Controlled Study https://bit.ly/3oqPTHB

6.       Lessons Learned from Implementing Rehab at COVID-19 Field Hospital https://bit.ly/3zIIeGf

7.       1-month Cardiopulmonary Symptoms, Disability, & Financial Toxicity after COVID-19 https://bit.ly/2WkkACy

8.       6-month Quality of Life in COVID-19 https://bit.ly/3i8lSby

9.       6-mo. Psychologic Distress & Quality of Life after ICU for COVID-19: Longitudinal Cohort https://bit.ly/3ueMU5L

10.   12-month Outcomes in Hospital Survivors of COVID-19: Longitudinal Cohort Study https://bit.ly/2XVnBKp

11.   WHO ICF Framework for Measures Evaluating Long-Term Outcomes in Coronavirus https://bit.ly/3i7Nihy

12.   Mental, Physical & Cognitive functioning during COVID-19: Study Protocol https://bit.ly/3ocZUYw

 

 

New publications – new papers hot off the presses 


Research Methodology

Methodology to Analyze Outcomes in Trials Enrolling Patients at High Risk of Death https://bit.ly/3hUXT03

Patient-Reported Outcome Measures in Core Outcome Sets https://bit.ly/39LXrf6


Rehab– Observational, Qualitative & Quality Improvement

Ten Strategies to Optimize Early Mobilization & Rehab in ICU https://bit.ly/3mk66vx

Barriers & Facilitators for ICU Early Mobilization: Qualitative study https://bit.ly/3ucED2g

Early Mobility to Enhance Independence in Cardiothoracic ICU: QI https://bit.ly/2WhMtv1

Changes in Barriers for Early Mobilization in ICU: Cohort Study https://bit.ly/3zW9xxf

Inspiratory Muscle Training in ICU: International Survey of PTs https://bit.ly/3CV54wB

ABCDEF Bundle, Mobility & Access to Supplies & Equipment https://bit.ly/3iaPmW9

 

Strength, Mobility & Function

Beta-hydroxy-beta-methylbutyrate (HMB) &/or Eicosapentaenoic acid on Strength: RCT https://bit.ly/2ZvCrrf

Beta-hydroxy-beta-methylbutyrate (HMB) on Muscle Loss & Protein in ICU: RCT https://bit.ly/3ueeD6G

Expiratory Muscle Dysfunction in Critically Ill: Review Article https://bit.ly/3CUteHB

Musculoskeletal Complications after Critical Illness: Scoping Review https://bit.ly/3m2e6Ru

Ultrasound Protocols to Assess Skeletal & Diaphragmatic Muscle in ICU: Sys Review https://bit.ly/3oc1aLJ

Ultrasound & CT to Identify Low Muscularity: Retrospective Study https://bit.ly/3CRbPzy

 

Speech

Prevalence, Implementation Approaches & Opinions of Above Cuff Vocalisation https://bit.ly/2ZBWFQj

 

Outcomes after ICU, and Patient Outcomes Research

Nurse Navigator for Transition/Recovery on Mortality & Readmissions after Sepsis: RCT https://bit.ly/3ueuqm1

Engagement & Collaborative Management to Advance Sepsis Survivorship https://bit.ly/3ibFP0O

Musculoskeletal Complications after Critical Illness: Scoping Review https://bit.ly/3m2e6Ru

Older Adults' Social Isolation & Disability Burden & 1-Year Mortality after ICU https://bit.ly/3EOOmk6

 

Pain, Sedation, Delirium and Sleep

Anaesthetic Depth & Delirium after Major Surgery: RCT https://bit.ly/3ANHBfV

Fentanyl vs. Morphine for Analgosedation in Mech Ventilated Pts: Phase II RCT  https://bit.ly/2XNSRui

Adjunctive Ketamine for Sedation in Critically Ill Mech Ventilated Pts: Pilot RCT https://bit.ly/3zFT3ZX

Effects of Sedatives on Sleep Architecture Measured with Odds Ratio Product https://bit.ly/2Zq8p8f

Association of H-2 Blockers & PPI with Delirium Development in ICU: Cohort Study https://bit.ly/3ievVvx

Pharmacological Sleep Aids Prior to, During & Following Critical Illness https://bit.ly/3kMxcvm

 

Psychological 

Pre‑ & Post‑ICU Prevalence of Mental Disorders & Psychotropic Medication https://bit.ly/3AKW64j

Emotional Distress in Neuro-ICU–Caregiver Dyads https://bit.ly/2Wkkpam

 

 

Videos & News

Video & podcast postings below:

OACIS Videos & News: http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html

 

Twitter: for brief updates about ICU Rehab, follow: @icurehab  and  @DrDaleNeedham. You can directly contribute using #icurehab




ICU REHAB UPDATES FOR SEPTEMBER 2021


 

Announcements and updates below

Free @ICURehab “September Webinars”

Topics/Dates (each is Noon to 1pm (Eastern time zone of USA (same as New York City))

Sept 8:  Post-Intensive Care Syndrome, by Dale Needham, MD, PhD Register Here

Sept 15:  Hospital-wide Activity & Mobility  Register Here

Sept 22:  COVID-19 Recovery  Register Here

Sept 29:  Pediatric ICU Rehab & Outcomes  Register Here

ii.     Similar in format to our Sept 2020 COVID-19 webinars (see: https://icurehabnetwork.org/webinars/ )

iii.     Format: ~25 min. presentation, following by multi-disciplinary panel Q&A

iv.     Each webinar will be archived here: https://icurehabnetwork.org/webinars/

 

FINAL Deadline Sept 12, 2021:  Long COVID Research – Input needed

i.     Help with World Health Organization (WHO)-affiliated project

ii.     Topic:  Core Outcome Set for “Long COVID” research

iii.     See attached Word documents: “Delphi Email Invitation”

iv.     Participate by clicking here (do NOT publicly share link): https://delphimanager.liv.ac.uk/PC-COS/Delphi

v.     More info via: https://www.pc-cos.org/  or email: cos@pc-cos.org

 

Register now for 10th Johns Hopkins Virtual* Critical Care Rehab Conference 

i.     *Virtual for 2021 due to pandemic & amazingly positive feedback from 2020 virtual Conference

ii.      NEW! Conference website:  https://icurehabnetwork.org/

iii.     UPDATED Conference brochure is here (check out new CEU info, incl’g ASHA)2021 ICU Rehab Conf Brochure-9.3.21.compressed.pdf

As per page 3 of Brochure – we are grateful to

  1. American Thoracic Society (ATS),

  2. American Speech-Language-Hearing Association (ASHA),

  3. APTA Acute Care, and Cardiovascular & Pulmonary Section of APTA

iv.     Dates:  *On-demand (8 weeks: Oct 21 to Dec 15, 2021) + *Live (Nov 4 to 6, 2021)

v.     *The entire Conference is delivered in 2 formats (with English subtitles)

“Live” via Zoom Webinar (Nov 4 to 6), incl’g live Q&A, workshops, posters, & networking

Unlimited “On-Demand” via an online learning platform: Oct 21 to Dec 15, 2021

Both formats are available as part of the registration fee

vi.     Brief Videos explaining Virtual format & Registration: Intro to Virtual Format & Registration Options

vii.     Register here:  https://icurehabnetwork.org/register-now/  or email ICUrehab@jhmi.edu

 

Resources/tools for adult ICU, pediatric ICU, & hospital-wide mobility:

http://www.johnshopkinssolutions.com/solution/activity-mobility-promotion-amp/ 

https://browse.welch.jhmi.edu/early-mobility

 

*NEW*-- ICU Rehab: Essentials for Best Practice + Update on Covid-Delta Variant

i.     Presenters: Heidi Engel, PT, DPT & Ellen Hillegass, PT, EdD, CCS, FAPTA

ii.     Virtual course ($150 fee; 4 CEU hours) on Sat, Sept. 18 10:00-2:30 EST

iii.     Register: https://ptcardioed.com/product/step-up-to-the-icu-with-the-essentials-for-best-practice/

 

Fundamentals of ICU Rehab Webinar by Chris Perme, PT CCS FCCM

i.     More info:  www.permeseminars.com

 

For info about ICU & post-ICU functional measures, see: www.ImproveLTO.com

This website was created from a NIH-funded grant for improving outcomes measurement in critical care research

There is info about ICU-specific measures & long-term outcome measures (physical, cognitive, mental health & quality of life)

Free full-text review article on ICU mobility/physical function measures here:  http://rdcu.be/wszU

Free full-text review article on understanding patient outcomes after ICU:  https://bit.ly/2NTM77u

FREE web-based, self-assessment of RASS/CAM-ICU sedation/delirium assessments, at:

www.ImproveLTO.com/instruments; scroll down to Cognitive>ICU Delirium 

i.     Free registration required to access the assessment

Functional Status Score for the ICU (FSS-ICU) instrument information:

Website registration for free access to FSS-ICU:  www.ImproveLTO.com

20-minute instructional video is available at above website

Turkish, Spanish & Portuguese translations available (see www.ImproveLTO.com)

Korean, Japanese, & Italian translation are “in process”

FSS-ICU version for retrospective assessment of patient’s pre-ICU baseline status is at above website       

 

Validated Survey to Assess Barriers to ICU Mobility - free full text article available at:  https://bit.ly/2zbYHGA

i.     Survey is freely available at:  bit.ly/icurehabsol

 

ICU Rehab eResource Sheet is here ICU Rehab eResource Sheet September 2021 Email-9.1.21.pdf

share with colleagues; latest version is available at: http://www.hopkinsmedicine.org/oacis/icurehab 

 

 

COVID resources

COVID-19 Related Papers

1.      Awake Prone Positioning in COVID-19 https://bit.ly/3DAy7GX

2.      Acute Inflammatory Myelopathy after COVID-19: Review https://bit.ly/3zz117U

 

3.      Long COVID in International Cohort: 7 months Symptoms & Impact https://bit.ly/3jtTdP9

4.      Persistent Symptoms in Hospitalized COVID-19 Patients https://bit.ly/3BsGWAF

5.      Outcomes of Outpatient Rehab Clinics after COVID-19 https://bit.ly/3jwu7iH

6.      Safety & Feasibility of Interdisciplinary Treatment for COVID-19 Recovery https://bit.ly/3zCVnl6

 

7.      PICS after COVID‑19: A Cohort study https://bit.ly/2WKp1qe

8.      PICS & COVID-19: Review https://bit.ly/3mOktKn

 

9.      Family Presence for Critically Ill Pts During Pandemic https://bit.ly/3gOlgqL

10.   Lived Experiences of Family Members of Covid-19 Pts: Phenomenological Study https://bit.ly/3mL4EnC

 

11.   Research Priorities in Long-term Sequeale of COVID-19: International Consensus  https://bit.ly/3mO08EJ

12.   Guidance of Assessment & Treatment of Fatigue in PASC Patients https://bit.ly/2V3rxY3

13.   Long Covid Clinics Should Run as Research Hubs https://bit.ly/2WAYZp6

 

 

New publications – new papers hot off the presses 


Rehab– Observational Studies, and Systematic & Narrative Reviews  

Early Rehab in ICU by Therapist using Rehab Protocol: Retrospective Study https://bit.ly/3BvIolB

Benefits of Walks in Outdoor Gardens in Critically Ill, Relatives & Professionals https://bit.ly/3jtq9qS

 

Physical Rehab in ICU: Sys Review & Meta-Analysis https://bit.ly/2V0ofEM

Early Mobilisation Algorithm for ICU Pt: Expert Recommendations https://bit.ly/3mJ2HIm

Early Mobility as Physiotherapy Treatment For Pneumonia: Sys Review https://bit.ly/3t64aJN

Supervised Maintenance after Pulmonary Rehab vs Usual Care for COPD: Sys Review https://bit.ly/2WG8cN3

Telephone Physiotherapy Improves Function for Pts with Chronic Condition: Sys Review https://bit.ly/2YhWIjH

 

Facilitators & Barriers of Early Mobilization in ICU: Sys Review https://bit.ly/3hK9jkb

 

Rehab Concerns in Geriatric Critically Ill & Injured - Part 1 https://bit.ly/3DzAhGv

Rehab Concerns in Geriatric Critically Ill & Injured - Part 2 https://bit.ly/3kIXHRe

 

Strength, Mobility & Function

Activity of Patients undergoing Rehab in ICU & Acute Ward: Cohort study https://bit.ly/38ujqH6

Care & Treatment Related to ICU-Acquired Muscle Weakness: Cohort Study https://bit.ly/3usQCrl

Performance Dif. on 6 MWT on Tracks of 20 & 30 mts for Pts with COPD https://bit.ly/3gJpShV

Accompanied vs Unaccompanied 6-MWT in COPD: Randomized Crossover Study https://bit.ly/38uj972

 

Outcomes after ICU, and Patient Outcomes Research

Understanding Perceived Health after Critical Illness https://bit.ly/2V0w8dm

Occurrence & Characteristics of Pain after ICU: Longitudinal Study https://bit.ly/3yABfyC

Smartphone Location Data to Evaluate Participation after ICU: Pilot Cohort Study https://bit.ly/3BnqnpE

Association of Sepsis & Long‑Term Cardiovascular Outcomes: Meta‑analysis https://bit.ly/3zsX8Bj

Home‑based Interdisciplinary Rehab for PICS: The REACH Pilot Study https://bit.ly/3kD45JL

Job Characteristics & Functional Impairments on Return to Work after ARDS https://bit.ly/3cWaOfd

Return to Work after Critical Illness: Editorial https://bit.ly/3zxkfe9

 

Delirium, Pain and Cognition

Pharmacological & Non‑Pharmacological Interventions to Prevent Delirium: Sys Review https://bit.ly/3DAAqcQ

Nursing Intervention to Prevent Delirium in ICU https://bit.ly/3kIVs0g

Patient-Specific Covariates & Test Validity of Delirium Screening in Neuro-ICU https://bit.ly/3yrbXTG

Four Delirium Instruments: Creating Crosswalks & Delirium Item-Bank (DEL-IB) https://bit.ly/3Dwtduv

Improving Delirium Detection in ICU: Multicomponent Education & Training Program https://bit.ly/3t5KdTE

 

Association of Pain during Evaluation of Delirium in ICU https://bit.ly/3yAAZzE

Evaluating Pain, Opioids & Delirium in Older ICU Patients  https://bit.ly/3BulU4I

 

Risk of Dementia & Structural Brain Changes after Non-neurological Infections https://bit.ly/3BvTHdw

 

Restraints

Nurses' Knowledge & Attitudes Regarding Physical Restraint in Turkish ICU https://bit.ly/3DAHmGU

 

 

Videos & News

Video & podcast postings below:

OACIS Videos & News: http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html

Twitter: for brief updates about ICU Rehab, follow: @icurehab  and  @DrDaleNeedham. You can directly contribute using #icurehab





ICU REHAB UPDATES FOR AUGUST 2021

 

  1. 1.   Announcements and updates below 

  2. 2.

a.      10th Johns Hopkins Virtual* Critical Care Rehab Conference 

i.     *Virtual for 2021 due to pandemic & amazingly positive feedback from 2020 Conference

ii.      NEW! Conference website:  https://icurehabnetwork.org/

iii.     UPDATED Conference brochure is available here: https://icurehabnetwork.org/conference-program/

1.     As per page 3 of Brochure – we are grateful to

a.      American Thoracic Society (ATS),

b.     American Speech-Language-Hearing Association (ASHA),

c.      APTA Acute Care, and Cardiovascular & Pulmonary Section of APTA

iv.     Dates:  On-demand* (8 weeks: Oct 21 to Dec 15, 2021) + Live (Nov 4 to 6, 2021)*

v.     *The entire Conference is delivered in 2 formats (with English subtitles)

1.     “Live” via Zoom Webinar Nov 4 to 6, 2021, including live Q&A, workshops, posters, & networking sessions

2.     Unlimited “On-Demand” via an online learning platform: Oct 21 to Dec 15, 2021

3.     Both formats are available as part of the registration fee

vi.     Brief Videos explaining Virtual format & Registration: Intro to Virtual Format & Registration Options

vii.     Register here:  https://icurehabnetwork.org/register-now/  or email ICUrehab@jhmi.edu

 

b.    *Free Registration* for @ICURehab “September Webinars”

 i.     Similar in format to our Sept 2020 webinar series (archived here: www.bit.ly/icurehab)  

ii.      Format: ~25 minute presentation, following by panel discussion/Q&A

iii.     Topics & Dates (each is Noon to 1pm (Eastern time zone of USA)

1.     Sept 8:    Post-Intensive Care Syndrome Register Here

2.     Sept 15:  Hospital-wide Activity & Mobility  Register Here

3.     Sept 22:  COVID-19 Recovery  Register Here

4.     Sept 29:  Pediatric ICU Rehab & Outcomes  Register Here

 iv.     Each webinar will be recorded & archived here: www.bit.ly/icurehab

 

c.     **NEW**  Long COVID Research – Input needed

i.     Please help with a World Health Organization (WHO)-affiliated Delphi consensus project

ii.     Focus:  Core Outcome Set for “Long COVID” research

iii.     See 2 attached Word documents: Email invitation V1.4 PC-COS Delphi Email invitation 27.7.21.docx & Participant Info Sheet V1.4 PC-COS participant information sheet general 27.7.21.docx

 iv.     Take part by clicking here: https://delphimanager.liv.ac.uk/PC-COS/Delphi

 

d.    Resources/tools for adult ICU, pediatric ICU, & hospital-wide mobility:

i.          http://www.johnshopkinssolutions.com/solution/activity-mobility-promotion-amp/ 

ii.          https://browse.welch.jhmi.edu/early-mobility

 

e.      Fundamentals of ICU Rehab Webinar by Chris Perme, PT CCS FCCM

i.     More info:  www.permeseminars.com

 

f.      For info about ICU & post-ICU functional measures, see: www.ImproveLTO.com

i.          This website was created from a NIH-funded grant for improving outcomes measurement in critical care research 

ii.          There is info about ICU-specific measures & long-term outcome measures (physical, cognitive, mental health & quality of life)

iii.          Free full-text review article on ICU mobility/physical function measures here:  http://rdcu.be/wszU

iv.          Free full-text review article on understanding patient outcomes after ICU:  https://bit.ly/2NTM77u

v.          FREE web-based, self-assessment of RASS/CAM-ICU sedation/delirium assessments, at:

1.     www.ImproveLTO.com/instruments; scroll down to Cognitive>ICU Delirium 

i.     Free registration required to access the assessment

vi.          Functional Status Score for the ICU (FSS-ICU) instrument information:

1.     Website registration for free access to FSS-ICU:  www.ImproveLTO.com

2.     20-minute instructional video is available at above website

3.     Turkish, Spanish & Portuguese translations available (see www.ImproveLTO.com)

4.     Korean, Japanese, & Italian translation are “in process”

5.     FSS-ICU version for retrospective assessment of patient’s pre-ICU baseline status is at above website       

 

g.      Validated Survey to Assess Barriers to ICU Mobility - free full text article available at:  https://bit.ly/2zbYHGA

i.     Survey is freely available at:  bit.ly/icurehabsol

 

h.     ICU Rehab eResource Sheet is here ICU Rehab eResource Sheet August 2021 Email-7.28.21.pdf

i.          share with colleagues; latest version is available at: http://www.hopkinsmedicine.org/oacis/icurehab 

 

 

2.     COVID resources

COVID-19 Related Papers

1.      Telerehab in Post-discharge COVID-19 Pts (TERECO): RCT https://bit.ly/37nqpRq

2.      Rehab & COVID-19: Update of Systematic Review as of Feb 28, 2021 https://bit.ly/3fzpcLf

3.      ICU Rehab Outcomes in COVID-19 in Singapore: Case Series https://bit.ly/3ly9mo5

4.      Physical Rehab in ICU in Argentina during COVID-19:  Online Survey https://bit.ly/3CiNCT9

5.      Cardiopulmonary Exercise Testing in COVID-19: 3 Month Follow Up https://bit.ly/3CnnW86

6.      Cardiopulmonary Exercise Testing in COVID-19: 3 & 6 Month Follow Up https://bit.ly/3ymn5C1

7.      FEES and Laryngeal Pathology in COVID-19 after Intubation & Trach https://bit.ly/3fBPFrF

 

8.      Sedation, Coma & In-Hospital Mortality in Mech Vent Pts With COVID-19: Cohort Study https://bit.ly/3xCoKDF

9.      High Sedation in COVID-19 ARDS: An Observational Study https://bit.ly/3AgO0j0

10.   Delirium in COVID‑19: Commentary https://bit.ly/3yDMG9u

 

11.   Neurological & Psychiatric Complications of COVID-19 in UK: Cross-Sectional Study https://bit.ly/3ytQcTQ

12.   Pattern of Cognitive Deficits in Severe COVID-19 https://bit.ly/3jsSMDo

13.   Cognitive Deficits in Pts Recovered from COVID-19: Great British Intelligence Test https://bit.ly/3rTtQsF

 

14.   Long-Term Impact of COVID-19: Meta-Analysis https://bit.ly/3rW4vOz

15.   Persistent Symptoms & Disability After COVID- 19: Data from Telerehab Program https://bit.ly/3ytA9p8

16.   Long-term Recovery after ECMO for COVID-19: Commentary https://bit.ly/3rVugP3

17.   Management of COVID-19 ICU Survivors in Primary Care: Narrative Review https://bit.ly/3Cly7ty

 

18.   Psychological Evaluation & Support in COVID‑19 ICU Pts: Feasibility Study https://bit.ly/3AeN4fm

19.   Development of Virtual Visiting in ICU during COVID-19  https://bit.ly/3xqMWHI

 

 

3.     New publications – new papers hot off the presses 

      Rehab –RCT & Research Methodology

1.       ABCDEF Bundle on Delirium, Functional Outcomes & QOL: Study Protocol for RCT https://bit.ly/2Vrw9XH

Effect of Preoperative Respiratory Rehab in Pts Undergoing Cardiac Surgery: Pilot Study https://bit.ly/3lAhK6K

 

        Rehab– Observational 

ICU Physiotherapy in Albania needs Cultural & Organizational Changes https://bit.ly/3fyA789

Perceived Barriers & Facilitators to Early Mobilisation: Qualitative Study within RCT https://bit.ly/3lxNVn0

Knowledge, Attitudes & Perceived Barriers of HCPs to Early Mobilization in ICU: Survey https://bit.ly/3Cdyk25

Physiotherapy Elastic Band Disinfection by UV-C Irradiation in ICU https://bit.ly/2WTBnMx

Implementing Telehealth in Acute Hospital Rehab https://bit.ly/3yvp0V4

Feasibility & Acceptability of ICU Virtual Therapy via Xbox Kinect Jintronix software https://bit.ly/3fzeu7y

ABCDEF Bundle Practices in PICU: An International Survey https://bit.ly/3lDGyKT

Impact of ABCDE Bundle Implementation on Patient Costs https://bit.ly/3jrWhKd

 

        Strength, Mobility & Function

Association of Mobility Level & Extubation: Protocol for Cohort Study https://bit.ly/3xoRdvm

Inter-rater Reliability of Johns Hopkins Highest Level of Mobility Scale (JH-HLM) in ICU https://bit.ly/3yDs55R

Sarcopenia & Acute Muscle Mass Loss on Long-term Outcomes after Sepsis https://bit.ly/3ipYlmX

Higher vs Lower Protein Delivery in ICU: Meta‑analysis of RCT https://bit.ly/3lGXeky

Cholesterol Homeostasis in ICU-AW: Effect of Exogenous 3‑hydroxybutyrate https://bit.ly/3A55zCO

Novel Methods to Identify & Measure Catabolism: Narrative Review https://bit.ly/37lJ7sD

Sit-to-Stand Test:  Norms and MCID https://bit.ly/2WTAHXv

 

        Outcomes after ICU, and Patient Outcomes Research

Long-term Sequelae of Critical Illness in Sepsis, Trauma & Burns: Systematic Review https://bit.ly/3jsihF2

“Hospital-free Days” As Outcome Measures for ICU Studiess https://bit.ly/3lAOYCD

PICS Intervention for Cardiothoracic ICU: Feasibility Study https://bit.ly/3xsmBcn

Long-Term Outcomes after Delirium in ICU: Knowledge Gaps https://bit.ly/3xoA2tB

Resilience in ICU Survivors: Scoping Review https://bit.ly/3xl4MMg

Sarcopenia & Acute Muscle Mass Loss on Long-term Outcomes after Sepsis https://bit.ly/3ipYlmX

Surgical ICU Follow-up Clinic & PICS https://bit.ly/2WYlx3n

 

        Delirium, Sedation & Sleep and Research Methodology

Impact of Nursing Delirium Preventive Interventions in ICU: Cluster RCT https://bit.ly/37p2kts

Delirium Variability & Sound Environment (DEVISE Study) in ICU https://bit.ly/3AawMUH

Non-pharma for Preventing Delirium in Non-ICU Pts: Systematic Review https://bit.ly/3fBjk4p

Nursing Interventions on Sleep Quality in Hospitalized Pts: A Systematic Review of RCT https://bit.ly/3jtWuwq

Sedation Strategy & ICU Delirium: A Propensity-Matched Cohort Study https://bit.ly/3rTv0V3

ABCDEF Bundle Practices in PICU: An International Survey https://bit.ly/3lDGyKT

Impact of ABCDE Bundle Implementation on Patient Costs https://bit.ly/3jrWhKd

 

RCTs of Dexmed Sedation in Critically Ill Septic Pts: Editorial https://bit.ly/3ClztVp

Long-Term Outcomes after Delirium in ICU: Knowledge Gaps https://bit.ly/3xoA2tB

Maintaining Light Sedation: Editorial https://bit.ly/3fBfqZb

Subsyndromal Delirium in ICU: Commentary https://bit.ly/3rTQOjr

Fever: Is Dexmed (or Another Medication) the Cause?: Editorial https://bit.ly/37oZyEy

 

        Psychological & Cognitive

Feasibility of Virtual Reality Intervention in ICU https://bit.ly/2VxPHts

Physical, Mental & Cognitive Problems 1 Year After ICU: Multi-center Prospective Study https://bit.ly/3sFvAVq

Post-ICU Cognitive Impairment: Prospective Study https://bit.ly/2VsXQiS

 

        SLP/Swallowing

FEES and Laryngeal Pathology in COVID-19 after Intubation & Trach https://bit.ly/3fBPFrF

Effects of High Flow Oxygen on Oropharyngeal Swallowing: Literature Review https://bit.ly/3lwEDaT

 

 

4.     Videos & News

Video & podcast postings below:

a.     OACIS Videos & News: http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html

5.     Twitter: for brief updates about ICU Rehab, follow:  @icurehab  and  @DrDaleNeedham.  You can directly contribute using#icurehab

6.     “ICU Recovery Network” (IRN):  If you have not yet signed up for the “ICU Recovery Network” (IRN), email Kim Mattison (kmattis1@jhmi.edu). IRN is a FREE interactive web-based “virtual community” for ICU Rehab clinicians/researchers (no commercial vendors).  It is like a simplified version of Facebook and has many ICU Rehab resources and event postings.  IRN permits interactive communication with >1,100 ICU Rehab members from around the world.  You can ask questions, network with others in the field, and participate in future research projects. 

 





ICU REHAB UPDATES FOR JULY 2021

 

  1. 1.    Announcements and updates below 


  1. a.      10th Johns Hopkins Virtual* Critical Care Rehab Conference 

see: Infographic-ICU Rehab Conference-4.27.21-v3-compressed.pdf

  1. *Staying virtual for 2021 due to uncertainties of pandemic & amazingly positive feedback from 2020 Conference

  2. Conference brochure is here 2021 ICU Rehab Conf Brochure-6.24.21-v2-compressed.pdf (and available here: bit.ly/icurehab)

  3. Dates:  On-demand* (8 weeks: Oct 21 to Dec 15, 2021) + Live (Nov 4 to 6, 2021)*

  4. As in prior years, the Conference is

  5. sponsored by APTA Acute Care Academy, and APTA Cardiovascular & Pulmonary Section 

  6. endorsed by the American Thoracic Society (ATS)

  7. *The entire Conference is delivered in 2 formats (with English subtitles)

  8. “Live” via Zoom Webinar Nov 4 to 6, 2021, including live Q&A, workshops, posters, & networking sessions

  9. Unlimited “On-Demand” via an online learning platform: Oct 21 to Dec 15, 2021

  10. Both formats are available as part of the registration fee

  11. Brief Videos explaining Virtual format & Registration options: Intro to Virtual Format & Registration Options

  12. Register here:  bit.ly/icurehab or email ICUrehab@jhmi.edu

 

b.     *NEW* @ICURehab “September Webinars” (Free of charge)

i.      Similar in format to our Sept 2020 webinar series (archived here: www.bit.ly/icurehab)  

ii.      Format: 20 to 30 min presentation, following by panel discussion/Q&A

  1. iii.     Topics & Dates (each is Noon to 1pm (Eastern time zone of USA)

  2. iv.

Sept 8:  Post-Intensive Care Syndrome
Sept 15: Hospital-wide Activity & Mobility
Sept 22: Pediatric ICU Rehab & Outcomes
Sept 29: COVID-19 Recovery

iv.      Registration info. will be provided closer to September via:

1.      This monthly email list

2.      Twitter (follow @icurehab)

3.      Email us in August at: icurehab@jhmi.edu

v.      Each webinar will be recorded & archived here: www.bit.ly/icurehab

 

c.       Resources/tools for adult ICU, pediatric ICU, & hospital-wide mobility:

i.            http://www.johnshopkinssolutions.com/solution/activity-mobility-promotion-amp/ 

ii.            https://browse.welch.jhmi.edu/early-mobility

 

d.      Fundamentals of ICU Rehab Webinar by Chris Perme, PT CCS FCCM

i.      More info:  www.permeseminars.com

 

e.       For info about ICU & post-ICU functional measures, see: www.ImproveLTO.com

i.            This website was created from a NIH-funded grant for improving outcomes measurement in critical care research 

ii.            There is info about ICU-specific measures & long-term outcome measures (physical, cognitive, mental health & quality of life)

iii.            Free full-text review article on ICU mobility/physical function measures here:  http://rdcu.be/wszU

iv.            Free full-text review article on understanding patient outcomes after ICU:  https://bit.ly/2NTM77u

v.            FREE web-based, self-assessment of RASS/CAM-ICU sedation/delirium assessments, at:

1.      www.ImproveLTO.com/instruments; scroll down to Cognitive>ICU Delirium 

i.      Free registration required to access the assessment

vi.            Functional Status Score for the ICU (FSS-ICU) instrument information:

1.      Website registration for free access to FSS-ICU:  www.ImproveLTO.com

2.      20-minute instructional video is available at above website

3.      Turkish, Spanish & Portuguese translations available (see www.ImproveLTO.com)

4.      Korean, Japanese, & Italian translation are “in process”

5.      FSS-ICU version for retrospective assessment of patient’s pre-ICU baseline status is at above website       

 

f.        Validated Survey to Assess Barriers to ICU Mobility - free full text article available at:  https://bit.ly/2zbYHGA

i.      Survey is freely available at:  bit.ly/icurehabsol

 

g.      ICU Rehab eResource Sheet is here ICU Rehab eResource Sheet July 2021 Email-7.1.21-min.pdf

i.            share with colleagues; latest version is available at: http://www.hopkinsmedicine.org/oacis/icurehab 

 

 

2.      COVID resources

COVID-19 Related Papers

1.       Therapeutic Exercise in Post-Covid-19 Pts in Post-Acute Care https://bit.ly/2UEEUNK

2.       Early Rehab Feasibility in COVID-19 ICU https://bit.ly/3jbVmz4

 

3.       Immune-Mediated Myopathy in COVID-19 Pts Who Have Died https://bit.ly/3h8wUfm

4.       Guillain-Barré syndrome & COVID-19: Observational Multi-Centre Study  https://bit.ly/2T8xi5J

5.       Predictors of Low Physical Function in COVID-19 with Acute Respiratory Failure https://bit.ly/3dfKnAZ

6.       Neurological Complications of COVID‑19 https://bit.ly/3h8LaEO

7.       Neuropsychiatric Disorders & COVID-19 https://bit.ly/3x2DoU4

 

8.       Short‑term Quality of Life, Function & Psych. Issues in COVID‑19: Cohort Study https://bit.ly/3xX9TTF

9.       Return to Work After Covid-19 ARDS: Case Series  https://bit.ly/3gTemkj

10.   Rehab after COVID-19: Supporting Return to Work https://bit.ly/3A06Pba

11.   Advancing Telehealth-Based Screening for PICS: A Covid-19 Paradigm Shift https://bit.ly/3vWKNCW

 

12.   Why & How to Open ICU to Family during Pandemic https://bit.ly/3dggel1

13.   Psychological Burden in COVID-19 Pts & Family: Prospective Cohort Study https://bit.ly/3vV5Pln

14.   Lived Experiences of Family of Pt with COVID-19 who Died in ICU in France https://bit.ly/3ddSiig

 

 

3.      New publications – new papers hot off the presses 

Rehab –RCT & Research Methodology

1.       Therapeutic Exercise in Post-Covid-19 Pts in Post-Acute Care https://bit.ly/2UEEUNK

2.       Core Outcome Set for Research in Patients on ECMO https://bit.ly/3xMD4bM

 

Rehab– Observational 

1.       Early Rehab Nursing in ICU Patients with Mech Vent https://bit.ly/3gS4qI2

2.       Early Mobilization on Psychomotor Status & Length of ICU in Mech Vent Patients  https://bit.ly/35RkGTb

3.       Risk factors of Patient-related Safety Events during Mobilization for Mech Vent https://bit.ly/3xTgDSl

4.       Development & Implementation of Pediatric ICU Mobility Guidelines: A QI Initiative https://bit.ly/3quA9C7

5.       Early Mobility in Mech Vent Patients:  Meta-analysis https://bit.ly/3xSo4JE

6.        Very Early Robot-Assisted Mobilization in ICU : A Scoping Review https://bit.ly/3xS21m7

 

7.       Physiological Abnormalities & Adverse Events during PT in ICU after Cardiac Surgery https://bit.ly/3dfvWwJ

8.       Early Mobilization in Acute Cardiovascular Disease https://bit.ly/35TxFUl

9.       Early Mobilization during ECMO for Cardiopulmonary Failure https://bit.ly/35OY31I

10.   Avoiding Pajama Paralysis in the Cardiac ICU with Early Mobilization https://bit.ly/3qqfgbb

11.   Experiences of ICU Clinicians with In-Bed Cycling in Cardiac Surgery https://bit.ly/3gX95rW

 

Strength, Mobility & Function

12.   Muscle Mass using Ultrasound with Minimal vs Maximal Pressure in ICU Pts https://bit.ly/3jevMtA

 

Outcomes after ICU, and Patient Outcomes Research

13.   Inflammatory Subphenotypes, and 6 & 12-month Outcomes in Sepsis-Associated ARDS: https://bit.ly/3vQoPRW

14.   Quality of Life of ICU Survivors: Sub-Analysis of MONITOR-IC Cohort Study https://bit.ly/3qsgFOM

15.   Predictors of Death & New Disability after ICU: Multi-Centre Cohort Study https://bit.ly/3gTXRVi

16.   Long-Term Outcomes in ARDS: Epidemiology, Mechanisms & Pt Evaluation https://bit.ly/3h8wKog

 

17.   Prevalence & Risk Factors for PICS: 12 Japanese ICU https://bit.ly/3wYtwKK

18.   Routine Frailty Screening in ICU: Population-based Cohort Study  https://bit.ly/3wVUp29

19.   Activity Levels in ICU Survivors https://bit.ly/3qCpp4Z

20.   Daytime Activity & Sleep Associated with Motor Function in ICU Survivors https://bit.ly/2StKhi4

 

21.   Effects of ICU-Initiated Transitional Care Interventions on PICS: Systematic Review https://bit.ly/2U6CN4M

22.   Transitions of Care After ICU—Challenges to Recovery: Qualitative https://bit.ly/3vWSbhq

 

Delirium, Sedation & Sleep and Research Methodology

23.   Core Outcome Set for Studies Evaluating Interventions for Delirium  https://bit.ly/3dgI00W

24.   Effect of Thiamine Supplementation in ICU Patients: Meta-analysis https://bit.ly/3gV16fl

25.   Virtual Reality Stimulation to Reduce ICU Delirium: RCT Protocol https://bit.ly/3jcZL4R

26.   Respiratory Drive & Sedation Depth in Mech Vent: Cohort Study https://bit.ly/3jenEJA

 

27.   Non-Pharmacologic Interventions to Prevent ICU Delirium: Integrative Review https://bit.ly/35NKmQK

28.   Patients’ Experiences of Delirium: Systematic Review of Qualitative Research https://bit.ly/3vWpxgH

29.   EEG & Clinical Assessment in Delirium & Acute Encephalopathy https://bit.ly/3vUbcRJ

30.   Biomarkers in Delirium: Systematic Review https://bit.ly/3A1QVgy

 

31.   Prevent & Treat Delirium in the ICU: How We Do It https://bit.ly/3gUZCRY

32.   Delirium & Long Term Cognition in ICU: Review https://bit.ly/35QPROv

33.   ICU Survivorship—Delirium, Sedation, Dementia, & Acquired Weakness: Review https://bit.ly/3vUfVmr

34.   Do Sedation Practices Contribute to Mortality in Covid-19–Related ARDS: Editorial https://bit.ly/2SsyYGX

 

35.   Variability of Environmental Sound Levels: Observational Study https://bit.ly/3jiaCdR

36.   Factors Linked With Sleep Interruption in Hospitalized Patients https://bit.ly/3A034CA

 

Psychological 

37.   Effect of ICU Diary on PTSD, Anxiety & Depression in ICU Survivors: Sys Review https://bit.ly/3qy5Zhy

38.   Family & Healthcare Professionals’ Perceptions on ICU Diaries: Systematic Review  https://bit.ly/3qrXmoD

39.   Caring for COVID‑19 Patients & Family with ICU diary https://bit.ly/2T9iwLQ

40.   Internet-based Cognitive & Behavioural Therapies for PTSD: Review https://bit.ly/3gRiwJE

 

Speech/SLP

41.   Symptom Management to Alleviate Thirst & Dry Mouth in ICU: RCT https://bit.ly/3jdupv9

42.   Safety & Efficacy of Prolonged Use of One-way Speaking Valves https://bit.ly/3vQBLHD

 

Restraints

43.   Nurse Decision-Making when Restraining Pt with Hyperactive Delirium https://bit.ly/3wVTgY9

 

Family Issues 

44.   Optimizing ICU Recovery: Perspectives & Solutions from Caregivers of ICU Survivors https://bit.ly/3gUVxNV

45.   Patient & Family Engagement in ICU https://bit.ly/3dgD4ZI

 

 

4.      Videos & News

Video & podcast postings below:

a.      OACIS Videos & News: http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html

5.      Twitter: for brief updates about ICU Rehab, follow:  @icurehab  and  @DrDaleNeedham.  You can directly contribute using #icurehab

6.      “ICU Recovery Network” (IRN):  If you have not yet signed up for the “ICU Recovery Network” (IRN), email Kim Mattison (kmattis1@jhmi.edu). IRN is a FREE interactive web-based “virtual community” for ICU Rehab clinicians/researchers (no commercial vendors).  It is like a simplified version of Facebook and has many ICU Rehab resources and event postings.  IRN permits interactive communication with >1,100 ICU Rehab members from around the world.  You can ask questions, network with others in the field, and participate in future research projects. 

 





ICU REHAB UPDATES FOR JUNE 2021


 

  1. 1.   Announcements and updates below


a.     Registration Discount & Abstract deadline: June 30 for 10th Johns Hopkins Virtual* Critical Care Rehab Conference

i.     *Staying virtual for 2021 due to uncertainties of pandemic & amazingly positive feedback from 2020 Conference

ii.     Conference brochure is attached (and available here: bit.ly/icurehab) 2021 ICU Rehab Conf Brochure-5.21.21_compressed.pdf

iii.     Dates:  On-demand (8 weeks: Oct 21 to Dec 15, 2021) + Live (Nov 4 to 6, 2021)*

iv.     *The entire Conference is delivered in 2 formats

1.     “Live,” via Zoom Webinar Nov 4 to 6, 2021, including live Q&A, workshops, posters, & networking sessions

2.     Unlimited “On-Demand,” via an online learning platform: Oct 21 to Dec 15, 2021

3.     Both formats are available as part of the registration fee

v.     Registration & Abstract info here:  bit.ly/icurehab or email ICUrehab@jhmi.edu

b.    Happening in June (VIRTUALLY) – 6th Asia Pacific Conf. on Early Mobilization & Rehab in ICU

i.     Virtual conference – anyone can join (not only Asia Pacific region)

ii.     Great speakers from Asia Pacific region + international

iii.     Dates: June 18 to 19, 2021; Register/Info: www.icu-rehab2021.com

iv.     Discounts for Lower/Middle Income registrants:  $US 50-100

 

c.     *NEW* Are you a U.S.-based ICU PT?  Contribute to understanding ICU rehab prescription…

i.     Participate in an IRB-approved study for a PhD thesis project

ii.     Requires only a single in-depth interview (<60 minutes), via Zoom

iii.     Win a chance for free registration to Johns Hopkins ICU Rehab Conf [see (a) above]

iv.     For info, contact Stephanie Hiser, PT, DPT at shiser1@jh.edu.

 

d.     Resources/tools for adult ICU, pediatric ICU, & hospital-wide mobility:

i.         http://www.johnshopkinssolutions.com/solution/activity-mobility-promotion-amp/ 

ii.            https://browse.welch.jhmi.edu/early-mobility

 

e.     Fundamentals of ICU Rehab Webinar by Chris Perme, PT CCS FCCM

i.     More info:  www.permeseminars.com

 

f.  For info about ICU & post-ICU functional measures, see: www.ImproveLTO.com

i.         This website was created from a NIH-funded grant for improving outcomes measurement in critical care research

ii.         There is info about ICU-specific measures & long-term outcome measures (physical, cognitive, mental health & quality of life)

iii.         Free full-text review article on ICU mobility/physical function measures here:  http://rdcu.be/wszU

iv.            Free full-text review article on understanding patient outcomes after ICU:  https://bit.ly/2NTM77u

v.            FREE web-based, self-assessment of RASS/CAM-ICU sedation/delirium assessments, at:

1.     www.ImproveLTO.com/instruments; scroll down to Cognitive>ICU Delirium

i.     Free registration required to access the assessment

vi.         Functional Status Score for the ICU (FSS-ICU) instrument information:

1.     Website registration for free access to FSS-ICU:  www.ImproveLTO.com

2.     20-minute instructional video is available at above website

3.     Turkish, Spanish & Portuguese translations available (see www.ImproveLTO.com)

4.     Korean, Japanese, & Italian translation are “in process”

5.     FSS-ICU version for retrospective assessment of patient’s pre-ICU baseline status is at above website       

 

g.       Validated Survey to Assess Barriers to ICU Mobility - free full text article available at:  https://bit.ly/2zbYHGA

i.      Survey is freely available at:  bit.ly/icurehabsol

 

h.     ICU Rehab eResource Sheet is here ICU Rehab eResource Sheet June 2021 Email-5.20.21.pdf

i.         share with colleagues; latest version is available at: http://www.hopkinsmedicine.org/oacis/icurehab 

 

 

2.      COVID resources

COVID-19 Related Papers

1.       Rehab & COVID-19 (Dec 2020): A Rapid Living Systematic Review https://bit.ly/2OsOCA5

2.       Early Experiences of Rehab for Post-COVID: Cohort Study https://bit.ly/3yGJhHp

3.       Comprehensive Rehab for Sub-Acute COVID-19 Pts: Observational study https://bit.ly/3voKJMK

 

4.       Functional Sequelae & Implications for Rehab after COVID-19: Cross-sectional Study https://bit.ly/2RaoZoG

5.       Functional Outcomes & Physical Performance in Mech Vent COVID-19: Cohort Study https://bit.ly/3vntTxS

6.       Perme Mobility Index: Assess Mobility Level in COVID-19 Patients https://bit.ly/2SsNrlV

7.       Adaptation of Leeds Post-Extubation Dysphagia Screen during COVID-19  https://bit.ly/3vqiSvx

 

8.       Global Incidence of Neurological Manifestations Among COVID-19 https://bit.ly/2Tom9xz

9.       Delirium in ICU patients with COVID-19. Any difference? (Commentary) https://bit.ly/3vuuWw4

10.   PTSD after Severe COVID-19 Infection https://bit.ly/3hVDwja

11.   Quality of Life of COVID‑19 ICU Survivors: 90-day follow‑up https://bit.ly/3hYhNqW

 

12.   Impact of COVID-19 on ICU Family Engagement: Survey of 27 ICUs https://bit.ly/3foBU00

13.   Family Presence for Patients with COVID‑19 in the ICU https://bit.ly/3yzbVKN

 

3.      New publications – new papers hot off the presses 

      Rehab –RCT & Research Methodology

1.       FES-Cycling Progressive Mobility Program for Mech Vent Pts: RCT https://bit.ly/2RQjkVj

2.       Physical Rehab for Older Patients Hospitalized for Heart Failure: RCT https://bit.ly/2SyQjha

3.       Early Mobilization in Cardiac Surgery: Systematic Review  https://bit.ly/3uwTvHr

4.       Statistical Analysis of Functional Outcomes: Structured Methodology Review https://bit.ly/3hUXT03

5.       Core Outcome Sets in ICU: what are they & why we need them? https://bit.ly/34j69yT

6.       Tools to Assess Risk of Bias & Reporting Quality of RCT in Rehab https://bit.ly/3fkJKaP

7.       Methodological Issues in Rehab Research: Scoping Review https://bit.ly/3fmtRAE

 

      Rehab– Observational

8.       Minimum Standards of Clinical Practice for PT working in ICU in Japan https://bit.ly/2TlgyrJ

9.       Mobilization During Critical Illness: Secondary Analysis of Cohort Study https://bit.ly/3yFrNeQ

10.   Variables Associated with Mobility Levels in ICU: A Cohort Study https://bit.ly/34l4CZi

11.   Nurse Perceptions of Early Mobilisation in ICU: Qualitative study https://bit.ly/34heumG

12.   Family Participation during Activity in ICU: Longitudinal Qualitative Study https://bit.ly/3wBsvb6

 

      Strength, Mobility & Function

13.   Inter-rater Reliability of Johns Hopkins Highest Level of Mobility Scale (JH-HLM) in ICU https://bit.ly/3yDs55R

14.   Quantifying Mobility in ICU: EHR documentation vs. Accelerometer https://bit.ly/3hWqMce

15.   Bioelectric Impedance Analysis for Body Composition in ICU: Review https://bit.ly/3hW68ZU

16.   Minimal Clinical Dif. for Quadriceps Strength & Max Inspiratory Pressure in COPD https://bit.ly/2QUEb9J

 

      Outcomes after ICU, and Patient Outcomes Research

17.   Educational Needs of Family of Discharged ICU Pts: Viewpoint of Nurses & Families https://bit.ly/2QTNIhf

18.   Functional Outcomes, Goals, & Goal Attainment in LTACH setting: Cohort Study https://bit.ly/3ulF7Bp

19.   Patient Adaptation after ARDS: Qualitative Study https://bit.ly/3vq5qYL

20.   Anemia In Hospital & 3-Month Physical Outcomes in ARDS Survivors: Cohort Study https://bit.ly/34xpVXL

 

21.   Imbalance between Job Workload & Functional Ability with Return to Work in ARDS https://bit.ly/2Souqkp

22.   Impact on Return to Work of Return‑to‑Work Coordinators: A Systematic Review https://bit.ly/3hWb0hw

 

23.   Reduced Quality of Life in ICU Survivors: mixed methods study https://bit.ly/3oPXL3t

24.   Quality of Life in Sepsis & its Association with Mortality in South Korea: Cohort Study https://bit.ly/3hPxIYG

25.   Post-ICU Care in the Outpatient Setting: Review  https://bit.ly/2Sv8zaS

 

      Delirium & Sedation – and Research Methodology

26.   Design of RCTs Evaluating Sedation in MV Patients https://bit.ly/3bUVVZS

27.   Imputation for Missing Delirium Assessments in ICU: Statistical Simulation https://bit.ly/34nm5QN

 

28.   Acetaminophen to Prevent Post-op. Delirium in Cardiac Surgery: RCT Protocol https://bit.ly/2RQznCu

29.   Melatonin for Delirium Prevention for In-patients: Meta-analysis https://bit.ly/3yHvmks

30.   Mobilization in Evening to Prevent Delirium: Pilot RCT https://bit.ly/3fl4cbq

31.   Quality Improvement for Delirium Prevention & Management https://bit.ly/2SrAtok

 

32.   Association of Delirium during ICU with Mortality: Cohort Study https://bit.ly/3wyE9n1

33.   Delirium and Associated Length of Stay & Costs in ICU: Review  https://bit.ly/34mcXM5

34.   Pain, Opiate Use & Delirium: Analgosedation or Analgesia-first Approach? https://bit.ly/3vp9l89

 

      Psychological

35.   Suicide & Self-harm in Adult ICU Survivors: Population-based Cohort Study https://bit.ly/3oSZQLT

36.   Psychological Support via Positive Suggestions by ICU Doulas: Pilot Study https://bit.ly/3hW6CPI

37.   PTSD Trajectories in ICU Family Caregivers https://bit.ly/3wF8AIl

38.   Experience of Relatives using ICU diaries: Sys Review https://bit.ly/3oQX4Xz

 

      Dysphagia & Speech

39.   Incidence & Outcomes of Post-extubation Dysphagia in ICU using Admin. Data  https://bit.ly/3uj01RH

40.   Above Cuff Vocalization with Tracheostomy: Sys Review https://bit.ly/3fmYSo3

 

      Family Issues (duplicates of articles above)

1.       Impact of COVID-19 on ICU Family Engagement: Survey of 27 ICUs https://bit.ly/3foBU00

2.       Family Presence for Patients with COVID‑19 in the ICU https://bit.ly/3yzbVKN

3.       PTSD Trajectories in ICU Family Caregivers https://bit.ly/3wF8AIl

4.       Experience of Relatives using ICU diaries: Systematic Review https://bit.ly/3oQX4Xz

5.       Family Participation during Activity in ICU: Longitudinal Qualitative Study https://bit.ly/3wBsvb6

6.       Educational Needs of Family of Discharged ICU Pts : Viewpoints of Nurses & Pts’ Families https://bit.ly/2QTNIhf

 

 

4.     Videos & News

Video & podcast postings below:

a.     OACIS Videos & News:  http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html

5.     Twitter: for brief updates about ICU Rehab, follow:  @icurehab  and  @DrDaleNeedham.  You can directly contribute using #icurehab

6.     “ICU Recovery Network” (IRN):  If you have not yet signed up for the “ICU Recovery Network” (IRN), email Kim Mattison (kmattis1@jhmi.edu). IRN is a FREE interactive web-based “virtual community” for ICU Rehab clinicians/researchers (no commercial vendors).  It is like a simplified version of Facebook and has many ICU Rehab resources and event postings.  IRN permits interactive communication with >1,100 ICU Rehab members from around the world.  You can ask questions, network with others in the field, and participate in future research projects. 

 





ICU REHAB UPDATES FOR MAY 2021

Welcome to the May 2021 monthly @ICURehab email.  I hope that everyone is adequately managing themselves and their patients through the pandemic.  Locally, things are turning the corner here (I hope!) – with some improvement in hospital/ICU admissions.  I know that things remain especially bad in many other areas, especially India and Brazil. I hope that improvement can come soon.   

 

ICU Rehab Updates for May 2021 

 

1.     Announcements and updates below 


a.       Registration OPEN:  10th Johns Hopkins Virtual* Critical Care Rehab Conference

i.      June 30, 2021 Deadline for Early Bird registration discount and Abstract submission

ii.      *Staying virtual for 2021 due to uncertainties of pandemic & amazingly positive feedback from 2020 Conference

  1. iii.      Conference flyer & agenda is here: 10th Annual Conference Flyer-Full-4.28.21-compressed.pdf (full brochure here: bit.ly/icurehab)

iv.       Dates:  On-demand (8 weeks: Oct 21 to Dec 15, 2021) + Live (Nov 4 to 6, 2021)*

v.      *The entire Conference is delivered in 2 formats

1.      “Live,” via Zoom Webinar Nov 4 to 6, 2021, including live Q&A, workshops, posters, & networking sessions

2.      Unlimited “On-Demand,” via an online learning platform: Oct 21 to Dec 15, 2021

3.      Both formats are available as part of the registration fee

vi.      Registration & Abstract info here:  bit.ly/icurehab or email ICUrehab@jhmi.edu

b.     Register now (VIRTUAL) – 6th Asia Pacific Conf. on Early Mobilization & Rehab in ICU

i.      Virtual conference – anyone can join (not only Asia Pacific region)

ii.      Great speakers from Asia Pacific region + international

iii.       Dates: June 18 to 19, 2021; Info: www.icu-rehab2021.com

iv.      Discounts: Early bird (expire May 16, 2021) + Lower/Middle Income fee:  $US 50-100

 

c.       Resources/tools for adult ICU, pediatric ICU, & hospital-wide mobility:

i.            http://www.johnshopkinssolutions.com/solution/activity-mobility-promotion-amp/ 

ii.            https://browse.welch.jhmi.edu/early-mobility

 

d.      Fundamentals of ICU Rehab Webinar by Chris Perme, PT CCS FCCM

i.      More info:  www.permeseminars.com

 

e.       For info about ICU & post-ICU functional measures, see: www.ImproveLTO.com

i.            This website was created from a NIH-funded grant for improving outcomes measurement in critical care research 

ii.            There is info about ICU-specific measures & long-term outcome measures (physical, cognitive, mental health & quality of life)

iii.            Free full-text review article on ICU mobility/physical function measures here:  http://rdcu.be/wszU

iv.            Free full-text review article on understanding patient outcomes after ICU:  https://bit.ly/2NTM77u

v.            FREE web-based, self-assessment of RASS/CAM-ICU sedation/delirium assessments, at:

1.      www.ImproveLTO.com/instruments; scroll down to Cognitive>ICU Delirium 

i.      Free registration required to access the assessment

vi.            Functional Status Score for the ICU (FSS-ICU) instrument information:

1.      Website registration for free access to FSS-ICU:  www.ImproveLTO.com

2.      20-minute instructional video is available at above website

3.      Turkish, Spanish & Portuguese translations available (see www.ImproveLTO.com)

4.      Korean, Japanese, & Italian translation are “in process”

5.      FSS-ICU version for retrospective assessment of patient’s pre-ICU baseline status is at above website       

 

f.        Validated Survey to Assess Barriers to ICU Mobility - free full text article available at:  https://bit.ly/2zbYHGA

i.      Survey is freely available at:  bit.ly/icurehabsol

 

  1. g.     ICU Rehab eResource Sheet is here ICU Rehab eResource Sheet May 2021 Email-5.3.21.pdf

i.            share with colleagues; latest version is available at: http://www.hopkinsmedicine.org/oacis/icurehab 

 

 

2.      COVID resources

COVID-19 Related Papers

1.       Respiratory & Functional Rehab for COVID-19 ICU Pts: Protocol for RCT  https://bit.ly/3h2pBaX

2.       Inspiratory Muscle Training after Mech Vent for COVID-19: Pilot Study https://bit.ly/3uhKXF3

3.       Wearing a Face Mask during 6-MWT in End-Stage Lung Disease https://bit.ly/3xwtbzI

4.       Assoc. of Sedation, Coma, & Mortality in MV COVID-19 Pts: Retro Study https://bit.ly/3xCoKDF

5.       Management & Rehab of Communication & Swallowing in COVID-19 https://bit.ly/35Bnkx5

 

 

3.      New publications – new papers hot off the presses 

      Rehab –RCT

1.       Novel Communication Device During Non-Invasive Ventilation: RCT https://bit.ly/35FhCsN

2.       Early Rehabilitation during ECMO: Pilot RCT https://bit.ly/3ow4RcV

 

      Rehab – Review

3.       Resp. Support & Monitoring MV Pts during Mobilization: Scoping Review https://bit.ly/3vznWh1

 

      Rehab– Observational

4.       ICU Rehab Services in Pediatric Patients with a Prolonged ICU Stay https://bit.ly/3nvxlmU

5.       Nursing Staff vs PT Perceptions & Barriers to Mobilization in ICU https://bit.ly/331H7DW

6.        ICU Experience & Environment from Perspective of Pts & Family https://bit.ly/3gVdyfv

 

      Strength, Mobility & Function

7.       Muscle Changes, Function, and Quality of Life in Pediatric ICU  https://bit.ly/3aR2CeL

8.       Relationship between Critical Illness Myopathy & Blood Glucose Variability https://bit.ly/32ZYHIj

9.       Chinese Version: Chelsea Critical Care Physical Assessment Tool in ICU https://bit.ly/3gWDhUu

10.   German Version: Chelsea Critical Care Physical Assessment Tool https://bit.ly/3e4PIfu

 

      Outcomes after ICU, and Patient Outcomes Research

11.   Pts’ Perceptions on ICU Diaries: Sys Review & Qualitative Synthesis https://bit.ly/3aNNwGQ

12.   Effect of PICS on Quality of Life of ICU survivors: Secondary Analysis https://bit.ly/37Gif6s

13.   Management of Fatigue in ICU Survivors: Editorial  https://bit.ly/3ezRUdC

14.   Clinical Pharmacy within ICU Recovery Clinics: Opinion Paper https://bit.ly/3lyTsHy

 

      Sedation

15.   Intra-operative Dexmed in Patients with Mild Cognitive Impairment: RCT https://bit.ly/2ReOIvZ

16.   Depth of Sedation & ICU Outcome: Systematic Review https://bit.ly/3u6lo9M

17.   Propofol vs Midazolam Sedation in ICU: Systematic Review https://bit.ly/32Y2WnB

18.   Effects of Nurse-led Sedation Protocols on MV ICU Pts: Systematic Review https://bit.ly/2QIHYXl

 

      Delirium & Sleep

19.   Core Outcome Set for Preventing or Treating Delirium in ICU: https://bit.ly/2PFDBfq

20.   Impact of Earplugs and Eye Masks on Sleep Quality in SICU: RCT https://bit.ly/3eJ7BiY

21.   Cognitive Stimulation in an ICU: Qualitative Evaluation of Barriers https://bit.ly/2R8KV3B

22.   Dexmed in Treating Delirium in ICU: Systematic Review https://bit.ly/3gNOLJY

23.   Delirium Tx with Haloperidol & ICU Mortality: Secondary Analysis https://bit.ly/3xytav6

24.   Inappropriate Antipsychotic Continuation during Transitions of Care https://bit.ly/3u6KJjV

25.   Opioid Use & Risk of Delirium in ICU https://bit.ly/3sZu14F

26.   Family Caregivers' Experience of Delirium Patients: Qualitative Study https://bit.ly/3xKvQGe

27.   Long-Term Outcomes of ICU Delirium: Population-based Study https://bit.ly/3vzMPZX

 

      Psychological

28.   Improving Psychological Outcomes in Caregivers of ICU Pts: Sys Review  https://bit.ly/3nAsxwI

29.   Flexible ICU Visiting for Anxiety in Family: Mediation Analysis https://bit.ly/3xxyUVT

30.   Caregiver-detected Delirium in ICU & Depression/Anxiety in Family https://bit.ly/2RaTFpI

31.   Depression & L-T Survival in Sepsis Survivors: Population-based study https://bit.ly/2Pycxys

32.   Post-Traumatic Stress Symptoms in ICU survivors: Pilot Study https://bit.ly/32X0RZk

33.   Delirium & Coma Predicts Psych Symptoms at 1 yr in ICU: Cohort Study https://bit.ly/3xChqb9

 

      Restrains

34.   Prevalence & Factors Associated with Physical Restraint in ICU in Japan https://bit.ly/3nCFTbx

 

 

4.      Videos & News

Video & podcast postings below:

a.      OACIS Videos & News: http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html

5.      Twitter: for brief updates about ICU Rehab, follow:  @icurehab  and  @DrDaleNeedham.  You can directly contribute using #icurehab

6.      “ICU Recovery Network” (IRN):  If you have not yet signed up for the “ICU Recovery Network” (IRN), email Kim Mattison (kmattis1@jhmi.edu). IRN is a FREE interactive web-based “virtual community” for ICU Rehab clinicians/researchers (no commercial vendors).  It is like a simplified version of Facebook and has many ICU Rehab resources and event postings.  IRN permits interactive communication with >1,100 ICU Rehab members from around the world.  You can ask questions, network with others in the field, and participate in future research projects. 

 

 

Best wishes to everyone,

 

Dale




ICU REHAB UPDATES FOR APRIL 2021


 

1.     Announcements and updates below 

a.       Registration OPEN (fully Virtual* conference): 10th Johns Hopkins Critical Care Rehab Conference

i.      June 30, 2021 Deadline for Early Bird registration discount and Abstract submission

ii.      Staying virtual* for 2021 due to uncertainties of pandemic & amazingly positive feedback from 2020 Conference

iii.       Brochure is here 2021 ICU Rehab Conf Brochure-4.5.21-v2-shrunk.pdf

iv.       Dates:  *On-demand (Oct 21 to Dec 15, 2021) + Live (Nov 4 to 6, 2021)*

v.       NEW:  video explaining *Virtual format:  https://www.youtube.com/watch?v=jukprwVv8E4_

vi.      *The entire Conference is delivered in 2 formats

1.      “Live,” via Zoom Webinar Nov 4 to 6, 2021, including live Q&A, workshops, posters, & networking sessions

2.      Unlimited “On-Demand,” via an online learning platform: Oct 21 to Dec 15, 2021

3.      Both formats are available as part of the registration fee

vii.      Registration & Abstract info here:  bit.ly/icurehab or email ICUrehab@jhmi.edu

b.     Register now (VIRTUAL) – 6th Asia Pacific Conf. on Early Mobilization & Rehab in ICU

i.      Virtual conference – anyone can join (not only Asia Pacific region)

ii.      Great speakers from Asia Pacific region + international

iii.       Dates: June 18 to 19, 2021; Info: www.icu-rehab2021.com

iv.      Discounts: Early bird (expire May 16, 2021) + Lower/Middle Income:  $US 50-100

v.      Abstract deadline: Apr 16, 2021

 

c.       3 Free Webinars on “Combatting the Hospital-Wide Immobility Harm”

i.      Offered by the Johns Hopkins Activity & Mobility Promotion (AMP) program

ii.      Access here:https://www.hopkinsmedicine.org/physical_medicine_rehabilitation/education_training/amp/webinars.html

 

d.      Resources/tools for adult ICU, pediatric ICU, & hospital-wide mobility:

i.            http://www.johnshopkinssolutions.com/solution/activity-mobility-promotion-amp/ 

ii.            https://browse.welch.jhmi.edu/early-mobility

 

e.       Fundamentals of ICU Rehab Webinar by Chris Perme, PT CCS FCCM

i.      More info:  www.permeseminars.com

 

f.        For info about ICU & post-ICU functional measures, see: www.ImproveLTO.com

i.            This website was created from a NIH-funded grant for improving outcomes measurement in critical care research 

ii.            There is info about ICU-specific measures & long-term outcome measures (physical, cognitive, mental health & quality of life)

iii.            Free full-text review article on ICU mobility/physical function measures here:  http://rdcu.be/wszU

iv.            Free full-text review article on understanding patient outcomes after ICU:  https://bit.ly/2NTM77u

v.            FREE web-based, self-assessment of RASS/CAM-ICU sedation/delirium assessments, at:

1.      www.ImproveLTO.com/instruments; scroll down to Cognitive>ICU Delirium 

i.      Free registration required to access the assessment

vi.            Functional Status Score for the ICU (FSS-ICU) instrument information:

1.      Website registration for free access to FSS-ICU:  www.ImproveLTO.com

2.      20-minute instructional video is available at above website

3.      Turkish, Spanish & Portuguese translations available (see www.ImproveLTO.com)

4.      Korean, Japanese, & Italian translation are “in process”

5.      FSS-ICU version for retrospective assessment of patient’s pre-ICU baseline status is at above website       

 

g.       Validated Survey to Assess Barriers to ICU Mobility - free full text article available at:  https://bit.ly/2zbYHGA

i.      Survey is freely available at:  bit.ly/icurehabsol

 

h.      ICU Rehab eResource Sheet is hereICU Rehab eResource Sheet April. 2021 Email-4.12.21v3.pdf

i.            share with colleagues; latest version is available at: http://www.hopkinsmedicine.org/oacis/icurehab 

 

 

2.      COVID resources

COVID-19 Related Papers

1.       Rehab & COVID-19: Living Sys Review Updated as of Dec 31st, 2020 https://bit.ly/2OsOCA5

2.       Rehab to Enable Recovery from COVID-19: Rapid Sys Review https://bit.ly/2MCkWzz

3.       Effectiveness of Pulmonary Rehab in COVID-19 Post-ICU: Pre-Post Study https://bit.ly/3eboJzl

4.       Neuromuscular Electrical Stimulation & Recovery of COVID-19: Review https://bit.ly/31UkPn2

5.       ABCDEF for COVID-19: International Point Prevalence Study https://bit.ly/3dKxMVZ

 

6.       Sit-to-Stand to Assess Physical Capacity & Exertional De-sat Post COVID-19 https://bit.ly/2PwtkCg

7.       Functional Status of COVID-19 Survivors at Discharge https://bit.ly/3cWh6vx

8.       Midterm Functional Sequelae & Implications for Rehab after COVID-19 https://bit.ly/2RaoZoG

9.       Pulm. Function & Radiological Features in Survivors of COVID-19 https://bit.ly/39HzAhh

10.   Pulm. Function & Functional Capacity in COVID-19 Survivors https://bit.ly/3wrPwOx

 

11.   2 Month Quality of Life of COVID-19 Survivors https://bit.ly/3fIkZpC

12.   4 Month Clinical Status after Hospitalization for COVID-19 https://bit.ly/3wC8oKs

13.   Persistent Symptoms after COVID-19: Qualitative Study https://bit.ly/3wx8CCJ

14.   Post-Intensive Care Syndrome after COVID-19 https://bit.ly/3rYdVYm

15.   Post-Acute COVID-19 Syndrome https://bit.ly/3sWIOxP

16.   Rapid Design & Implementation of Post-COVID Clinics https://bit.ly/3wtDa8x

 

17.   Short-Term Neuro-psych Outcomes & Quality of Life in COVID-19 https://bit.ly/3sWv4Tx

18.   Acute Stress Disorder in ICU Survivors after COVID‑19 https://bit.ly/2PXHNqx

 


3.      New publications – new papers hot off the presses 

Rehab –RCT Protocol

19.   Effect of Vibration Therapy on Physical Function (VTICIA Trial) https://bit.ly/3fLnsjb

Rehab – Review/Editorial

20.               Reducing Hospital-Associated Deconditioning: Systematic Review https://bit.ly/31W46zH

21.   Occupational Therapy: Essential to Critical Care Rehab: Editorial https://bit.ly/3uAHIIx

 

Rehab– Observational & Quality Improvement (QI)

22.   Effect of Neuromuscular Electrical Stimulation on MV Duration: Review https://bit.ly/2OrnCRo

23.   In-Bed Cycling with Ventricular Drain:  Physiological Responses https://bit.ly/3uoU3z6

24.   Feasibility of Rehab in a Vietnamese ICU https://bit.ly/3mu3A5w

 

25.   Human Factors Analysis of Missed Mobilization after ICU Discharge https://bit.ly/3mqx7wM

26.   Barriers to Early Mobilization of ICU Patients by Nurses https://bit.ly/3uqCvmr

27.   Barriers & Facilitators to Early Mobility & Physical Disability Post–ICU https://bit.ly/2RaobA1

 

28.   Mobilization in Critically Ill Children: European Point Prev Study https://bit.ly/2VtMDM8

29.   Early Mobility Initiative in a Pediatric Oncology ICU https://bit.ly/39PNFZW

30.   Sustainability of PICU Up! Early Mobilization:  Qualitative Study https://bit.ly/3fLlO0Z

 

Strength, Mobility & Function

31.   Care & Treatments Related to ICU-Acquired Weakness: Cohort Study https://bit.ly/3usQCrl

 

Outcomes after ICU, and Patient Outcomes Research

32.   5-year Outcome of Respiratory Muscle Weakness at ICU Discharge https://bit.ly/3cY4WSA

33.   Job Characteristics & Functional Impairment on Return to Work Post-ARDS https://bit.ly/3cWaOfd

34.   Bodily Pain in Survivors of ARDS: 1-year longitudinal follow-up https://bit.ly/3wB84vt

35.   Development of Patient-Reported Outcome Measure after ICU https://bit.ly/3dKyxOP

36.    Long‑Term Outcomes after Critical Illness: Commentary https://bit.ly/31U6syU

 

Sedation

37.   Early Sedation with Dexmed & Heterogeneity of Treatment Effect https://bit.ly/2Q3Hieq

38.   Optimal Sedation in Patients Receiving NMB Infusions https://bit.ly/39Pl1bu

39.   Serum Melatonin in ICU Patients Randomized to Sedation vs Non-Sedation https://bit.ly/3dFJ5hZ

 

Delirium & Sleep

40.   Quality Improvement for Sleep & Delirium in a Surgical ICU https://bit.ly/3sZlHT4

41.   Use of Spectroscopy & Transcranial Doppler in Delirium: Sys Review https://bit.ly/3dHkZn9

42.   Non-Pharma Multicomponent Interventions Preventing Delirium: Sys Review https://bit.ly/3dJiBtZ

43.   Screening for ICU Delirium Using an App: eDIS-ICU https://bit.ly/3urGVJG

44.   Delirium & Prevention During Lockdown: Commentary https://bit.ly/3rQNtzW

 

Cognitive Impairment

45.   Cognitive Impairment & Brain Insult after MV: Sys Review https://bit.ly/3moAmVB

46.  Inflammation & Coagulation in ICU & 1-Year Cognitive Impairment https://bit.ly/2HJk8py

47.   Mechanisms of Cognitive & Physical Impairments after ICU: Editorial https://bit.ly/2Osr2Dr

48.   Virtual Assessment and Care for Cognitive Impairment during COVID-19 https://bit.ly/3d12laV

 

Laryngeal injury & Swallowing

49.   Early Treatment of Acute Laryngeal Injury after Intubation https://bit.ly/3usfdMW

50.   Acute Laryngeal Injury after Intubation: Editorial https://bit.ly/3cVBjl2

51.   Dysphagia after Cardiac Surgery: Prospective Study https://bit.ly/3wyGVta

52.   Modified Barium Swallow: Improving Safety with Airborne Illness https://bit.ly/3cTJI8u

 

Psychological

53.   Psych Outcomes in Family of ARDS Patients: ICU Transfer Play a Role? https://bit.ly/3t2kFG0

 

 

4.      Videos & News

Video & podcast postings below:

a.      OACIS Videos & News: http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html

5.      Twitter: for brief updates about ICU Rehab, follow:  @icurehab  and  @DrDaleNeedham.  You can directly contribute using #icurehab

6.      “ICU Recovery Network” (IRN):  If you have not yet signed up for the “ICU Recovery Network” (IRN), email Kim Mattison (kmattis1@jhmi.edu). IRN is a FREE interactive web-based “virtual community” for ICU Rehab clinicians/researchers (no commercial vendors).  It is like a simplified version of Facebook and has many ICU Rehab resources and event postings.  IRN permits interactive communication with >1,100 ICU Rehab members from around the world.  You can ask questions, network with others in the field, and participate in future research projects. 

 

 


ICU REHAB UPDATES FOR MARCH 2021


 

1.     Announcements and updates below 

a.       Registration OPEN for 10th Johns Hopkins Critical Care Rehab Conference

i.      Deadline for Early Bird registration discount and for Abstract submission is  June 30, 2021

ii.      Staying virtual* for 2021 due to uncertainties of pandemic & amazingly positive feedback from 2020 Conference

iii.       Dates:  *On-demand (Oct 21 to Dec 15, 2021)  +  Live (Nov 4 to 6, 2021)*

iv.       *The entire Conference is delivered in 2 formats:  

1.      “Live,” via Zoom Webinar Nov 4 to 6, 2021, including live Q&A, workshops, poster presentations, & networking sessions

2.      Unlimited “On-Demand,” via a customized online learning platform, available Oct 21 to Dec 15, 2021

3.      Both viewing formats are available as part of the registration fee. 

v.      Registration & Abstract info is here:  bit.ly/icurehab or email ICUrehab@jhmi.edu


b.     Register now (VIRTUAL) – 6th Asia Pacific Conf. on Early Mobilization & Rehab in ICU

i.      Virtual conference – anyone can join (not just Asia Pacific region)

ii.      Great speakers from Asia Pacific region and international

iii.       Dates: June 18 to 19, 2021; Info: www.icu-rehab2021.com

iv.      Early Bird deadline:  May 16, 2021 ($US 80-100 early bird registration)

v.      Abstract deadline: Apr 16, 2021

 

c.       NEW in March 2021:  3 Free Interactive Webinars on “Combatting the Hospital Immobility Harm”

i.      Offered by the Johns Hopkins Activity & Mobility Promotion (AMP) program

ii.      See details on eResource sheet attached

 

d.      Resources/tools for adult ICU, pediatric ICU, & hospital-wide mobility:

i.            http://www.johnshopkinssolutions.com/solution/activity-mobility-promotion-amp/ 

ii.            https://browse.welch.jhmi.edu/early-mobility

 

e.       Fundamentals of ICU Rehab Webinar by Chris Perme, PT CCS FCCM

i.      More info:  www.permeseminars.com

 

f.        For info about ICU & post-ICU functional measures, see: www.ImproveLTO.com

i.            This website was created from a NIH-funded grant for improving outcomes measurement in critical care research 

ii.            There is info about ICU-specific measures & long-term outcome measures (physical, cognitive, mental health & quality of life)

iii.            Free full-text review article on ICU mobility/physical function measures here:  http://rdcu.be/wszU

iv.            Free full-text review article on understanding patient outcomes after ICU:  https://bit.ly/2NTM77u

v.            FREE web-based, self-assessment of RASS/CAM-ICU sedation/delirium assessments, at:

1.      www.ImproveLTO.com/instruments; scroll down to Cognitive>ICU Delirium 

i.      Free registration required to access the assessment

vi.            Functional Status Score for the ICU (FSS-ICU) instrument information:

1.      Website registration for free access to FSS-ICU:  www.ImproveLTO.com

2.      20-minute instructional video is available at above website

3.      Turkish, Spanish & Portuguese translations available (see www.ImproveLTO.com)

4.      Korean, Japanese, & Italian translation are “in process”

5.      FSS-ICU version for retrospective assessment of patient’s pre-ICU baseline status is at above website       

 

g.       Validated Survey to Assess Barriers to ICU Mobility - free full text article available at:  https://bit.ly/2zbYHGA

i.      Survey is freely available at:  bit.ly/icurehabsol

 

h.      ICU Rehab eResource Sheet is here ICU Rehab eResource Sheet Mar. 2021 Email-3.2.21-v3.pdf

i.            share with colleagues; latest version is available at: http://www.hopkinsmedicine.org/oacis/icurehab 

 

 

2.      COVID resources

COVID-19 Related Papers

1.                   Rehab to Enable Recovery from COVID-19: Sys Review http://bit.ly/2MCkWzz

 

2.                   COVID-19: Patient Characteristics in Post-ICU Rehab http://bit.ly/380FKIl

3.                   Do Patients with COVID-19 Benefit from Rehab? http://bit.ly/3bOH0iU

4.                   Incidence, Frequency & Timing of PT Intervention during COVID-19 http://bit.ly/300dqRV

5.                   Effectiveness of Pulmonary Rehab in COVID-19 Patients Post-ICU http://bit.ly/3eboJzl

6.                          Could PT be Adopted in Management of COVID-19? Review http://bit.ly/3uDOZbj

  

7.                   Respiratory & Psychophysical Sequelae after Discharge http://bit.ly/3bNqBeM

8.                   Musculoskeletal Involvement of COVID-19 http://bit.ly/3b3jKi3

9.                   Virtual Reality for Psychological Recovery after ICU for COVID-19 http://bit.ly/3b4yEEx

 

 

3.      New publications – new papers hot off the presses 

Rehab –RCT, Protocol

10.               Effect of NMES + Rehab on Exercise Capacity & Balance in COPD: RCT http://bit.ly/3r8qil8

11.               Standard OT vs. Early Enhanced OT in ICU: Study Protocol http://bit.ly/303WfiE

 

Rehab– Observational & Quality Improvement (QI)

12.               Investigating Inpatient Rehab Outcomes of Patients with ICUAW http://bit.ly/30gaL77

13.               Post-ICU Presentation Screen (PICUPS) & Rehab for ICU Survivors http://bit.ly/302mQMR

14.                      Improving Rehab Information-Giving to ICU Survivors http://bit.ly/3uLVitt

15.                      Improving the Assessment & Documentation of Mobility http://bit.ly/3e02HPU

16.               Improving Mobility in ICU: Opportunities & Challenges http://bit.ly/3r8R1Of

17.               Evaluation of an E-learning Module on PT in the ICU http://bit.ly/2NKjNqi

18.                      Choosing Wisely For Critical Care: The Next Five http://bit.ly/3dZ4sMY

 

Strength, Mobility & Function

19.               6MWD After Critical Illness: Meta-Analysis http://bit.ly/2MEz6Ac

20.               Application of the Modified Incremental Step Test for Pulmonary Rehab https://bit.ly/3sGWWL8

21.               Insights from Invasive CPET of Patients with Myalgic Encephalomyelitis & CFS http://bit.ly/3r6zSFb

 

Outcomes after ICU, and Patient Outcomes Research

22.                       Factors Associated with Employment after ICU: Sys Rev http://bit.ly/3q693zx

23.                      Opioid Use After ICU http://bit.ly/3sFByWw

24.               Long-Term Survival after Sepsis http://bit.ly/2NUJsMN

25.               General Practitioners’ Views & Experiences in Caring for Patients after Sepsis http://bit.ly/3b7dC8t

 

Delirium, Sedation, Sleep, & Cognition

26.                      Haloperidol for Preventing Delirium in ICU patients: Sys Rev http://bit.ly/3baDJLX

27.                      Dexmed vs Propofol in Mechanically Ventilated Adults: RCT http://bit.ly/3b6W4cM

28.               Motoric Subtypes of Delirium & Long-Term Outcomes after ICU https://bit.ly/38h7mt9

29.               One-Year Medicare Costs Associated with Delirium in Major Elective Surgery http://bit.ly/3kApbIk

30.               Implementation of ABCDEF Bundle in ICU http://bit.ly/3r94hm2

 

31.               The Effect of Dexmed on Body Temperature https://bit.ly/3q68NAz

32.               Feasibility & Reliability of Actigraphy to Monitor Sleep in ICU http://bit.ly/3uIM9BQ

33.                      Trajectory of Cognitive Decline After Sepsis https://bit.ly/3bPT6rZ

 

Psychological issues

34.               Burden of Mental Illness in Survivors of ICU: Risk Factors & Impact on QoL http://bit.ly/3bSRFsS

35.               Cognitive Behavioral Therapy Program for ARF Survivors http://bit.ly/3kI62EA

36.               Hypnotic Suggestions of Safety in NIV Patients in the ICU http://bit.ly/3q04HKg

37.                      Tools for Assessing Acute Psychological Distress in Critical Illness: Review http://bit.ly/37YdIgP

 

Post-Intensive Care Syndrome (PICS)

38.                      Post-Intensive Care Syndrome: A Concept Analysis http://bit.ly/3b3SIXG

39.                      New Physical, Mental, & Cognitive Problems 1-year Post-ICU http://bit.ly/3sFvAVq

40.               Prevalence of PICS in Japanese ICU patients: J‑PICS study http://bit.ly/2NRsbEj

 

Restraints

41.               Physical Restraint of Patients in Australia & New Zealand ICUs http://bit.ly/3pDod0i

 

 

4.      Videos & News

1.      Video & podcast postings below:

a.      Videos & News at OACIS website: http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html

2.      Great videos also here:  www.ICULiberation.org

5.      Twitter: for brief updates about ICU Rehab, follow:  @icurehab  and  @DrDaleNeedham.  You can directly contribute using#icurehab

6.      “ICU Recovery Network” (IRN):  If you have not yet signed up for the “ICU Recovery Network” (IRN), email Kim Mattison (kmattis1@jhmi.edu). IRN is a FREE interactive web-based “virtual community” for ICU Rehab clinicians/researchers (no commercial vendors).  It is like a simplified version of Facebook and has many ICU Rehab resources and event postings.  IRN permits interactive communication with >1,100 ICU Rehab members from around the world.  You can ask questions, network with others in the field, and participate in future research projects. 

 

 


ICU REHAB UPDATES FOR FEBRUARY 2021


Welcome to the Feb. 2021 monthly @ICURehab email.  I hope everyone is coping through the ups and downs of the pandemic.  Locally, we are experiencing a steady decrease in incidence. My hospital now has only 1 dedicated COVID ICU, plus a few patients in other ICUs.  However, the new virus variants have recently arrived in my city and vaccine roll out is still in early stages.  Hence, things are uncertain – we still have partial lockdown conditions.  I am hoping that the pandemic can get under better control in 2021/2022 and we can have a 2020’s version of the “Roaring 1920s” that occurred after the 1918 pandemic

 

1.     Announcements and updates below 

a.       Registration opens later in Feb. for 10th Johns Hopkins Critical Care Rehab Conference:

i.      Deadlines for Early bird registration discount and Abstract submission:  June 30, 2021

ii.      Staying virtual* for 2021 due to uncertainties of pandemic & amazingly positive feedback from 700 respondents to our post-Conference survey

1.      We would love to celebrate our 10th anniversary in-person, but we must prioritize safety and accessibility

iii.       Dates:  On-demand (Oct 21 to Dec 15, 2021)  +  Live (Nov 4 to 6, 2021)*

iv.       *The entire Conference is delivered in 2 formats :  

1.      (1) “Live,” via Zoom Webinar Nov 4 to 6, 2021 including live Q&A, workshops, poster presentations, & networking sessions

2.      (2) Unlimited “On-Demand,” via a customized online learning management platform, available Oct 21 to Dec 15, 2021

a.      All Conference presentations have English subtitles/captions 

3.      Both viewing formats are available as part of the registration fee. 

v.       Registration, brochure/agenda, flyer, & video of virtual format will be available in coming weeks 

vi.      For the latest info & updates: bit.ly/icurehab or email ICUrehab@jhmi.edu

 

b.      Resources/tools for adult ICU, pediatric ICU, & hospital-wide mobility:

i.            http://www.johnshopkinssolutions.com/solution/activity-mobility-promotion-amp/ 

ii.            https://browse.welch.jhmi.edu/early-mobility

 

c.   Fundamentals of ICU Rehab Webinar by Chris Perme, PT CCS FCCM (Congrats to Chris on her recent APTA Linda Crane lecture!)

i.      More info:  www.permeseminars.com

 

d.   For info about ICU & post-ICU functional measures, see: www.ImproveLTO.com

i.            This website was created from a NIH-funded grant for improving outcomes measurement in critical care research 

ii.            There is info about ICU-specific measures & long-term outcome measures (physical, cognitive, mental health & quality of life)

iii.            Free full-text review article on ICU mobility/physical function measures here:  http://rdcu.be/wszU

iv.            Free full-text review article on understanding patient outcomes after ICU:  https://bit.ly/2NTM77u

v.            FREE web-based, self-assessment of RASS/CAM-ICU sedation/delirium assessments, at:

1.      www.ImproveLTO.com/instruments; scroll down to Cognitive>ICU Delirium 

 i.      Free registration required to access the assessment

vi.            Functional Status Score for the ICU (FSS-ICU) instrument information:

1.      Website registration for free access to FSS-ICU:  www.ImproveLTO.com

2.      20-minute instructional video is available at above website

3.      Turkish, Spanish & Portuguese translations available (see www.ImproveLTO.com)

4.      Korean, Japanese, & Italian translation are “in process”

5.      FSS-ICU version for retrospective assessment of patient’s pre-ICU baseline status is at above website       

 

e.       Validated Survey to Assess Barriers to ICU Mobility - free full text article available at:  https://bit.ly/2zbYHGA

i.      Survey is freely available at:  bit.ly/icurehabsol

 

f.        ICU Rehab eResource Sheet is here ICU Rehab eResource Sheet Feb. 2021 Email-2.1.21v3.pdf

i.            share with colleagues; latest version is available at: http://www.hopkinsmedicine.org/oacis/icurehab 

 

 

2.      COVID resources

COVID-19 Related Papers – for Feb 2021

1.    Core Outcome Measures for Trials in COVID-19  http://bit.ly/2YGnJtR

 

2.    Pulm Function & Radiology Features: Swiss Study http://bit.ly/2YGeJVx

3.    Poor Health Post-COVID-19 Not Assoc with Severity or Resp. Complications http://bit.ly/2MVUOj2

4.    Nervous System Complications: Prospective Study with 3-mo. Follow-Up http://bit.ly/39Idf3o

5.    Brachial Plexus Neuropathies: Case Series http://bit.ly/3tjHh5z

6.    PT Intervention Assoc with Mobility & Discharge Disposition http://bit.ly/37PPAha

7.    Functional Outcome after Inpatient Rehab http://bit.ly/3cDYY9V

8.    Muscle Strength & Physical Performance after COVID-19 http://bit.ly/36EqEHL

9.    Exercise & Psychological Support after COVID-19: RCT Protocol http://bit.ly/3tn7q3l

10.   Rehab during & after COVID-19: Overview of Recommendations http://bit.ly/36DCoKT

11.  Prevalence & Risk Factors for Delirium in ICU Patients http://bit.ly/39MmIXI

12.   Pathoetiology, Presentation, & Management of Delirium http://bit.ly/3pMTRYP

13.   Swallowing & Voice Outcomes in COVID-19 http://bit.ly/3rnBYjp

14.   Tracheotomy in COVID-19 Patients: Sys Review http://bit.ly/2LgcdSR

15.   Psych Effects of Remote Communication in ICU during COVID-19 http://bit.ly/3cCTBI1

 

3.      New publications – new papers hot off the presses 

Rehab –RCT

16.                  Body Weight-Supported Treadmill Training in ICU: RCT Protocol  http://bit.ly/3rnwQf9

 

Rehab– Observational & Quality Improvement (QI)

17.                  Level & Duration of Mobilization Therapy on Independent Living http://bit.ly/3jfsvb5

18.                  Nurse-Led Goal-Directed Lung PT on Pneumonia in ICU http://bit.ly/2YDVs7n

19.                  Quality Improvement Methods for Early Mobility in PICU http://bit.ly/3trjekS

20.                  Feasibility Pilot Study of In-Bed Cycling in Post Cardiac Surgery http://bit.ly/3pMRtRR

 

21.                  Current PT Practice in ICU in Saudi Arabia http://bit.ly/3cEX0X0

22.                  Survey of Early PT in ICUs of Rome http://bit.ly/3pO1v53

 

Rehab –Reviews

23.                  Early vs. Late or Standard Mobility: Sys Review http://bit.ly/39MCmlT

24.                  Early Mobilization with Vasoactive Drugs in ICU: Sys Review https://bit.ly/3jme7y4

25.     Unstructured Mobility Programs in General Medicine: Sys Rev http://bit.ly/3jd0ot8

26.     Telehealth for Home-Based Exercise for COPD: Sys Rev http://bit.ly/2YEKkqz

27.                  Rehabilitation in Neuro ICU: What Is Important? http://bit.ly/36F5YQ3

 

Outcomes after ICU, and Patient Outcomes Research

28.                  Patient Recovery: Beyond ICU & into Community http://bit.ly/3pMVxS7

29.                  What Matters to Patients & Families: Qualitative Study http://bit.ly/3rjjZLg

30.                  Functional Effects of Intervening Illnesses after ICU in Older Adults http://bit.ly/3auThbN

31.                  Diagnosis of Heterotopic Ossification in Post-ICU Neuro Rehab http://bit.ly/3tnRYnA

 

Strength, Mobility & Function

32.                  Measurement Properties of Hand Grip Strength: Sys Rev http://bit.ly/3cB51vN

33.                  Psychometric Properties & Translation of Turkish ICU Mobility Scale http://bit.ly/2MVzoSP

34.                  Validation of Portuguese ICU Mobility Scale for Nursing http://bit.ly/2YEIPIX

35.                  Skeletal Muscle Area & Density, & Outcome in VV-ECMO http://bit.ly/2MoePik

36.                  Practice & Barriers to ICU-Acquired Weakness Assessment http://bit.ly/39I9TgY

 

Delirium, Sedation, Sleep, & Cognition

37.                  Safety & Efficacy of Dexmed in NIV: Sys Rev http://bit.ly/3pQ6v9m

38.                  Melatonin & Receptor Agonists for Sleep & Delirium: Sys Rev http://bit.ly/3cB59vh

39.                  Cognitive Interventions in Adult ICU Survivors: Scoping Review http://bit.ly/3rh9iZw

40.                  Propofol Plus Dexmed & Postop Delirium in Cardiac Surgery: RCT http://bit.ly/3azY77q

41.                  Sleep Promotion in ICU: Earplugs/Eye Mask vs. Ocean Sound: RCT http://bit.ly/3pLD9Zz

42.                  Family Automated Voice Reorientation in ICU: RCT Protocol http://bit.ly/3jbuc9G

43.                  Implementing ABCDE Bundle in PICU http://bit.ly/39MkCGY

44.                  Pharmacologic Mgmt of Delirium in 8500 Patient Encounters http://bit.ly/3axoGKE

45.                  As-Needed Light Sedation in Ventilated Adults: QI project http://bit.ly/3jlRhqb

 

Family

46.                  Health Problems in ICU Caregivers: Interview Study http://bit.ly/3pKVsOR

47.                  Psych. Symptoms in ICU Surrogates during & before COVID-19 http://bit.ly/3oNifYV

 

Research Methods

48.                  Dropout from Exercise RCTs in People with Anxiety & Stress: Meta-Analysis http://bit.ly/36EFSwy

49.                  Attrition, Missing data, Compliance, & Biases in Rehab RCTs http://bit.ly/36Cadfm

50.                  RCTs in Rehab Research: Sample Size, Randomization, & Analyses http://bit.ly/36EO3c8

 

 

4.      Videos & News

1.      Video & podcast postings below:

a.      Videos & News at OACIS website: http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html

2.      Great videos also here:  www.ICULiberation.org

5.      Twitter: for brief updates about ICU Rehab, follow:  @icurehab  and  @DrDaleNeedham.  You can directly contribute using #icurehab

6.      “ICU Recovery Network” (IRN):  If you have not yet signed up for the “ICU Recovery Network” (IRN), email Kim Mattison (kmattis1@jhmi.edu). IRN is a FREE interactive web-based “virtual community” for ICU Rehab clinicians/researchers (no commercial vendors).  It is like a simplified version of Facebook and has many ICU Rehab resources and event postings.  IRN permits interactive communication with >1,100 ICU Rehab members from around the world.  You can ask questions, network with others in the field, and participate in future research projects. 

 

 



ICU REHAB UPDATES FOR JANUARY 2021


 

1.     Announcements and updates below 

a.     Register now: Worldwide, 1-day point prevalence study (ISIIC 2 Study) 

i.      Topic: implementation of evidence-based ICU care (eg, ABCDEF bundle)

ii.      Focus: patients with & without COVID-19.

iii.      Survey date: January 27, 2021   

iv.       Register via: https://form.jsea2005.org/isiic-Ⅱ-study/

 

b.     Latest Updates: Johns Hopkins Critical Care Rehab Annual Conference…

i.      Patient Videos: full-length recordings of the patient interviews are here: bit.ly/icurehab.

1.     These videos are publicly available for educational use 

2.     Here is a description of the 3 separate videos:

a.     Adult Patient Perspective on ICU Rehab (from Nov. 7, 2020 Conference),

b.     Pediatric Patient & Parents’ Perspective on ICU Rehab (Nov. 6, 2020), and

c.      Patient Perspective on Post-ICU Follow-Up (from Nov 5, 2020)

ii.      Save the Date:  10th Johns Hopkins Critical Care Rehab Conf. Nov 4 - 6, 2021

1.      For updates: bit.ly/icurehab or email ICUrehab@jhmi.edu

 

c.       Resources/tools for adult ICU, pediatric ICU, & hospital-wide mobility:

i.            http://www.johnshopkinssolutions.com/solution/activity-mobility-promotion-amp/ 

ii.            https://browse.welch.jhmi.edu/early-mobility

 

d.      Fundamentals of ICU Rehab Webinar by Chris Perme, PT CCS FCCM

i.      More info:  www.permeseminars.com

 

e.       For info about ICU & post-ICU functional measures, see: www.ImproveLTO.com

i.            This website is part of a NIH-funded grant for improving outcomes measurement in critical care research 

ii.            There is info about ICU-specific measures & long-term outcome measures (physical, cognitive, mental health & quality of life)

iii.            Free full-text review article on ICU mobility/physical function measures here:  http://rdcu.be/wszU

iv.            Free full-text review article on understanding patient outcomes after ICU:  https://bit.ly/2NTM77u

v.            FREE web-based, self-assessment of RASS/CAM-ICU sedation/delirium assessments, at:

1.      www.ImproveLTO.com/instruments; scroll down to Cognitive>ICU Delirium 

i.      Free registration required to access the assessment

vi.     Functional Status Score for the ICU (FSS-ICU) instrument information:

1.      Website registration for free access to FSS-ICU:  www.ImproveLTO.com

2.      20-minute instructional video is available at above website

3.      Turkish, Spanish & Portuguese translations available (see www.ImproveLTO.com)

4.      Korean, Japanese, & Italian translation are “in process”

5.      FSS-ICU version for retrospective assessment of patient’s pre-ICU baseline status is at above website       

 

f.        Validated Survey to Assess Barriers to ICU Mobility - free full text article available at: https://bit.ly/2zbYHGA

i.      Survey is freely available at:  bit.ly/icurehabsol

 

g.      ICU Rehab eResource Sheet is here ICU Rehab eResource Sheet January 2021 Monthly Email 12.30.20.v2.pdf

i.            share with colleagues; latest version is available at:http://www.hopkinsmedicine.org/oacis/icurehab 

 

 

2.      COVID resources

COVID-19 Related Papers – for Jan 2021

1.       Recommendations for PT in COVID-19: National Consensus (India) http://bit.ly/3rIfo64

2.       Rehab & COVID-19: Systematic Review Update as of October 31, 2020 http://bit.ly/38QezPY

3.       Patient Mask Wearing & 6MWT in COVID-19 Era http://bit.ly/34WGGfs

 

4.       Delirium Incidence, Duration, & Severity in ICU Patients with COVID-19 http://bit.ly/38NmUUH

 

5.       Meralgia Paraesthetica Neuropathy in ICU Survivors of COVID-19 http://bit.ly/3rHA7qX

6.       COVID-19 Survivors Exhibit Profound Muscular Weakness: Case Series http://bit.ly/3hFDDO1

 

7.       UK Rapid Guideline: Managing Long-Term Effects of COVID-19https://www.nice.org.uk/guidance/ng188

8.       UK Long-COVID Patient Booklet:  https://www.sign.ac.uk/media/1798/sign-long-covid-patient-booklet-1.pdf

 

9.       Persistent Symptoms after COVID-19 in Non-Hospitalized Subjects http://bit.ly/3o0Z1zs

10.   Long-Term Symptoms of COVID-19: Commentary http://bit.ly/3rD53Zf

11.   Personal Reflections of a COVID-19 Long Hauler http://bit.ly/2WSH4XQ

 

 

3.      New publications – new papers hot off the presses 

Rehab –RCT

1.       FES In-Bed Cycle Ergometry in Mechanically Ventilated Patients: RCT http://bit.ly/38QJHyU

2.       Inspiratory Muscle Training (Electronic Device) & Weaning: RCT http://bit.ly/3aTyIrb

 

Rehab – Observational

3.       Early Mobility Point Prevalence in Malaysia http://bit.ly/3rFxqpK

4.       Equipment & Technology in ICU Rehab: Surveyhttps://journals.lww.com/jacpt/Fulltext/2021/01000/Three_Fourths_of_ICU_Physical_Therapists_Report.4.aspx

 

Rehab – Systematic Review

5.       Effect of Early Mobility on Physical Function after Cardiac Surgery http://bit.ly/3pyamaA

6.       Early Rehab Reduces ICU-Acquired Weakness http://bit.ly/38LMERh

 

Outcomes after Critical Illness, and Patient Outcomes Research

7.       Experience of ICU Survivors as Volunteers in ICU Recovery Services http://bit.ly/2WY3jLW

8.       ICU Survivors Inform Development of Follow Up Clinics http://bit.ly/3rGYKnC

 

Strength, Mobility & Function

9.       CT Muscle Area Not Associated with Energy & Protein Delivery http://bit.ly/34VCxs6

10.   Screening for Critical Illness Polyneuropathy in ICU http://bit.ly/2MbEutQ

11.   Identifying Patients at Risk for Diaphragm Atrophy http://bit.ly/3pBrTPi

12.   Patient Mask Wearing & 6MWT in COVID-19 Era http://bit.ly/34WGGfs

13.   Impairment in Strength & Exercise Capacity: ALI vs ICU Survivors http://bit.ly/2KGsvnY

14.   In-Hospital Functional Measurement Framework http://bit.ly/3huWH1c

15.   Physical Activity & Sedentary Behavior during & after Hospital: Sys Rev http://bit.ly/3o22FsL

 

Delirium, Cognition/Neuro

16.   Effective of Bundle Interventions on ICU Delirium: Meta-Analysis http://bit.ly/34V1WSQ

17.   Haldol Prophylaxis & Incidence of ICU Delirium: Sys review http://bit.ly/3hFDM41

18.   Effect of Dexmed on Delirium in ICU: Sys Review http://bit.ly/3nZUCwx

19.   ICU Delirium Prediction Models: Sys Rev http://bit.ly/37Z4RvC

20.   Adaptation & Validation of Chart-Based Delirium Detection for ICU http://bit.ly/2L9b4fj

21.   Brain MRI after ICU Admit: Longitudinal Imaging http://bit.ly/3o1VKzZ

22.   Distorted Memories & Related Factors in ICU Patients http://bit.ly/37ZrKiE

23.   Recurrent Delirium over 12 Months Predicts Dementia http://bit.ly/2WVUQJf

24.   Time Course of Dementia after Sepsis: German Health Claims Analysis http://bit.ly/37XZdcZ

 

Swallowing

25.   Risk Factors for Post-Extubation Dysphagia: Sys Review http://bit.ly/3ryUZQW

 

Research Methods

26.   Scoping Review of Implementation Science in ICU http://bit.ly/3rH8T3u

27.   International Consensus for Outcome Measurement in Stroke Rehab RCTs http://bit.ly/3rCJyrr

 

4.      Videos & News

1.      Video & podcast postings below:

a.      Videos & News at OACIS website: http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html

2.      Great videos also here:  www.ICULiberation.org

5.      Twitter: for brief updates about ICU Rehab, follow:  @icurehab  and  @DrDaleNeedham.  You can directly contribute using #icurehab

6.      “ICU Recovery Network” (IRN):  If you have not yet signed up for the “ICU Recovery Network” (IRN), email Kim Mattison (kmattis1@jhmi.edu). IRN is a FREE interactive web-based “virtual community” for ICU Rehab clinicians/researchers (no commercial vendors).  It is like a simplified version of Facebook and has many ICU Rehab resources and event postings.  IRN permits interactive communication with >1,100 ICU Rehab members from around the world.  You can ask questions, network with others in the field, and participate in future research projects. 

 




ICU REHAB UPDATES FOR DECEMBER 2020


Welcome to the December 2020 monthly @ICURehab email.  The pandemic remains scary (we are still having record-setting incidence in my area, with COVID ICUs and wards re-opening), but the promising results from vaccine trials may be some glimmer of hope with, of course, important issues related to availability/distribution/access and uptake, etc.  Let’s hope for a better 2021 (early New Year’s greetings to everyone)!

 

 

1.     Announcements and updates below 

a.       Update from 9th Annual Johns Hopkins Critical Care Rehab Conference…

i.      Conference finished on Nov 30, with >1,100 attendees from >25 countries, 

ii.      Transcript of #ICURehab Tweets during the 3-day “Live” conference here: https://bit.ly/icurehab2020twittertranscript

1.      these 3,825 tweets came from 701 participants resulting in >15 million impressions

2.      this web-based transcript (link above) includes photos of slides & speakers  

a.       Click “Latest” tab to scroll through all tweets starting with most recent

iii.      *NEW* Patient Interview Videos: full-length recordings of the patient interviews are on our Conference website: bit.ly/icurehab

1.      These videos are publicly available for educational use

2.      Here is a description of the 3 separate videos:

a.       Adult patient perspective on ICU rehab (from Nov. 7 conference),

b.      Pediatric patient and parents’ perspective on ICU Rehab (Nov. 6), and

c.       Patient perspective on post-ICU follow-up (as part of the ICU Follow-Up Clinic Pre-Conference from Nov 5)

iv.       *NEW* Best Poster and Oral Abstract Winners: see here for more informationBest Oral and Poster Abstract winners.pdf

v.       Save the Date:  10th Johns Hopkins Critical Care Rehab Conf. Nov 4 - 6, 2021

1.      For updates: bit.ly/icurehab or email ICUrehab@jhmi.edu

 

b.      Resources/tools for adult ICU, pediatric ICU, & hospital-wide mobility:

i.            http://www.johnshopkinssolutions.com/solution/activity-mobility-promotion-amp/ 

ii.            https://browse.welch.jhmi.edu/early-mobility

 

c.       Fundamentals of ICU Rehab Webinar by Chris Perme, PT CCS FCCM

i.      More info:  www.permeseminars.com

 

d.      For info about ICU & post-ICU functional measures, see: www.ImproveLTO.com

i.            This website is part of a NIH-funded grant for improving outcomes measurement in critical care research 

ii.            There is info about ICU-specific measures & long-term outcome measures (physical, cognitive, mental health & quality of life)

iii.            Free full-text review article on ICU mobility/physical function measures here:  http://rdcu.be/wszU

iv.            Free full-text review article on understanding patient outcomes after ICU:  https://bit.ly/2NTM77u

v.            FREE web-based, self-assessment of RASS/CAM-ICU sedation/delirium assessments, at:

1.      www.ImproveLTO.com/instruments; scroll down to Cognitive>ICU Delirium 

i.      Free registration required to access the assessment

vi.            Functional Status Score for the ICU (FSS-ICU) instrument information:

1.      Website registration for free access to FSS-ICU:  www.ImproveLTO.com

2.      20-minute instructional video is available at above website

3.      Turkish, Spanish & Portuguese translations available (see www.ImproveLTO.com)

4.      Korean, Japanese, & Italian translation are “in process”

5.      FSS-ICU version for retrospective assessment of patient’s pre-ICU baseline status is at above website       

 

e.       Validated Survey to Assess Barriers to ICU Mobility - free full text article available at:  https://bit.ly/2zbYHGA

i.      Survey is freely available at:  bit.ly/icurehabsol

 

f.        ICU Rehab eResource Sheet is here ICU Rehab eResource Sheet pdf

i.            share with colleagues; latest version is available at: http://www.hopkinsmedicine.org/oacis/icurehab 

 

 

2.      COVID resources

COVID-19 Related Papers – for Dec 2020

1.       Identification of Functional Limitations & Discharge Destination in COVID-19 https://bit.ly/3gkJJSY

2.       COVID-19–Associated Myopathy Caused by Type I Interferonopathy https://bit.ly/2Iu7BY4

3.       Delirium in Older Patients With COVID-19 Presenting to the ED https://bit.ly/2VODrlb

 

4.       Dysphagia Presentation & Management Following COVID-19 https://bit.ly/37DOrHE

5.       Influence of Sensory Dysfunction on Swallowing Physiology in COVID-19 https://bit.ly/3oCHJZv

6.       Association of Tracheostomy with Sedation Changes in COVID-19: QI project https://bit.ly/39Ry3pU

 

7.       Health Assessment 3 Months after COVID-19 https://bit.ly/3mVguZo

8.       60-day Outcomes of Patients Hospitalized with COVID-19 https://bit.ly/39Omnnw

9.       Outcomes of Critically ill COVID‑19 Pneumonia Patients https://bit.ly/2K03R0R

10.   Reasons for Focusing on Care of Family of COVID-19 Patients https://bit.ly/3qBmbxZ

 

3.      New publications – new papers hot off the presses         

Rehab –RCT & Non-Randomized Studies

1.       Early NMES Reduces the Loss of Muscle Mass: RCT https://bit.ly/3goJSoo

2.       Effectiveness of Early Mobility on Mobility Status of ICU Patients https://bit.ly/39Oo702

3.       A Novel Early Mobility Bundle Improves LOS & Rates of Readmission https://bit.ly/3ov0UnH

 

Rehab – Observational

4.       Feasibility, Safety, & Resource Utilization of Mobility of Patients on ECMO https://bit.ly/2IoUozJ

5.       Mobile App for Combined Behavioral Activation & Physical Rehab https://bit.ly/2JH5LDy

6.       Introducing a PM&R Consultation Service to a Burn Center https://bit.ly/2VMqCYv

7.       Exercise Interventions are Delayed in Critically Ill Patients https://bit.ly/3qyQVj7

8.       Perspectives to Improve Early Mobility Monitoring: Qualitative Study https://bit.ly/3owTEYF

9.       Influence of Acuity of Illness on Effectiveness of Early Mobilization https://bit.ly/3glQcNC

 

Rehab – Systematic and Narrative Reviews

10.   Can Early Mobilization Prevent Pressure Injures in ICU? Sys Review https://bit.ly/33SaKbx

11.   Family Participation in PT-Related Tasks: Sys Review https://bit.ly/3lQOJjl

12.   Respiratory Rehab in Prolonged Ventilation: Narrative Review https://bit.ly/36SZQo0

 

Strength, Mobility & Function

13.   Disuse-Induced Muscle Loss & Rehabilitation: MRI Study https://bit.ly/3lUUKLU

14.   Effect of Non-Sedation on Physical Function - Substudy of NONSEDA RCT  https://bit.ly/3mVxH4X

15.    Muscle Power is Related to Physical Function in Patients Surviving ARF https://bit.ly/37Ipvif

16.   Muscle Atrophy Assoc with Mortality & Physical Function Impairment https://bit.ly/2VQvgVG

17.   Mobility of Acute Medical Patients: Behavioral Mapping vs. Accelerometry https://bit.ly/3ouy6fc

18.   Variability & Influence of Physical Activity on Quadriceps Strength https://bit.ly/3owrRYq

19.   Core Domains for Research on Hospital Inactivity: Delphi Consensus https://bit.ly/3mSvffP

20.   ICU Weakness & Fatigue: Role of the Central Nervous System https://bit.ly/3qAAh2y

 

Delirium

21.   The CAM-ICU-7 & ICDSC as Measures of Delirium Severity in ICU https://bit.ly/33QnOOL

22.   Detecting Delirium: Sys Review https://bit.ly/3qCYYvu

23.   Effects of Non-pharma Delirium Prevention: Sys Review  https://bit.ly/2VNcgXQ

 

Speech, Swallow & Communication

24.   Tracheostomy & Swallowing in Adults: Sys Review https://bit.ly/3qzUZQj

25.   Laryngeal Injury & Symptoms after Endotracheal Tube for Surgery: Sys Rev https://bit.ly/2LaL17z

 

Restraints

26.   Correlation Between Restraint Use & Engaging Family Members https://bit.ly/3qAc38I

 

Outcomes after Critical Illness, PICS, and Patient Outcomes Research

27.   Frailty & Long-Term Outcomes after ICU: Population Study https://bit.ly/3oJiSmT

28.   Recovery after Prolonged Treatment in ICU: Brief Review https://bit.ly/37MCdwk

29.   Mobile App for Combined Behavioral Activation & Physical Rehab https://bit.ly/2JH5LDy

30.   Effect of PICS on Quality of Life of ICU survivors https://bit.ly/37Gif6s

31.   Patients’ and Caregivers’ Interest in Learning About PICS https://bit.ly/2IoESnr

 

4.      Videos & News

1.      **NEW VIDEOS** Video & podcast postings below:

a.      Videos & News at OACIS website: http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html

2.      Great videos also here:  www.ICULiberation.org

5.      Twitter: for brief updates about ICU Rehab, follow:  @icurehab  and  @DrDaleNeedham.  You can directly contribute using #icurehab

6.      “ICU Recovery Network” (IRN):  If you have not yet signed up for the “ICU Recovery Network” (IRN), email Kim Mattison (kmattis1@jhmi.edu). IRN is a FREE interactive web-based “virtual community” for ICU Rehab clinicians/researchers (no commercial vendors).  It is like a simplified version of Facebook and has many ICU Rehab resources and event postings.  IRN permits interactive communication with >1,100 ICU Rehab members from around the world.  You can ask questions, network with others in the field, and participate in future research projects. 

 

 



ICU REHAB UPDATES #2 FOR NOV 2020


1.     Announcements and updates below

a.       Update from 9th Annual Johns Hopkins Critical Care Rehab Conference…

i.      Registration is closed with >1,100 attendees from >25 countries,

ii.      The “Live” conference occurred virtually from Nov 5-7, 2020 (“On-demand” format until Nov 30, 2020)

iii.       Transcript of #ICURehab Live Tweeting here:  https://bit.ly/icurehab2020twittertranscript

1.      these 3,825 tweets came from 701 participants resulting in >15 million impressions

2.      this web-based transcript (link above) includes photos of slides & speakers 

a.       Click “Latest” tab to scroll through all tweets starting with most recent

iv.       Save the Date:  10th Johns Hopkins Critical Care Rehab Conf. Nov 4 - 6, 2021

v.      See Conference webpage for ongoing updates: bit.ly/icurehab or email to ICUrehab@jhmi.edu

 

b.      Resources/tools for adult ICU, pediatric ICU, & hospital-wide mobility:

i.            http://www.johnshopkinssolutions.com/solution/activity-mobility-promotion-amp/ 

ii.            https://browse.welch.jhmi.edu/early-mobility

 

c.       Fundamentals of ICU Rehab Webinar by Chris Perme, PT CCS FCCM

i.      More info:  www.permeseminars.com

 

d.      For info about ICU & post-ICU functional measures, see: www.ImproveLTO.com

i.            This website is part of a NIH-funded grant for improving outcomes measurement in critical care research

ii.            There is info about ICU-specific measures & long-term outcome measures (physical, cognitive, mental health & quality of life)

iii.            Free full-text review article on ICU mobility/physical function measures here:  http://rdcu.be/wszU

iv.            Free full-text review article on understanding patient outcomes after ICU:  https://bit.ly/2NTM77u

  1. v.           FREE web-based, self-assessment of RASS/CAM-ICU sedation/delirium assessments, at:

  2. vi.

1.      www.ImproveLTO.com/instruments; scroll down to Cognitive>ICU Delirium

i.      Free registration required to access the assessment

vi.            Functional Status Score for the ICU (FSS-ICU) instrument information:

1.      Website registration for free access to FSS-ICU:  www.ImproveLTO.com

2.      20-minute instructional video is available at above website

3.      Turkish, Spanish & Portuguese translations available (see www.ImproveLTO.com)

4.      Korean, Japanese, & Italian translation are “in process”

5.      FSS-ICU version for retrospective assessment of patient’s pre-ICU baseline status is at above website       

 

e.       Validated Survey to Assess Barriers to ICU Mobility - free full text article available at:  https://bit.ly/2zbYHGA

i.      Survey is freely available at:  bit.ly/icurehabsol

 

f.        ICU Rehab eResource Sheet is here ICU Rehab eResource Sheet 11.13.20.pdf

i.            share with colleagues; latest version is available at: http://www.hopkinsmedicine.org/oacis/icurehab 

 

 

2.      COVID resources (prior months’ postings are at bottom) 

COVID-19 Related Papers – for #2 Nov 2020

1.       COVID-19 Guidance on Rehab: ERS & ATS Task Force https://bit.ly/3lIzlXm

2.       Prone Positioning using Safe Patient Handling Equipment https://bit.ly/3f53ihs

3.       Rehab of Communication & Swallowing: A Global Response to COVID-19 https://bit.ly/35Bnkx5

4.       Analgesia & Sedation in Patients with ARDS (including COVID-19) https://bit.ly/3kIX4W4

5.       Bidirectional Associations between COVID-19 & Psychiatric Disorders https://bit.ly/3lxvNH8

6.       Symptoms, Biomarker & Imaging Abnormalities after COVID-19 Hospital Stay https://bit.ly/32Q7H3f

 

3.      New publications – new papers hot off the presses         

Rehab –RCT

1.       NMES & Protein Supplementation after Subarachnoid Hemorrhage: RCT https://bit.ly/35BDQNx

 

Rehab – Observational

2.       Does NMES in Patients on ECMO Affect Pedal Perfusion? https://bit.ly/36zOkw4

3.       Impact of a Rehab Protocol on Physical Function & ADL https://bit.ly/3pCxbdQ

4.       Acute Rehab in Pediatric ICUs: A Canadian Point Prevalence Study https://bit.ly/3nwhIKM

5.       PT on 24/7 Basis in a Chilean ICU: A Cost-Benefit Analysis https://bit.ly/32Q3TPv

6.       Cycle Ergometry after Artificial Heart Implantation: A Case Study https://bit.ly/3kBPg8n

 

Strength, Mobility & Function

7.       Muscle Wasting & Dysfunction Predict Physical Disability at Discharge https://bit.ly/3f6kZNK

8.       Skeletal Muscle Damage by Electrically Evoked Muscle Contractions https://bit.ly/2IDLxKa

 

Outcomes after Critical Illness, and Patient Outcomes Research

9.       ICU Recovery Clinic Outcomes: Severity of Illness, Gender, & Rurality https://bit.ly/3kCQhwI

10.   Assoc of Severe Trauma with Work & Earnings in a National Cohort in Canada https://bit.ly/35BqIbh

11.   Participant Retention in Trauma ICU Follow-Up Studies: https://bit.ly/3f3zima

12.   Quality of Life after Sepsis Disentangling Mind & Matter https://bit.ly/35GaGgx

 

Delirium/Sleep/Sedation/Cognition

13.   Delirium: A Comprehensive Review  https://go.nature.com/3kB9iQg

14.   Cognitive Prehab to Prevent Postop Delirium in Major Surgery: RCT https://bit.ly/38MyXDg

15.   Impact of a Sleep Improvement Protocol on Sleep Duration & Quality https://bit.ly/2HbbvV4

16.   A Tool to Reduce Discharge Prescribing of Antipsychotics Initiated in the ICU https://bit.ly/3pt6MiG

17.   Newly Prescribed Antipsychotics after ICU: Incidence & Contributing Factors https://bit.ly/3lPNe69

18.   Sys Review of Sedation after Cardiac Surgery: Dexmed Vs. Propofol https://bit.ly/2UA0Lm2

19.   Cognitive Phenotypes One Month after ICU Discharge: https://bit.ly/3kzPexB

20.   Association of Hospitalization with Long-Term Cognitive Trajectories https://bit.ly/2IIsrmn

 

Psychological Issues

21.   Anxiety, Depression & PTSD Management after ICU: https://bit.ly/38PnNOo

22.   Support Group for ICU Survivors in the Era of Social Distancing https://bit.ly/35z2yy2

 

Speech, Swallow & Communication

23.   Outcome Measurement Tools for Communication, Voice & Speech: Sys Review https://bit.ly/3lG6frp

24.   Evidence-Based Communication with Critically Ill Older Adults: Review https://bit.ly/3kGkJpU

 

Restraints

25.   Physical Restraint in Australia & New Zealand ICUs: Point Prevalence Study https://bit.ly/3pDod0i

 

4.      Videos & News

a.      **NEW VIDEOS** Video & podcast postings below:

i.      Videos & News at OACIS website:  http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html

b.      Great videos also here:  www.ICULiberation.org

5.      Twitter: for brief updates about ICU Rehab, follow:  @icurehab  and  @DrDaleNeedham.  You can directly contribute using #icurehab

6.      “ICU Recovery Network” (IRN):  If you have not yet signed up for the “ICU Recovery Network” (IRN), email Kim Mattison (kmattis1@jhmi.edu). IRN is a FREE interactive web-based “virtual community” for ICU Rehab clinicians/researchers (no commercial vendors).  It is like a simplified version of Facebook and has many ICU Rehab resources and event postings.  IRN permits interactive communication with >1,100 ICU Rehab members from around the world.  You can ask questions, network with others in the field, and participate in future research projects. 

 





ICU REHAB UPDATES FOR NOVEMBER 2020


Hi Everyone,    

 

I am very sorry to hear about worsening pandemic conditions in many places, including parts of Europe and North America.  At present, in my state, we are having slow and steady increase in the incidence of COVID-19 which is now at the highest level for the past 3 months. 

 

I am sending the “November” email a little bit early since we have an exceptionally high number of citations (!!) and because things have become very busy with launching the virtual format of the Johns Hopkins ICU Rehab conference (available from now until Nov 30)  and  we are only days away the Live version (Nov 5-7) of the Conference.  Perhaps, I will send a second November update, if there continues to be many new citations, along with a conference update, later in November.

 

Remember that the Live conference (Nov 5-7) will be Live tweeted from @icurehab using the following Conference hashtag: #ICUrehab

 

Months ago, I started the New Publications section (see very bottom of this email) with papers and web-based resources related to rehab & COVID-19 (also see the attached eResource sheet that has some COVID-19 resources).  Since there has been interest in mechanical ventilation and/or prone positioning during COVID-19, I occasionally include related NEW papers/resources.

 

ICU Rehab updates for Nov 2020

 

1.     Announcements and updates below

a. 9th Hopkins Critical Care Rehab Conference HAS STARTED! (On-demand version avble until Nov 30*  +  Live version Nov. 5 – 7*)

i.      *This virtual Conference is delivered in 2 ways:  (1) presentations, via Zoom Webinar, during Nov 5 to 7 (as per agenda in Flyer, attached),  and  (2)  on-demand, via a customized online learning management platform, available from Oct 22 to Nov 30, 2020.  Hence, if you miss any or all of the Conference during Nov 5 to 7, you can view it, on your own schedule at home or work, via on-demand.  Both viewing options are available as part of the registration fee.

ii.      Due to regulatory issues associated with CME/CEU status, the final deadline for Conference registration is Nov 3 at 11:59 pm Eastern Standard Time USA (same time zone as New York City). Please register early to avoid any potential any technical glitch with you accessing the registration website

iii.       All conference presentations have English subtitles/captions

iv.       Virtual format:  see video for explanation of virtual format & registration:  https://www.youtube.com/watch?v=e2Jk4vctLCA&feature=youtu.be

1.      Attached: Conference Flyer with registration packages & conference agenda Virtual 9th Hopkins ICU Rehab Conference Flyer_Full Flyer 9.28.20_ Compressedv2.pdf

2.      New Pre-Conference for 2020:  “ICU Follow-Up Clinics” with speakers from across USA. 

a.      This new pre-conference is so relevant to any sites setting up post-COVID-19 clinics

v.      More info via: bit.ly/icurehab  or email: ICUrehab@jhmi.edu

 

b.      Archives available for free Webinar Series:   Rehab Perspectives for COVID-19

i.      All 4 webinars are archived here (scroll partway down webpage):  bit.ly/icurehab

1.      Ann Parker, MD, PhD presenting Post-ICU Recovery Clinic Approach

2.      Dale Needham, MD, PhD presenting Adult ICU Rehab Approach

3.      Sapna Kudchadkar, MD, PhD presenting Pediatric ICU Rehab Approach

4.      Michael Friedman, PT, MBA presenting Hospital-wide Mobility Approaches

 

c.       Resources/tools for adult ICU, pediatric ICU, & hospital-wide mobility:

i.            http://www.johnshopkinssolutions.com/solution/activity-mobility-promotion-amp/ 

ii.            https://browse.welch.jhmi.edu/early-mobility

 

d.      Fundamentals of ICU Rehab Webinar by Chris Perme, PT CCS FCCM

i.      More info:  www.permeseminars.com

 

e.       For info about ICU & post-ICU functional measures, see: www.ImproveLTO.com

i.            This website is part of a NIH-funded grant for improving outcomes measurement in critical care research

ii.            There is info about ICU-specific measures & long-term outcome measures (physical, cognitive, mental health & quality of life)

iii.            Free full-text review article on ICU mobility/physical function measures here:  http://rdcu.be/wszU

iv.            Free full-text review article on understanding patient outcomes after ICU:  https://bit.ly/2NTM77u

v.            FREE web-based, self-assessment of RASS/CAM-ICU sedation/delirium assessments, at:

1.      www.ImproveLTO.com/instruments; scroll down to Cognitive>ICU Delirium

i.      Free registration required to access the assessment

vi.    Functional Status Score for the ICU (FSS-ICU) instrument information:

1.      Website registration for free access to FSS-ICU:  www.ImproveLTO.com

2.      20-minute instructional video is available at above website

3.      Turkish, Spanish & Portuguese translations available (see www.ImproveLTO.com)

4.      Korean, Japanese, & Italian translation are “in process”

5.      FSS-ICU version for retrospective assessment of patient’s pre-ICU baseline status is at above website       

f.        Validated Survey to Assess Barriers to ICU Mobility - free full text article available at:  https://bit.ly/2zbYHGA

i.      Survey is freely available at:  bit.ly/icurehabsol

 

ICU Rehab eResource Sheet

is ICU Rehab eResource Sheet 10.26.20 v2.pdf share with colleagues; latest version is available at: http://www.hopkinsmedicine.org/oacis/icurehab 

 

 

2.      COVID resources (prior months’ postings are at bottom of this email) 

COVID-19 Related Papers – for Nov 2020

1.       Novel Communication Device during Non-Invasive Ventilation: RCT https://bit.ly/35FhCsN

2.       A Rehab-Based Prone Team for ARDS Related to COVID-19 https://bit.ly/34zmYq7

3.       Improving Proning for ARDS during COVID-19: Implementation Mapping https://bit.ly/3kIo20Q

4.       Reducing the Risk & Impact of Brachial Plexus Injury from Prone Positioning https://bit.ly/31RPT7g

5.       Frequency of PT is Associated with Mobility & Disposition in COVID-19 https://bit.ly/37PPAha

6.       Rehab & COVID-19: the Cochrane Systematic Review https://bit.ly/2Jixvy5

7.       Managing the Rehab Wave: Rehab Services for COVID-19 Survivors https://bit.ly/2HAQl2W

8.       ICU Admission & Early Neuro-Rehab: Lessons for COVID-19 https://bit.ly/2HAQTpw

9.       Early PT Interventions for Patients with COVID-19: Case Series https://bit.ly/3jFTE5I

10.   What Now for Rehab Specialists? COVID-19 Questions & Answers https://bit.ly/2HGTONi

11.   ICU-Acquired Weakness in COVID‑19 patients https://bit.ly/3e76ada

12.   Patient-Reported Outcomes after COVID-19: Prospective Cohort Study https://bit.ly/34BBQEM

13.   Symptom Duration & Risk Factors for Delayed Return to Health in COVID-19 https://bit.ly/3oDQTps

14.   Follow-Up of Non-Critical COVID-19: Two Months After Symptom Onset https://bit.ly/2Tx13cX

15.   Psychological Distress among COVID-19 Survivors during Convalescence https://bit.ly/35G104d

16.   Psychological Distress of Populations Affected by the COVID-19 https://bit.ly/3jCV1lM

17.   Depression, Anxiety & Acute Stress Disorder in Patients with COVID-19 https://bit.ly/3ebqslZ

18.   Assoc between Visitor Restriction & Delirium Incidence during COVID-19 https://bit.ly/3oxhPqB

19.   Neurologic Manifestations & Encephalopathy-Assoc Morbidity in COVID-19 https://bit.ly/34Bnu75

20.   Conduct of Research for COVID-19 & Beyond: SCCM VIRUS Registry https://bit.ly/3oAMLqc

21.   Cognitive deficits after COVID-19 vs controls: online study (pre-print) https://www.medrxiv.org/content/10.1101/2020.10.20.20215863v1.full.pdf

 

 

3.      New publications – new papers hot off the presses         

Rehab – Pilot RCT & Quasi-experimental studies

1.       Rehab during ECMO Has Minimal Impact on Physiological Parameters: RCT https://bit.ly/3ow4RcV

2.       “In the tube” following Sternotomy https://bit.ly/3kDFPWG

 

Rehab – Observational

3.       Impact of Passive Cycling on Hemodynamics, Cerebral Blood, & Cardiac Func https://bit.ly/2HHPoFG

4.       Integrating Safe Patient Handling & Early Mobility: Quality Improvement https://bit.ly/3e5MrL2

5.       Outcomes after Intensive Rehab: A Nationwide Cohort Study https://bit.ly/37NEc5e

6.       Acute Effects of Sitting & Exercise on Lung Aeration and Oxygenation https://bit.ly/3mzOPN1

 

Rehab – Barriers and Beliefs

7.       Barriers & Facilitators of Early Mobility: A Qualitative Study https://bit.ly/3e1C0Iw

8.       Barriers & Facilitators to Early Rehab in the ICU: A Delphi Study https://bit.ly/3kFwbD1

9.       ICU Team Member Beliefs Toward Early Mobility: An Elicitation Survey https://bit.ly/37OKTUM

10.   Assessment of Mobility Capacity in 10 ICU Scenarios by Different Professions https://bit.ly/34BjCmM

 

Systematic Review & Narrative Reviews

11.   Guidelines for Early Mobilization in the ICU: A Systematic Review https://bit.ly/3muZI2J

12.   Unpacking the Physical Rehab Needs of Critically Ill https://bit.ly/3kDos8C

 

Strength, Mobility & Function

13.   Actigraphy to Measure Physical Activity in the ICU: A Systematic Review https://bit.ly/31QwROs

14.   The Association of Pain & Actigraphy in Critically Ill Patients https://bit.ly/37L81n7

15.   Association between Frailty & Short-Term Outcomes in an ICU Rehab Trial  https://bit.ly/2J6wcSu

16.   Association of Perme Mobility Score & MRC-SS with Discharge Destination https://bit.ly/2GcvXo4

17.   Perme Mobility Score: Minimal Detectable Change & Responsiveness https://bit.ly/31Rnhej

 

Outcomes after Critical Illness, and Patient Outcomes Research

18.   Identification of Impairments after ICU: SCCM International Consensus  https://bit.ly/37NGHEB

19.   Prediction Models for Physical, Cognitive, & Mental Impairments: Sys Review https://bit.ly/2HHxKSK

20.   Enhanced Recovery after Intensive Care (ERIC): Study Protocol https://bit.ly/3oCXGiQ

 

21.   A Core Outcome Set for Pediatric Critical Care https://bit.ly/37Q2ifx

22.   Outcome Domains in Pediatric ICU & the Instruments Used to Evaluate Them https://bit.ly/3e6XzqV

 

23.   A Novel Approach to ICU Survivor Care: A Population Health QI Project https://bit.ly/35Jqtd0

24.   A Score for Re-hospitlization of Sepsis Survivors https://bit.ly/31QmCcS

 

25.   Abnormal Exercise Responses in Survivors of ALI during CPET https://bit.ly/2TynQoQ

26.   Body Composition: Muscle, Bone, & Fat effects on mortality & disability https://bit.ly/34zeW0r

 

27.   Cost-Effectiveness of the ABCDE Bundle: Impact on 1-Year Mortality & Costs https://bit.ly/2GcoMfC

 

28.   Patient or Family Perceived Deterioration in Functional Status & Outcomes https://bit.ly/3oz7XwD

29.   Trajectories of Functional Recovery in Sepsis Survivors https://bit.ly/37PXyqA

 

Cognition/Delirium/Sleep

30.   Efficacy of Haldol to decrease Delirium (EuRIDICE): RCT Study Protocol https://bit.ly/3oxvNZD

31.   Delirium & QoL in Critically Ill Patients: Prospective Cohort Study https://bit.ly/2HMEEFK

32.   Association between Inpatient Delirium and Hospital Readmission https://bit.ly/3kDsgXc

 

33.   Exploration of the Reliability & Usability of Two Delirium Screening Tools https://bit.ly/37QbuR5

34.   Accuracy of Delirium Assessments in Critically Ill Children https://bit.ly/34BkS9h

35.   Delirium: A Review https://bit.ly/3kAJ1CE

 

36.   Effect of Melatonin Administration in ICU Patients on Delirium & Sleep: RCT https://bit.ly/2TzpGWC

37.   The Effects of Melatonin on Sleep Quality: RCT https://bit.ly/37SH9l1

38.   Providing Evidence-Based Care, Day & Night: QI to Improve Sleep Quality https://bit.ly/2Tzuxai

 

39.   Inflammation in ICU and 1-Year Cognitive & Physical Impairment https://bit.ly/2HJk8py

40.   Effect of Non-sedation on Cognitive Function in Survivors of ICU https://bit.ly/2TCZaLX

41.   Cognitive Improvement Mediates Exercise Effects on Performance (non-ICU) https://bit.ly/34Bx0aA

42.   Association of Depression with Cognitive Impairment in ICU Survivors https://bit.ly/37MG3Hp

 

Psychological Issues

43.   Effect of Nurse-Led Consultations on PTSD: RCT https://bit.ly/2HFBkMM

44.   Efficacy of a Resiliency Intervention for Prevention of Distress: RCT https://bit.ly/3kPI5KR

45.   Report on the Third International ICU Diary Conference https://bit.ly/3kBys1X

 

46.   Anxiety in the ICU: Prevalence, Risk Factors, & Outcomes https://bit.ly/2TxXvHC

47.   Environmental Stressors in ICU and Anxiety & Depression: Cross-Sectional https://bit.ly/31Qe59Q

48.   Depression with Cognitive Impairment in ICU Survivors https://bit.ly/37MG3Hp

49.   Facilitating Post-Traumatic Growth after Critical Illness https://bit.ly/3jETwTY

Restraints

50.   Physical Restraints & PTSD in Survivors of ICU: Meta-analysis https://bit.ly/2HL2mCT

 

UK Guidance for Animal Assisted Intervention in ICU: https://www.ics.ac.uk/ICS/Pdfs/Standards_Guidelines/Animal_assisted_intervention_guidance

 

 

4.      Videos & News

a.      **NEW VIDEOS** Video & podcast postings below:

i.      Videos & News at OACIS website:  http://www.hopkinsmedicine.org/pulmonary/research/outcomes_after_critical_illness_surgery/oacis_videos_news.html

b.      Great videos also here:  www.ICULiberation.org

5.      Twitter: for brief updates about ICU Rehab, follow:  @icurehab  and  @DrDaleNeedham.  You can directly contribute using #icurehab

6.      “ICU Recovery Network” (IRN):  If you have not yet signed up for the “ICU Recovery Network” (IRN), email Kim Mattison (kmattis1@jhmi.edu). IRN is a FREE interactive web-based “virtual community” for ICU Rehab clinicians/researchers (no commercial vendors).  It is like a simplified version of Facebook and has many ICU Rehab resources and event postings.  IRN permits interactive communication with >1,100 ICU Rehab members from around the world.  You can ask questions, network with others in the field, and participate in future research projects. 

 

  

Best wishes to everyone,

 

Dale