Randomized Controlled Trial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 16, 2024; 12(26): 5930-5936
Published online Sep 16, 2024. doi: 10.12998/wjcc.v12.i26.5930
Study of the intensive care unit activity scale in the early rehabilitation of patients after direct cardiac surgery
Li Wang, Jing-Ya Lu, Xiao-Xiao Ma, Lan-Ou Ma
Li Wang, Jing-Ya Lu, Lan-Ou Ma, Intensive Care Unit, Dongyang People’s Hospital, Jinhua 322100, Zhejiang Province, China
Xiao-Xiao Ma, Department of Rehabilitation Medicine, Dongyang People’s Hospital, Jinhua 322100, Zhejiang Province, China
Author contributions: Wang L designed the research study; Wang L, Lu JY, Ma XX, and Ma LO performed the primary literature review and data extraction; Wang L, Lu JY, Ma XX, and Ma LO analyzed the data and wrote the manuscript; Wang Lwere responsible for revising the manuscript for important intellectual content; and all authors read and approved the final version.
Supported by Zhejiang Provincial Medical and Health Technology Plan, No. 2019KY762.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Committee of Dongyang People's Hospital.
Clinical trial registration statement: This study was registered at the Clinical Trial Registry.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All authors declare no potential conflicting interests related to this paper.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: Https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li Wang, MNurs, Nurse, Intensive Care Unit, Dongyang People’s Hospital, No. 60 Wuning West Road, Dongyang City, Jinhua 322100, Zhejiang Province, China. dyyykhjjjj@163.com
Received: May 18, 2024
Revised: June 29, 2024
Accepted: July 10, 2024
Published online: September 16, 2024
Processing time: 65 Days and 18.5 Hours
Abstract
BACKGROUND

Direct cardiac surgery often necessitates intensive post-operative care, and the intensive care unit (ICU) activity scale represents a crucial metric in assessing and guiding early rehabilitation efforts to enhance patient recovery.

AIM

To clarify the clinical application value of the ICU activity scale in the early recovery of patients after cardiac surgery.

METHODS

One hundred and twenty patients who underwent cardiac surgery between September 2020 and October 2021 were selected and divided into two groups using the random number table method. The observation group was rated using the ICU activity scale and the corresponding graded rehabilitation interventions were conducted based on the ICU activity scale. The control group was assessed in accordance with the routine rehabilitation activities, and the postoperative rehabilitation indexes of the patients in both groups were compared (time of tracheal intubation, time of ICU admission, occurrence of complications, and activity scores before ICU transfer). The two groups were compared according to postoperative rehabilitation indicators (time of tracheal intubation, length of ICU stay, and occurrence of complications) and activity scores before ICU transfer.

RESULTS

In the observation group, tracheal intubation time lasted for 18.30 ± 3.28 h and ICU admission time was 4.04 ± 0.83 d, which were significantly shorter than the control group (t-values: 2.97 and 2.038, respectively, P < 0.05). The observation group also had a significantly lower number of complications and adverse events compared to the control group (P < 0.05). Before ICU transfer, the observation group (6.7%) had few complications and adverse events than the control group (30.0 %), and this difference was statistically significant (P < 0.05). Additionally, the activity score was significantly higher in the observation (26.89 ± 0.97) compared to the control groups (22.63 ± 1.12 points) (t-value; -17.83, P < 0.05).

CONCLUSION

Implementation of early goal-directed activities in patients who underwent cardiac surgery using the ICU activity scale can promote the recovery of cardiac function.

Keywords: Early recovery activities; Goal orientated; ICU mobility scale; Intensive care unit; Cardiac surgery

Core Tip: Intensive care unit (ICU) activity scale-guided graded rehabilitation interventions significantly shortened the tracheal intubation time and ICU stay, lower complication rates, and improved the activity scores of patients undergoing cardiac surgery. This suggests that the ICU Activity Scale has a positive clinical application value in promoting early recovery after cardiac surgery.