ICU sedation, delirium & recovery

Assessing the safety of physical rehabilitation in critically ill patients: a Delphi study

Crit CarePublished Delphi consensus study

Authors' conclusion

The adverse event tool can be used in studies of physical rehabilitation to ensure uniform measurement of safety.

Study context

Population
International multi-professional ICU clinicians and clinician researchers; former ICU patients and a relative for the adverse event definition
Participants
24 clinicians · 10 countries
Outcome
Consensus on (a) adverse events for a general ICU cohort and (b) risks to assess before physical rehabilitation of patients receiving vasoactive drugs
Methodological detailsthree-stage Delphi, international, 70% consensus agreement threshold, five-point Likert scale, Former ICU patients and family members/carers involved in adverse event consensus
  • Three-stage Delphi
  • International
  • 70% consensus agreement threshold
  • Five-point Likert scale
  • Former ICU patients and family members/carers involved in adverse event consensus

Recommendations

As reported in the abstract

Adverse events reaching consensus (adverse event tool created)

54

Risk factors before rehabilitation with vasoactive drugs reaching consensus (risk assessment tool created)

50

Further findings

Panel characteristics and response

Mean ICU experience, years (SD 8)
18
Panellists with ICU rehabilitation publications
61%
Former ICU patients recruited (adverse event definition)
5
Patient relatives recruited
1
Delphi response rate
97%

Original publication

Assessing the safety of physical rehabilitation in critically ill patients: a Delphi study. Crit Care. Published 30 April 2024. doi:10.1186/s13054-024-04919-x

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