Research paper
Increased Hospital-Based Physical Rehabilitation and Information Provision After Intensive Care Unit Discharge: The RECOVER Randomized Clinical Trial.
Study answer
What this study found
Enhanced post-ICU rehabilitation with increased mobility/exercise, more dietetic input, goal setting, and information provision did not improve mobility (Rivermead Mobility Index at 3 months: 13 in both groups; adjusted mean difference −0.2, 95% CI −1.3 to 0.9; P = 0.71) or health-related quality of life (SF-12 PCS: −0.1, 95% CI −3.3 to 3.1; P = 0.96; SF-12 MCS: 0.2, 95% CI −3.4 to 3.8; P = 0.91). No differences were observed at 6 or 12 months for any outcome. Intervention improved patient satisfaction with rehabilitation-related aspects (physiotherapy, nutritional support, coordination of…
- Study & population
- Design: parallel-group, randomized clinical trial with blinded outcome assessment conducted at two hospitals in Edinburgh, Scotland.
- Key limitation
- Not blinded participants or clinicians; bias mitigated by restricting rehabilitation assistants to the intervention group and blinding outcome assessors.
Original abstract
IMPORTANCE Critical illness results in disability and reduced health-related quality of life (HRQOL), but the optimum timing and components of rehabilitation are uncertain. OBJECTIVE To evaluate the effect of increasing physical and nutritional rehab…