Artikel
The use of robotic systems for early mobilization of intensive care patients: a scoping review
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Autoren
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Amrei Christin Klamt
- Catholic University of Eichstätt-Ingolstadt, Germany
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Jana Frey
- Catholic University of Eichstätt-Ingolstadt, Germany
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Lena Schmidbauer
- Catholic University of Eichstätt-Ingolstadt, Germany
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Angelika Warmbein
- Hospital of the Ludwig-Maximilians-University (LMU) Munich, Germany
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Ivanka Rathgeber
- Hospital of the Ludwig-Maximilians-University (LMU) Munich, Germany
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Uli Fischer
- Hospital of the Ludwig-Maximilians-University (LMU) Munich, Germany
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Inge Eberl
- Catholic University of Eichstätt-Ingolstadt, Germany
| Veröffentlicht: | 5. Juli 2021 |
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Gliederung
Text
Background: The mobilization of intensive care patients and presents a safety risk to all those involved. Studies show that early mobilization can have a positive influence on healing process and rehabilitation of critically ill patients [1]. Robotic systems should help make it feasible to perform during the everyday work of intensive wards.
Objectives: The objective is, to answer the following research questions: how is early mobilization carried out on intensive wards using robotic systems? What effect does early mobilization carried out using robotic systems have on patient outcomes?
Design and method: A literature search was undertaken with the PRISMA-ScR [2]. A search was conducted from May to July 2020 using defined search strings in the following databases: MEDLINE, CINAHL, Cochrane Library, Embase, IEEE Xplore, Scopus and WTI. Articles were included in the search that contained rehabilitation-, (early) mobilization- and transfer robotics, with the aim of application on intensive wards.
Results: 14 articles (4 texts and opinions, 1 case report, 2 case-control studies, 1 quasi-experimental intervention study, 1 cross-sectional study and 5 RCTs) were included.
To mobilize intensive care patients, mainly electronic in-bed cycles, treadmills or tilt tables are used. The implementation of these systems has a positive effect on patient outcomes, demonstrated by the stability of respiration and bodily function [3].
Conclusions: Further research into the use of robotic systems in early mobilization is required. In particular, the systems currently in use have not yet led to optimal savings in human resources. It is also clear that robotic systems can usefully supplement but not replace conventional early mobilization.
References
- 1.
- Waldauf P, Jiroutková K, Krajcová A, Puthucheary Z, Duška F. Effects of Rehabilitation Interventions on Clinical Outcomes in Critically Ill Patients: Systematic Review and Meta-Analysis of Randomized Controlled Trials. CRIT CARE MED. 2020;48(7):1055-65. DOI: 10.1097/CCM.0000000000004382
- 2.
- Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, Moher D, Peters MDJ, Horsley T, Weeks L, Hempel S, Akl EA, Chang C, McGowan J, Stewart L, Hartling L, Aldcroft A, Wilson MG, Garritty C, Lewin S, Godfrey CM, Macdonald MT, Langlois EV, Soares-Weiser K, Moriarty J, Clifford T, Tunçalp Ö, Straus SE. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018 Oct 2;169(7):467-473. DOI: 10.7326/M18-0850
- 3.
- Parry SM, Berney S, Koopman R, Bryant A, El-Ansary D, Puthucheary Z, Hart N, Warrillow S, Denehy L. Early rehabilitation in critical care (eRiCC): functional electrical stimulation with cycling protocol for a randomised controlled trial. BMJ Open. 2012 Sep 13;2(5):e001891. DOI: 10.1136/bmjopen-2012-001891
