Strength and Cardiorespiratory Exercise Rehabilitation for Severely Burned Patients During Intensive Care Units: A Survey of Practice

Janos Cambiaso-Daniel, Ingrid Parry, Eric Rivas, Jennifer Kemp-Offenberg, Soman Sen, Julie A. Rizzo, Michael A. Serghiou, Karen Kowalske, Steven Wolf, David Herndon, Oscar Suman

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Minimizing the deconditioning of burn injury through early rehabilitation programs (RP) in the intensive care unit (ICU) is of importance for improving the recovery time. The aim of this study was to assess current standard of care (SOC) for early ICU exercise programs in major burn centers. We designed a survey investigating exercise RP on the ICU for burn patients with >30% total burned surface area. The survey was composed of 23 questions and submitted electronically via SurveyMonkey® to six major (pediatric and adult) burn centers in Texas and California. All centers responded and reported exercise as part of their RP on the ICU. The characteristics of exercises implemented were not uniform. All centers reported to perform resistive and aerobic exercises but only 83% reported isotonic and isometric exercises. Determination of intensity of exercise varied with 50% of centers using patient tolerance and 17% using vital signs. Frequency of isotonic, isometric, aerobic, and resistive exercise was reported as daily by 80%, 80%, 83%, and 50% of centers, respectively. Duration for all types of exercises was extremely variable. Mobilization was used as a form of exercise by 100% of burn centers. Our results demonstrate that although early RP seem to be integral during burn survivor's ICU stay, no SOC exists. Moreover, early RP are inconsistently administered and large variations exist in frequency, intensity, duration, and type of exercise. Thus, future prospective studies investigating the various components of exercise interventions are needed to establish a SOC and determine how and if early exercise benefits the burn survivor.

Original languageEnglish (US)
Pages (from-to)897-901
Number of pages5
JournalJournal of burn care & research : official publication of the American Burn Association
Volume39
Issue number6
DOIs
StatePublished - Oct 23 2018

Fingerprint

Exercise Therapy
Intensive Care Units
Exercise
Burn Units
Rehabilitation
Standard of Care
Survivors
Surveys and Questionnaires
Vital Signs

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Rehabilitation

Cite this

Strength and Cardiorespiratory Exercise Rehabilitation for Severely Burned Patients During Intensive Care Units : A Survey of Practice. / Cambiaso-Daniel, Janos; Parry, Ingrid; Rivas, Eric; Kemp-Offenberg, Jennifer; Sen, Soman; Rizzo, Julie A.; Serghiou, Michael A.; Kowalske, Karen; Wolf, Steven; Herndon, David; Suman, Oscar.

In: Journal of burn care & research : official publication of the American Burn Association, Vol. 39, No. 6, 23.10.2018, p. 897-901.

Research output: Contribution to journalArticle

Cambiaso-Daniel, Janos ; Parry, Ingrid ; Rivas, Eric ; Kemp-Offenberg, Jennifer ; Sen, Soman ; Rizzo, Julie A. ; Serghiou, Michael A. ; Kowalske, Karen ; Wolf, Steven ; Herndon, David ; Suman, Oscar. / Strength and Cardiorespiratory Exercise Rehabilitation for Severely Burned Patients During Intensive Care Units : A Survey of Practice. In: Journal of burn care & research : official publication of the American Burn Association. 2018 ; Vol. 39, No. 6. pp. 897-901.
@article{8a1f6c5bfaa841bbbb5570395e330078,
title = "Strength and Cardiorespiratory Exercise Rehabilitation for Severely Burned Patients During Intensive Care Units: A Survey of Practice",
abstract = "Minimizing the deconditioning of burn injury through early rehabilitation programs (RP) in the intensive care unit (ICU) is of importance for improving the recovery time. The aim of this study was to assess current standard of care (SOC) for early ICU exercise programs in major burn centers. We designed a survey investigating exercise RP on the ICU for burn patients with >30{\%} total burned surface area. The survey was composed of 23 questions and submitted electronically via SurveyMonkey{\circledR} to six major (pediatric and adult) burn centers in Texas and California. All centers responded and reported exercise as part of their RP on the ICU. The characteristics of exercises implemented were not uniform. All centers reported to perform resistive and aerobic exercises but only 83{\%} reported isotonic and isometric exercises. Determination of intensity of exercise varied with 50{\%} of centers using patient tolerance and 17{\%} using vital signs. Frequency of isotonic, isometric, aerobic, and resistive exercise was reported as daily by 80{\%}, 80{\%}, 83{\%}, and 50{\%} of centers, respectively. Duration for all types of exercises was extremely variable. Mobilization was used as a form of exercise by 100{\%} of burn centers. Our results demonstrate that although early RP seem to be integral during burn survivor's ICU stay, no SOC exists. Moreover, early RP are inconsistently administered and large variations exist in frequency, intensity, duration, and type of exercise. Thus, future prospective studies investigating the various components of exercise interventions are needed to establish a SOC and determine how and if early exercise benefits the burn survivor.",
author = "Janos Cambiaso-Daniel and Ingrid Parry and Eric Rivas and Jennifer Kemp-Offenberg and Soman Sen and Rizzo, {Julie A.} and Serghiou, {Michael A.} and Karen Kowalske and Steven Wolf and David Herndon and Oscar Suman",
year = "2018",
month = "10",
day = "23",
doi = "10.1093/jbcr/iry002",
language = "English (US)",
volume = "39",
pages = "897--901",
journal = "Journal of Burn Care and Research",
issn = "1559-047X",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Strength and Cardiorespiratory Exercise Rehabilitation for Severely Burned Patients During Intensive Care Units

T2 - A Survey of Practice

AU - Cambiaso-Daniel, Janos

AU - Parry, Ingrid

AU - Rivas, Eric

AU - Kemp-Offenberg, Jennifer

AU - Sen, Soman

AU - Rizzo, Julie A.

AU - Serghiou, Michael A.

AU - Kowalske, Karen

AU - Wolf, Steven

AU - Herndon, David

AU - Suman, Oscar

PY - 2018/10/23

Y1 - 2018/10/23

N2 - Minimizing the deconditioning of burn injury through early rehabilitation programs (RP) in the intensive care unit (ICU) is of importance for improving the recovery time. The aim of this study was to assess current standard of care (SOC) for early ICU exercise programs in major burn centers. We designed a survey investigating exercise RP on the ICU for burn patients with >30% total burned surface area. The survey was composed of 23 questions and submitted electronically via SurveyMonkey® to six major (pediatric and adult) burn centers in Texas and California. All centers responded and reported exercise as part of their RP on the ICU. The characteristics of exercises implemented were not uniform. All centers reported to perform resistive and aerobic exercises but only 83% reported isotonic and isometric exercises. Determination of intensity of exercise varied with 50% of centers using patient tolerance and 17% using vital signs. Frequency of isotonic, isometric, aerobic, and resistive exercise was reported as daily by 80%, 80%, 83%, and 50% of centers, respectively. Duration for all types of exercises was extremely variable. Mobilization was used as a form of exercise by 100% of burn centers. Our results demonstrate that although early RP seem to be integral during burn survivor's ICU stay, no SOC exists. Moreover, early RP are inconsistently administered and large variations exist in frequency, intensity, duration, and type of exercise. Thus, future prospective studies investigating the various components of exercise interventions are needed to establish a SOC and determine how and if early exercise benefits the burn survivor.

AB - Minimizing the deconditioning of burn injury through early rehabilitation programs (RP) in the intensive care unit (ICU) is of importance for improving the recovery time. The aim of this study was to assess current standard of care (SOC) for early ICU exercise programs in major burn centers. We designed a survey investigating exercise RP on the ICU for burn patients with >30% total burned surface area. The survey was composed of 23 questions and submitted electronically via SurveyMonkey® to six major (pediatric and adult) burn centers in Texas and California. All centers responded and reported exercise as part of their RP on the ICU. The characteristics of exercises implemented were not uniform. All centers reported to perform resistive and aerobic exercises but only 83% reported isotonic and isometric exercises. Determination of intensity of exercise varied with 50% of centers using patient tolerance and 17% using vital signs. Frequency of isotonic, isometric, aerobic, and resistive exercise was reported as daily by 80%, 80%, 83%, and 50% of centers, respectively. Duration for all types of exercises was extremely variable. Mobilization was used as a form of exercise by 100% of burn centers. Our results demonstrate that although early RP seem to be integral during burn survivor's ICU stay, no SOC exists. Moreover, early RP are inconsistently administered and large variations exist in frequency, intensity, duration, and type of exercise. Thus, future prospective studies investigating the various components of exercise interventions are needed to establish a SOC and determine how and if early exercise benefits the burn survivor.

UR - http://www.scopus.com/inward/record.url?scp=85055168721&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85055168721&partnerID=8YFLogxK

U2 - 10.1093/jbcr/iry002

DO - 10.1093/jbcr/iry002

M3 - Article

C2 - 29579311

AN - SCOPUS:85055168721

VL - 39

SP - 897

EP - 901

JO - Journal of Burn Care and Research

JF - Journal of Burn Care and Research

SN - 1559-047X

IS - 6

ER -