Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Articles Volume 6 Issue 7

Intradialytic Exercise (IDE) for CICU Patients in Heart Hospital -A Quality Improvement Program

Dineshkumar Selvamani1*, Syed Abdul Ansari2, Prince Mathew1, Mincy Thomas1, Julie Ureta1, Janet Cynthia1, Rakhi Singh T3, Suhib Abdul Kareem Bani Amer1, Amal Lahmer1, Gigi Mathew1, Theodoros Papasavvas1, Daniel Martinez-Bussion1, Khaled Mohamed1

1Department of Cardiac Rehabilitation, Hamad Medical Corporation, Qatar
2Cardiac Rehabilitation Department, Harefield Hospital, Royal Brompton and Harefield Hospitals, London, UK
3Community Cardiac Rehabilitation, NHS, Plymouth, UK

*Corresponding Author: Dinesh Kumar Selvamani, Department of Cardiac Rehabilitation, Hamad Medical Corporation, Qatar.

Received: May 05, 2023; Published: June 17, 2023

Abstract

Problem statement: The rehabilitation of patients receiving dialysis plays an extension of healthy life expectancy. However, the consecutive rehabilitation interventions are difficult to implement due to worsening of physical conditioning or time constraints among patients undergoing dialysis. Reduced kidney efficiency is linked to a progressive deterioration in cardiovascular health, ultimately leading to heart failure, myocardial infarction, and stroke [1]. Currently, efforts to exercise during dialysis are increasing from the viewpoint of continuity and efficiency of exercise [2]. Comprehensive interventions are necessary due to the complex nature of patients in the CICU. Muscle atrophy is associated with poor physical performance [3].

Aim: “To implement Intra dialytic exercise (IDE) to ≥ 95% of patients undergoing dialysis (between the 1st and 2nd hours) in Coronary Intensive Care Unit (CICU) by November 2021”. Interventions: A staff survey was conducted to assess the need for IDE program in the CICU. An evidence-based IDE protocol was created for HD patients. All the HD patients aged above16 years both male and female genders in the CICU were screened for eligibility for the IDE program. Then, the IDE protocol was initiated for hemodynamically stable patients along with mobilization and at least two exercise sessions per week. Based on each patient’s level of mobility, the IDE protocol was implemented. Supine cycle ergometer in the CICU made patients actively involved in the IDE program. The ICU mobility scale was used to measure the progression.

Results: The total number of patients included in the project from 1st March to Nov 2021 was 84, including both males and females. In May 2021, 50% of patients were included in the project. In July 2021, 66.6% of patients were included. Then, in August, the proportion reached to 100%. As a result of this program, more than 95% of patients participated in the IDE program by November 2021.

Conclusion: It is feasible to implement the IDE program among CICU patients after screening patients using a customized protocol.

Keywords:Intradialytic Exercises; Kidney Failure; Critical Care Patients; Quality Improvement Program

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Citation

Citation: Dineshkumar Selvamani., et al. “Intradialytic Exercise (IDE) for CICU Patients in Heart Hospital -A Quality Improvement Program”.Acta Scientific Orthopaedics 6.7 (2023): 38-47.

Copyright

Copyright: © 2023 Dineshkumar Selvamani., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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