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.