Actigraphy to Measure Physical Activity in the Intensive Care Unit: A Systematic Review
| Autor: | Dale M. Needham, Kristin Schwab, Biren B. Kamdar, An Q. To, Jennifer Chang, Jennifer L. Martin, Bonnie Ronish |
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| Rok vydání: | 2019 |
| Předmět: |
Weakness
medicine.medical_specialty Critical Care Adverse outcomes Psychological intervention Measure (physics) Physical activity Critical Care and Intensive Care Medicine Article law.invention 03 medical and health sciences 0302 clinical medicine law medicine Humans 030212 general & internal medicine Exercise Randomized Controlled Trials as Topic business.industry Actigraphy Length of Stay Intensive care unit Intensive Care Units 030228 respiratory system Airway Extubation Physical therapy medicine.symptom business |
| Zdroj: | J Intensive Care Med |
| ISSN: | 1525-1489 0885-0666 |
| Popis: | Objective: In the intensive care unit (ICU), prolonged inactivity is common, increasing patients’ risk for adverse outcomes, including ICU-acquired weakness. Hence, interventions to minimize inactivity are gaining popularity, highlighting actigraphy, a measure of activity involving a wristwatch-like accelerometer, as a method to inform these efforts. Therefore, we performed a systematic review of studies that used actigraphy to measure patient activity in the ICU setting. Data Sources: We searched PubMed, EMBASE, CINAHL, Cochrane Library, and ProQuest from inception until December 2016. Study Selection: Two reviewers independently screened studies for inclusion. A study was eligible for inclusion if it was published in a peer-reviewed journal and used actigraphy to measure activity in ≥5 ICU patients. Data Extraction: Two reviewers independently performed data abstraction and risk of bias assessment. Abstracted actigraphy-based activity data included total activity time and activity counts. Results: Of 16 studies (607 ICU patients) identified, 14 (88%) were observational, 2 (12%) were randomized control trials, and 5 (31%) were published after 2009. Mean patient activity levels per 15 to 60 second epoch ranged from 25 to 37 daytime and 2 to 19 nighttime movements. Actigraphy was evaluated in the context of ICU and post-ICU outcomes in 11 (69%) and 5 (31%) studies, respectively, and demonstrated potential associations between actigraphy-based activity levels and delirium, sedation, pain, anxiety, time to extubation, and length of stay. Conclusion: Actigraphy has demonstrated that patients are profoundly inactive in the ICU with actigraphy-based activity levels potentially associated with important measures, such as delirium, sedation, and length of stay. Larger and more rigorous studies are needed to further evaluate these associations and the overall utility of actigraphy in the ICU setting. |
| Databáze: | OpenAIRE |
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