Accession Number : AD1044770


Title :   Early Exercise in the Burn Intensive Care Unit Decreases Hospital Stay, Improves Mental Health, and Physical Performance


Descriptive Note : Technical Report,15 Sep 2016,14 Sep 2017


Corporate Author : The University of Texas Medical Branch at Galveston Galveston United States


Personal Author(s) : Suman, Oscar E


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/1044770.pdf


Report Date : 01 Oct 2017


Pagination or Media Count : 26


Abstract : Prolonged inactivity accompanying stays in the burn intensive care unit (BICU) and hospital worsen muscle loss/weakness and lengthen hospitalization. We hypothesize that a personalized, structured, and quantifiable exercise program (MP10) will improve these variables over standard-of-care (SOC), as exercise has well-documented effects on maintaining/improving muscle strength, which should shorten hospitalization. Thus, we will characterize: (Aim 1) what is SOC throughout hospital stay across the US and (Aim 2) outcomes in burn in-patients. Over 4 years, we will enroll 96 patients (24 per site; MP10 n=64 and SOC n=32) aged 1860 years with 30% TBSA burns. MP10 will begin 45 days after the first surgery after admit (or when the burn surgeon deems mobilization safe) and continue for the entire BICU and hospital stay. MP10 will take place on weekdays in the morning and afternoon. In the morning, patients will participate in a 10-minute leg-crank ergometry session (Monark leg ergometer), starting with a load (watts) eliciting a 35 rating on the Borg Rated Perceived Exertion (RPE) scale. The number of revolutions in 10 minutes and minute-by-minute muscle and respiratory effort RPE will be noted. In the afternoon, patients will participate in a 10-minute arm crank ergometry session, which will be done similarly to lower body exercise. Endpoints are lean body mass, cardiopulmonary and muscle endurance, length of BICU, ventilator and hospital stay, and Quality of Life. Within- and between-group comparisons will be performed. A successful MP10 can be a platform for future rehabilitation programs in burns or trauma.


Descriptors :   burns , wound and injuries , DELIVERY OF HEALTH CARE , EXERCISE(PHYSIOLOGY)


Subject Categories : Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE