Outcome measures used by physiotherapists in intensive care unit- a cross-sectional survey

Abstract

Introduction: Intensive care units (ICUs) play a critical role in managing patients with life- threatening conditions. Physiotherapists contribute significantly to patient recovery, focusing on mobility restoration and preventing complications associated with prolonged immobility.

The use of outcome measures is essential in assessing patient progress and guiding physiotherapy interventions in the ICU. However, there is limited research on the types and frequency of outcome measures used by physiotherapists in this setting.

Aim: This study aimed to investigate the outcome measures used by physiotherapists in ICUs to assess patient prognosis, guide interventions, and determine minimal clinically detectable changes.

Methods: A cross-sectional study was conducted in Mysore, targeting 90 physiotherapists with at least five years of ICU experience. Data were collected through a structured questionnaire, focusing on qualifications, ICU experience, outcome measure usage, and criteria for selection. The responses were analyzed using SPSS version 20.

Results: Of the 90 physiotherapists targeted, 49 (54%) completed the survey. The majority held postgraduate qualifications. Common outcome measures used included the Glasgow Coma Scale (27%) and the Functional Mobility Scale (12%). Tools were applied with varying frequency, with 33% using them twice daily. Outcome measures were primarily used to assess patient prognosis and improvements following interventions.

Conclusion: The study reveals significant variability in the use of outcome measures in ICU physiotherapy. While physiotherapists utilize a range of tools, there is a need for standardized guidelines and additional training to optimize their use. Standardization could enhance patient care, improve recovery outcomes, and support better decision-making in ICU settings.