Kinetic therapy reduces complications and shortens hospital stay in patients with cardiogenic shock - a retrospective analysis.
BACKGROUND
Kinetic therapy (KT) has been shown to reduce complications and to shorten hospital stay in trauma patients. Data in non-surgical patients are inconclusive, and kinetic therapy has not been tested in patients with cardiogenic shock.


OBJECTIVE
The present analysis compares KT with standard care in patients with cardiogenic shock.


METHODS
A retrospective analysis of 133 patients with cardiogenic shock admitted to 1 academic heart center was performed. Patients with standard care (SC, turning every 2 h by the staff) were compared with kinetic therapy (KT, using oscillating air-flotation beds).


RESULTS
68 patients with KT were compared with 65 patients with SC. Length of ventilator therapy was 11 days in KT and 18 days in SC (p=0.048). The mortality was comparable in both groups. Pneumonia occurred in 14 patients in KT and 39 patients in SC (p<0.001); pressure ulcers were reduced by 50% (p<0.001). Length of ICU stay (21 days in SC and 13 days in KT, p=0.009) and length of hospital stay were reduced in the patients treated with kinetic therapy.


CONCLUSIONS
The use of KT shortens hospital stay and reduces rates of pneumonia and pressure ulcers as compared to SC.
Simonis
Gregor
G
Department of Medicine/Cardiology, Heart Center, Dresden University of Technology, Fetscherstr. 76, 01307 Dresden, Germany. gsimonis@gmx.de
Flemming
Kerstin
K
Ziegs
Enrico
E
Haacke
Katrin
K
Rauwolf
Thomas
T
Strasser
Ruth H
RH
D000368:Aged; D001513:Beds; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D026741:Physical Therapy Modalities / Q000295:instrumentation; D012121:Respiration, Artificial; D012770:Shock, Cardiogenic / Q000451:nursing*