Clinical transplantation · 2026
Characteristics and Progression of Rehabilitation in Patients Undergoing Extracorporeal Membrane Oxygenation: A Retrospective Study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Son Woo Chul, Moon Hyeon Jeong, Choi Eun Young, Ahn Jee Hwan, Hyun Dong-Gon, Lee Roo Ma, Lim Hyo Jin, Mo Young Hoon, Hong Sang-Bum, Kim Won
Аннотация
OBJECTIVES: Early rehabilitation during extracorporeal membrane oxygenation (ECMO) support is increasingly implemented, yet real-world data describing rehabilitation progression remain limited. This study aimed to characterize rehabilitation patterns during ECMO and descriptively compare physical activity trajectories among patients managed as bridge to transplantation (BTT), bridge to recovery (BTR), and ECMO waitlist death (EWD).
METHODS: Adult patients (≥18 years) admitted to a medical ICU between May 2018 and November 2023 who received ECMO for ≥24 h and participated in at least one active rehabilitation session were retrospectively analyzed. Rehabilitation candidacy, weekly rehabilitation frequency, session interruptions, and highest physical activity level were recorded. Between-group comparisons were exploratory.
RESULTS: A total of 111 patients were included. In ECMO week 1, 58% of rehabilitation candidates received active rehabilitation, increasing to approximately 80% during weeks 2-4. Most patients completed or discontinued rehabilitation within 4 weeks because of transplantation, clinical recovery, or deterioration. Weekly rehabilitation frequency differed among groups and was highest in the BTT group (mean, 4.2 sessions/week; p < 0.05). Other activity-level comparisons among groups were not statistically significant. Sitting-level activities were consistently achievable during ECMO support, including support beyond 4 weeks. Among ICU survivors, activity levels were maintained through decannulation and improved afterward.
CONCLUSIONS: Among selected patients who entered an active ECMO rehabilitation pathway, rehabilitation was commonly initiated within 2 weeks and completed or discontinued within 4 weeks. Edge-of-bed sitting was generally achievable throughout ECMO support.
METHODS: Adult patients (≥18 years) admitted to a medical ICU between May 2018 and November 2023 who received ECMO for ≥24 h and participated in at least one active rehabilitation session were retrospectively analyzed. Rehabilitation candidacy, weekly rehabilitation frequency, session interruptions, and highest physical activity level were recorded. Between-group comparisons were exploratory.
RESULTS: A total of 111 patients were included. In ECMO week 1, 58% of rehabilitation candidates received active rehabilitation, increasing to approximately 80% during weeks 2-4. Most patients completed or discontinued rehabilitation within 4 weeks because of transplantation, clinical recovery, or deterioration. Weekly rehabilitation frequency differed among groups and was highest in the BTT group (mean, 4.2 sessions/week; p < 0.05). Other activity-level comparisons among groups were not statistically significant. Sitting-level activities were consistently achievable during ECMO support, including support beyond 4 weeks. Among ICU survivors, activity levels were maintained through decannulation and improved afterward.
CONCLUSIONS: Among selected patients who entered an active ECMO rehabilitation pathway, rehabilitation was commonly initiated within 2 weeks and completed or discontinued within 4 weeks. Edge-of-bed sitting was generally achievable throughout ECMO support.