Kinetic therapy reduces complications and shortens hospital stay in patients with cardiogenic shock — a retrospective analysisGregor Simonis, Kerstin Flemming, Enrico Ziegs, Katrin Haacke, Thomas Rauwolf and Ruth H. Strasser Department of Medicine/Cardiology, Heart Center, Dresden University of Technology, Dresden, Germany
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).
Measurements and main 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 < p =" 0.009)">
Conclusion. The use of KT shortens hospital stay and reduces rates of pneumonia and pressure ulcers as compared to SC.
Keywords: Cardiogenic shock; Kinetic therapy; Critical care; Resource use
Volume 6, Issue 1 , March 2007, Pages 40-45
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