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. 2022 Jun 10;12:49. doi: 10.1186/s13613-022-01019-3

Table 3.

Baseline evaluation, direct and remote assessment in critically ill patients, overall and depending on their response to corporeal rehabilitation care

Parameter N All patients (n = 287) Non-responders (n = 99) Responders (n = 188) p value
Baseline evaluation
 Pre-inclusion time (days)* 287 3 [2–7] 3 [2–7] 3 [2–7] 0.613
 Days of IMV before inclusion 72 8 [5–22] 7 [4–23] 9 [5–20] 0.582
Hemodynamics
 Heart rate (bpm) 287 90 [79–104] 90 [78–102] 90 [80–104] 0.612
 SAP (mmHg) 287 127 [115–141] 127 [115–141] 128 [114–141] 0.750
 DAP (mmHg) 287 70 [62–80] 68 [60–79] 71 [63–82] 0.048
 MAP (mmHg) 287 92 [82–101] 92 [82–98] 92 [82–102] 0.504
Comfort
 Pain score 263 4 [0–6] 3 [0–6] 4 [0–7] 0.108
 Stress score 263 4 [0–7] 0 [0–5] 5 [0–7] < 0.001
 Dyspnea score 112 2 [1–3] 2 [0–3] 2 [1–3] 0.690
 Well-being score 259 5 [4–7] 6 [5–8] 5 [3–6] < 0.001
 Discomfort 287 45 (16%) 15 (15%) 30 (16%) 0.858
Neurological function
 Continuous sedation or analgesia 287 10 (4%) 1 (1%) 9 (5%) 0.173
 Midazolam 287 1 (0%) 0 (0%) 1 (1%) > 0.99
 Sufentanyl 287 9 (3%) 1 (1%) 8 (4%) 0.171
 Neuroleptic 287 2 (1%) 0 (0%) 2 (1%) 0.547
 Morphine 287 64 (22%) 18 (18%) 46 (25%) 0.224
 Physical disability 287 20 (7%) 5 (5%) 15 (8%) 0.354
Ventilation
 IMV 286 25 (9%) 9 (9%) 16 (9%) 0.848
 Assist-control mode 287 2 (1%) 2 (2%) 0 (0%) 0.118
 Tidal volume (mL) 30 517 [420–591] 455 [394–254] 541 [478–642] 0.081
 Tidal volume (mL/kg IPW) 28 8 [7–10] 8 [6–9] 9 [7–10] 0.248
 End-tidal CO2 mmHg 25 33 [29–38] 33 [28–38] 31 [28–37] 0.755
 FiO2 (%) 39 35 [30–45] 35 [30–48] 35 [30–40] 0.739
 Oxygen flow (L/min) 217 0 [0–2] 0 [0–2] 0 [0–2] 0.937
 SpO2 (%) 287 97 [95–99] 97 [95–99] 97 [95–99] 0.586
 Respiratory rate (bpm) 287 22 [18–27] 22 [18–28] 22 [18–27] 0.635
Intercostal retraction 287 5 (2%) 2 (2%) 3 (2%) > 0.99
Paradoxical breathing 287 8 (3%) 2 (2%) 6 (3%) 0.719
Last available blood gases
 pH 235 7.43 [7.39–7.47] 7.43 [7.40–7.47] 7.43 [7.38–7.46] 0.213
 PaO2/FiO2 ratio (mmHg) 234 333 [238–417] 333 [217–416] 339 [250–418] 0.664
 PaCO2 (mmHg) 234 38 [32–44] 36 [33–44] 38 [32–44] 0.741
 Bicarbonates (mmol/L) 234 26 [23–29] 26 [23–29] 26 [23–29] 0.771
 Lactates (mmol/L) 234 1 [1–2] 1 [1–2] 1 [1–2] 0.941
 SaO2 (%) 235 96 [94–98] 96 [94–98] 96 [94–98] 0.745
Corporeal rehabilitation care (CRC)
 Pre-evaluation time# (min) 186 15 [5–30] 10 [4–27] 18 [7–31] 0.122
 Face and forehead massage 287 204 (71%) 70 (71%) 134 (71%) 0.919
 Manicure 287 61 (21%) 19 (19%) 42 (22%) 0.535
 Pedicure 287 50 (17%) 19 (19%) 31 (17%) 0.566
 Scalp massage 287 37 (13%) 13 (13%) 24 (13%) 0.930
 Other interventions 287 51 (18%) 17 (17%) 34 (18%) 0.847
 Duration of CRC (min) 287 25 [20–30] 25 [20–30] 25 [25–30] 0.016
Direct evaluation
 Time from CRC$ (min) 174 8 [3–15] 10 [2–17] 7 [4–15] 0.646
Hemodynamics
 Heart rate (bpm) 286 89 [78–101] 84 [72–102] 91 [80–100] 0.105
 SAP (mmHg) 286 128 [112–140] 129 [111–144] 127 [113–139] 0.661
 DAP (mmHg) 286 71 [62–79] 69 [61–78] 72 [62–81] 0.186
 MAP (mmHg) 286 91 [80–102] 93 [80–101] 91 [80–102] 0.742
Comfort
 Pain score 258 2 [0–5] 3 [0–6] 2 [0–5] 0.223
 Stress score 258 2 [0–5] 1 [0–5] 2 [0–5] 0.555
 Dyspnea score 112 2 [1–2] 2 [1–2] 2 [1–2] 0.347
 Well-being score 257 8 [6–10] 7 [5–8] 8 [6–10] < 0.001
 Discomfort 286 7 (2%) 3 (3%) 4 (2%) 0.694
Change in comfort£
 Δ1 Pain score 256 0 [− 2 to 0] 0 [0–0] − 1 [− 3 to 0] < 0.001
 Δ1 Stress score 256 0 [− 2 to 0] 0 [0–0] − 1 [− 3 to 0] < 0.001
 Δ1 Dyspnea score 112 0 [− 2 to 0] 0 [− 1 to 0] 0 [− 2 to 0] 0.870
 Δ1 Well-being score 254 2 [0–4] 0 [0–1] 3 [1–5] < 0.001
Ventilation
 Respiratory rate (bpm) 286 21 [18–25] 21 [17–26] 21 [18–25] 0.820
 Intercostal retraction 286 4 (1%) 2 (2%) 2 (1%) 0.609
 Paradoxical breathing 286 2 (1%) 1 (1%) 1 (1%) > 0.99
Patient appreciation of the CRC session
 Usefulness 256 10 [8–10] 8 [7–10] 10 [8–10] < 0.001
 Satisfaction 256 10 [8–10] 9 [8–10] 10 [8–10] 0.002
 Patient’s wish to renew care 260 249 (96%) 68 (94%) 181 (96%) 0.503
Remote assessment
 Time from CRC$$ (min) 131 71 [57–93] 63 [50–94] 72 [60–94] 0.165
Hemodynamics
 Heart rate (bpm) 224 89 [79–100] 86 [76–100] 90 [80–100] 0.379
 SAP (mmHg) 224 125 [112–138] 123 [109–134] 126 [113–139] 0.114
 DAP (mmHg) 224 71 [60–80] 67 [57–78] 72 [61–82] 0.005
 MAP (mmHg) 224 90 [79–100] 86 [77–97] 91 [81–102] 0.035
 Discomfort 223 10 (5%) 2 (3%) 8 (5%) 0.728
Comfort
 Δ2 Pain sore 204 2 [0–5] 0 [0–5] 2 [0–5] 0.752
 Δ2 Stress score 203 0 (0–5] 0 (0–5] 0 (0–5] 0.705
 Δ2 Dyspnea score 111 2 [1–2] 2 [1–3] 2 [1–2] 0.723
 Δ2 Well-being score 203 8 [6–10] 7 [5–9] 8 [6–10] 0.043
Change in comfort£
 Δ2 Pain score 202 0 [− 2 to 0] 0 [0–0] 0 [− 2 to 0] 0.012
 Δ2 Stress score 202 0 [− 2 to 0] 0 [0–0] − 1 [− 3 to 0] < 0.001
 Δ2 Dyspnea score 111 0 [− 1 to 0] 0 [0–0] 0 [− 1 to 0] 0.673
 Δ2 Well-being score 202 1 [0–4] 0 [0–1] 2 [0–4] < 0.001
Ventilation
 Respiratory rate (bpm) 224 21 [17–26] 20 [17–25] 22 [18–26] 0.431
 Intercostal retraction 223 2 (1%) 1 (1%) 1 (1%) 0.530
 Paradoxical breathing 223 2 (1%) 2 (3%) 0 (0%) 0.98
Outcome
 ICU stay (days) 287 6 [4–12] 6 [4–12] 7 [4–14] 0.528
 Death at day 28 287 22 (8%) 15 (15%) 7 (4%) 0.001

Δ1: absolute difference between the value at direct evaluation and the value at baseline; Δ2: absolute difference between the value at remote evaluation and the value at baseline

IMV invasive mechanical ventilation, IPW ideal predicted weight, CO2 carbon dioxide, FiO2 inspired oxygen fraction, SpO2 oxygen transcutaneous saturation

*Days between ICU admission and inclusion

#Time between baseline assessment and CRC start in minutes

$Time between CRC end and direct intervention assessment in minutes

$$Time between CRC end and remote evaluation in minutes

£Change in score as compared with baseline