Table 1 Summary of the characteristics of randomized clinical trials of kinetic bed therapy
Study | Type of bed | Rotation | Frequency | Hours per day | Therapy commenced | Duration of therapy | Population | Severity of illness score (treatment v control) | Ventilated |
|---|---|---|---|---|---|---|---|---|---|
Ahrens [17] | Trial Dyne II KCI | 80° | 2 per hour | 18 | NR | NR | Medical, surgical, trauma | APACHE II 27.2 v 27.3 | 100% |
Bhazad [29] | Rotobed, KCI | 120° | 30 per hour | NR | NR | 3 days | ARDS | NR | 100% |
Kirschenbaum [23] | EFICA Hill-Rom | 60° | NR | 18 | Day 1 | NR | Chronic ventilation Unit | APACHE II 16.9 v 16.9 | 100% |
Macintyre [7] | Restcue Support Systems International | 64° | 8 per hour | 24 | NR | ICU discharge | General medical/surgical | APACHE II 16.7 v 16.4 | 100% |
Gietzen [30] | Biodyne KCI | 80° | 3 per hour | NR | NR | ICU discharge | ARDS | APACHE II 14.6 v 15.3 | 100% |
Traver [27] | Biodyne KCI | 51° | 2 per hour | NR | Day 1 | ICU discharge or mobile | General medical/surgical | APACHE II 19.8 v 18.2 | 89% |
Whiteman [28] | Restcue Support Systems International | 120° | 8 per hour | NR | Day 2 | ICU discharge or mobile | Pre and post liver transplant | APACHE II 21.2 v 23.6 | 100% |
deBloisbanc [19] | Biodyne KCI | 90° | 8.5 per hour | 18 | Day 1 | 5 days | Medical | APACHE II 18.5 v 16.8 | 79% |
Nelson [24] | Kinetic Treatment Table KCI | NR | NR | 16 | Day 1 | Until patient was mobile | Trauma | ISS 32.9 v 33.0 | 100% |
Shapiro [25] | Kinetic Treatment Table KCI | 84° to124° | NR | 14 | NR | Until patient was mobile | Trauma | ISS 45 v 29 | >75% |
Clemmer [18] | Kinetic Treatment Table KCI | 144° | NR | 17 | Day 1–2 | 8 days | Traumatic brain injury | ISS 42.9 v 40.8 | 100% |
Fink [21] | Kinetic Treatment Table KCI | 80° | NR | 10 to 16 | Day 1 | ICU discharge | Trauma | ISS 34 v 35 | 96% |
Demarest [20] | Kinetic Treatment Table KCI | NR | NR | 12.2 | Average 1.9 days | 7 days | Trauma | ISS 29.4 v 27.9 | 100% |
Summer [26] | Kinetic Treatment Table KCI | 120° | 17 per hour | NR | Day 1 | Until alert | Medical | APACHE II 17 v 19 | 100% |
Gentilello [22] | Kinetic Treatment Table KCI | 124° | 8.5 per hour | 13.4 | Day 1 | ICU discharge | Trauma | Trauma score 12.0 v 11.5 | 100% |