Skip to main content

Advertisement

Table 1 Summary of the characteristics of randomized clinical trials of kinetic bed therapy

From: Kinetic bed therapy to prevent nosocomial pneumonia in mechanically ventilated patients: a systematic review and meta-analysis

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%
  1. APACHE, Acute Physiology and Chronic Health Evaluation; ARDS, acute respiratory distress syndrome; ICU, intensive care unit; ISS, injury severity score; KCI, Kinetic Concepts Inc. NR, not reported.