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 < 0.001); pressure ulcers were reduced by 50% (p < 0.001). Length of ICU stay (21 days in SC and 13 days in KT, p = 0.009) and length of hospital stay were reduced in the patients treated with kinetic therapy. Conclusion: The use of KT shortens hospital stay and reduces rates of pneumonia and pressure ulcers as compared to SC. © 2006 European Society of Cardiology.
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