Published Paper Details:

intensive care unit acquired weakness (ICUAW) is a syndrome encompassing the myopathic, neuropathic, and atrophic changes associated with a critical illness. The deleterious effects of the illness itself can lead to rapid muscle loss, delirium, and chronic organ dysfunction. Early mobilization is considered gold standard care. The possible benefits of early mobilization include minimizing muscle wasting, reducing orthostatic intolerance, maintaining bone health, improving lung function by increasing functional residual capacity, maintaining a joint range of movement, and increased psychological wellbeing. The Chelsea Critical Care Physical Assessment tool (CPAx) is a numerical and pictorial composite of 10 commonly assessed components of physical function graded on a six-point Guttman Scale from complete dependence to independence. 30 Patients were recruited from the cardiac ICU of Vikhe Patil hospital. The sampling method was purposive sampling. Post-op CABG and Valvular replacement surgery patients were included aged over 18 years old with CICU length of stay of over 72 hours. The CPAx assessment tool was used to assess the patient on the 1st, 3rd, 6th post-operative day of the CICU. Conventional physical therapy treatment is given from the first day until the day of discharge. The CPAx contains ten components which include respiratory function, cough, bed mobility, sitting and standing balance, transfers, stepping, walking, and handgrip strength. On the day of discharge from the cardiac ICU, the CPAx was used again to assess the physical function status of the patient. The mean score for POD 1st is 14.23, POD 3rd is 29.07, POD 6th is 40.92, discharge day 43.62. there was a negative correlation between CPAx score on day 1 and length of stay (p-value-0.3672) and the correlation coefficient (r) is 0.02613