Department of Rehabilitation Sciences, College of Health Sciences, University of Kentucky, Lexington, Kentucky, United States of America.
Rehabilitation Department, UK HealthCare, Lexington, Kentucky, United States of America.
Sci Rep. 2017 Dec 14;7(1):17591. doi: 10.1038/s41598-017-17624-3.
Significant variability exists in physical therapy early mobilization practice. The frequency of physical therapy or early mobilization of patients in the cardiothoracic intensive care unit and its effect on length of stay has not been investigated. The goal of our research was to examine variables that influence physical therapy evaluation and treatment in the intensive care unit using a retrospective chart review. Patients (n = 2568) were categorized and compared based on the most common diagnoses or surgical procedures. Multivariate semi-logarithmic regression analyses were used to determine correlations. Differences among patient subgroups for all independent variables other than age and for length of stay were found. The regression model determined that time to first physical therapy evaluation, Charlson Comorbidity Index score, mean days of physical therapy treatment and mechanical ventilation were associated with increased hospital length of stay. Time to first physical therapy evaluation in the intensive care unit and the hospital, and mean days of physical therapy treatment associated with hospital length of stay. Further prospective study is required to determine whether shortening time to physical therapy evaluation and treatment in a cardiothoracic intensive care unit could influence length of stay.
物理治疗早期活动的实践存在显著差异。心胸重症监护病房中患者接受物理治疗或早期活动的频率及其对住院时间的影响尚未得到调查。我们的研究目的是使用回顾性图表审查来检查影响重症监护病房中物理治疗评估和治疗的变量。根据最常见的诊断或手术程序对患者（n=2568）进行分类和比较。使用多元半对数回归分析来确定相关性。除年龄以外的所有自变量和住院时间的患者亚组之间存在差异。回归模型确定，首次物理治疗评估时间、Charlson 合并症指数评分、物理治疗治疗天数和机械通气与住院时间延长有关。重症监护病房和医院的首次物理治疗评估时间以及物理治疗治疗天数与住院时间延长有关。需要进一步的前瞻性研究来确定缩短心胸重症监护病房的物理治疗评估和治疗时间是否会影响住院时间。
