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社区获得性肺炎患者的早期活动可缩短住院时间——一项试点研究

Early mobilisation of patients with community-acquired pneumonia reduce length of hospitalisation-a pilot study.

作者信息

Melgaard Dorte, Baandrup Ulrik, Bøgsted Martin, Bendtsen Mette Dahl, Kristensen Morten Tange

机构信息

Center for Clinical Research, North Denmark Regional Hospital: Bispensgade 37, DK-9800 Hjørring, Denmark.

Department of Clinical Medicine, Aalborg University, Denmark.

出版信息

J Phys Ther Sci. 2018 Jul;30(7):926-932. doi: 10.1589/jpts.30.926. Epub 2018 Jul 3.

Abstract

[Purpose] To examine if length of stay was reduced following an early mobilisation programme in patients with community-acquired pneumonia, and secondary, if such a program influenced short-term rehospitalisation and mortality rates. [Participants and Methods] Ninety seven consecutive patients (51% men; over all mean ± SD age 71.9 ± 16.5 years) with community-acquired pneumonia were included in the intervention group, and compared with a historical control group of 97 patients, matching at case level. Early mobilisation was defined as more than 20 minutes out of bed within 24 hours of hospitalisation. [Results] Eighty out of 97 patients in the intervention group were mobilised within 24 hours and length of stay for all patients was reduced with an average of 1.5 (95%CI: -0.2; 3.2) days compared to the control group. There was no significant difference between the two groups according to 30-day rehospitalisation and mortality. [Conclusion] An early mobilisation program seem to reduce the length of stay for patients with community-acquired pneumonia, and without an increase in short-term mortality and re-hospitalisation rates.

摘要

[目的] 探讨社区获得性肺炎患者实施早期活动计划后住院时间是否缩短,其次,该计划是否会影响短期再入院率和死亡率。[参与者与方法] 干预组纳入97例连续的社区获得性肺炎患者(51%为男性;总体平均±标准差年龄为71.9±16.5岁),并与97例病例匹配的历史对照组进行比较。早期活动定义为住院24小时内下床活动超过20分钟。[结果] 干预组97例患者中有80例在24小时内进行了活动,与对照组相比,所有患者的住院时间平均缩短了1.5天(95%可信区间:-0.2;3.2)。两组在30天再入院率和死亡率方面无显著差异。[结论] 早期活动计划似乎可缩短社区获得性肺炎患者的住院时间,且不会增加短期死亡率和再入院率。

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