Kinoshita Tokio, Nishimura Yukihide, Umemoto Yasunori, Kawasaki Shinji, Hori Shinnosuke, Yasuoka Yoshinori, Banno Motohiko, Tajima Fumihiro
Department of Rehabilitation Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama 641-8509, Japan.
Division of Rehabilitation, Wakayama Medical University Hospital, 811-1 Kimiidera, Wakayama 641-8510, Japan.
J Clin Med. 2022 Aug 11;11(16):4706. doi: 10.3390/jcm11164706.
Adverse events (AEs) during intensive care unit (ICU) rehabilitation and serious AEs during acute care hospital stays have been reported previously. However, no AEs have been reported for all patients needing rehabilitation in a non-ICU setting at an acute care hospital. This study aimed to investigate all AEs during acute-phase rehabilitation. Reports of AEs occurring during acute-phase rehabilitation in a university hospital from 1 April 2021 to 31 March 2022 were retrospectively analyzed. Minor and severe AEs were defined as those that did not require new treatment and those that required intensive treatment and/or prolonged hospitalization, respectively. There were 113 incidences of AEs during rehabilitation. The majority of AEs were minor (93.8%) and did not require new treatment. Only one serious AE was documented. The most common AEs were peripheral intravenous tube removal, decreased level of consciousness, poor mood due to low blood pressure, and falling down. There was no significant correlation between years of experience and the frequency of AEs. The neurosurgery department had the highest cases of AEs. Physical, occupational, and speech-language-hearing therapists had different characteristics and experiences of AEs. Risk management strategies should consider exercise load and targeted disorders due to differences in therapists' specialties.
先前已有关于重症监护病房(ICU)康复期间不良事件(AE)以及急症医院住院期间严重不良事件的报道。然而,尚无关于急症医院非ICU环境下所有需要康复治疗患者不良事件的报道。本研究旨在调查急性期康复期间的所有不良事件。对某大学医院2021年4月1日至2022年3月31日期间急性期康复过程中发生的不良事件报告进行回顾性分析。轻度和重度不良事件分别定义为那些不需要新的治疗以及那些需要强化治疗和/或延长住院时间的事件。康复期间共发生113起不良事件。大多数不良事件为轻度(93.8%),不需要新的治疗。仅记录到1起严重不良事件。最常见的不良事件为外周静脉置管拔除、意识水平下降、因低血压导致情绪不佳以及跌倒。工作年限与不良事件发生频率之间无显著相关性。神经外科不良事件病例数最多。物理治疗师、职业治疗师以及言语-语言-听力治疗师发生不良事件的特点和经历各不相同。由于治疗师专业不同,风险管理策略应考虑运动负荷和目标疾病。