增加散发性包涵体肌炎住院患者的每日康复治疗时间可能有助于提高日常生活活动能力：一项全国性数据库队列研究。
Increasing daily duration of rehabilitation for inpatients with sporadic inclusion body myositis may contribute to improvement in activities of daily living: A nationwide database cohort study.
机构信息
Tokyo Medical and Dental University Graduate School of Medical and Dental Sciences; Clinical Research Center National Hospital Organization; Division of Pharmacoepidemiology, Department of Healthcare and Regulatory Sciences, Showa University School of Pharmacy, Tokyo, Japan.
Clinical Research Center National Hospital Organization; Division of Pharmacoepidemiology, Department of Healthcare and Regulatory Sciences, Showa University School of Pharmacy, Tokyo, Japan.
出版信息
J Rehabil Med. 2023 Apr 19;55:jrm00386. doi: 10.2340/jrm.v55.5289.
OBJECTIVE
To analyse the association between the daily duration of rehabilitation for inpatients with sporadic inclusion body myositis and improvement in activities of daily living, using a Japanese nationwide inpatient administrative claims database.
METHODS
Data were extracted regarding inpatients with sporadic inclusion body myositis who had undergone rehabilitation between 1 April 2018 and 31 March 2021. The mean daily duration of rehabilitation was categorized into 2 groups: > 1.0 h (longer rehabilitation) and ≤ 1.0 h (shorter rehabilitation). The main outcome was improvement in activities of daily living from admission to discharge, measured using the Barthel Index. For the main analysis, a generalized linear model was used.
RESULTS
In total, 424 patients with sporadic inclusion body myositis met the eligibility criteria for inclusion in the study. The main analysis found a significant difference in improvement in activities of daily living between the longer rehabilitation and shorter rehabilitation groups after adjusting for confounders (risk ratio (95% confidence interval), 1.37 (1.06-1.78)).
CONCLUSION
A longer daily duration of rehabilitation results in improved activities of daily living for inpatients with sporadic inclusion body myositis.
目的
利用日本全国住院管理索赔数据库，分析散发性包涵体肌炎患者住院康复治疗的每日持续时间与日常生活活动改善之间的关系。
方法
提取了 2018 年 4 月 1 日至 2021 年 3 月 31 日期间接受康复治疗的散发性包涵体肌炎住院患者的数据。将康复治疗的平均每日持续时间分为 2 组：>1.0 h（较长康复）和≤1.0 h（较短康复）。主要结局是使用巴氏指数评估从入院到出院日常生活活动的改善情况。主要分析采用广义线性模型。
结果
共有 424 名散发性包涵体肌炎患者符合纳入研究的标准。调整混杂因素后，主要分析发现较长康复组和较短康复组在日常生活活动改善方面存在显著差异（风险比（95%置信区间），1.37（1.06-1.78））。
结论
散发性包涵体肌炎患者住院康复治疗的每日持续时间较长，可提高日常生活活动能力。
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