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术后第一周动员训练时间对入住重症监护病房的术后患者住院时间的影响。

The impact of mobilization training time during the first postoperative week on the length of hospital stay in postoperative patients admitted to an intensive care unit.

作者信息

Ozaki Yusuke, Kono Yuji, Shinohara Ayato, Nakamura Tomoyuki, Ishihara Takuma, Nishida Osamu, Otaka Yohei

机构信息

Department of Rehabilitation, Fujita Health University Hospital, Toyoake, Japan.

Department of Rehabilitation, Fujita Health University Hospital, Toyoake, Japan; Department of Rehabilitation Medicine, School of Medicine, Fujita Health University, Toyoake, Japan.

出版信息

J Rehabil Med. 2025 Jan 31;57:jrm41015. doi: 10.2340/jrm.v57.41015.

Abstract

OBJECTIVE

To determine the impact of mobilization training time during the first postoperative week on the length of hospital stay for postoperative patients admitted to an intensive care unit.

DESIGN

A retrospective cohort study.

PATIENTS

Consecutive patients who underwent elective surgery and stayed in the intensive care unit of a university hospital for more than 48 h between July 2017 and August 2020 were enrolled.

METHODS

The total duration of mobilization training during the first postoperative week and clinical variables, including demographic information, were collected from medical records. Multivariable regression analysis was used to investigate the impact of mobilization training time on the length of hospital stay, adjusting for potentially confounding variables.

RESULTS

In total, 773 patients (504 males; median age, 70 years) were enrolled. Multivariable regression analysis showed that an increase in mobilization training time during the first postoperative week was associated with a shorter length of hospital stay (β = -0.067, 95% confidence interval: -0.120, -0.017, p = 0.010), with each 1-h increase in training time associated with a 4.02-day reduction in the length of hospital stay.

CONCLUSION

Increased mobilization training during the first postoperative week significantly reduced the length of hospital stay in postoperative patients.

摘要

目的

确定术后第一周的活动训练时间对入住重症监护病房的术后患者住院时间的影响。

设计

一项回顾性队列研究。

患者

纳入2017年7月至2020年8月期间在一所大学医院重症监护病房接受择期手术并停留超过48小时的连续患者。

方法

从病历中收集术后第一周活动训练的总时长以及包括人口统计学信息在内的临床变量。采用多变量回归分析来研究活动训练时间对住院时间的影响,并对潜在的混杂变量进行校正。

结果

共纳入773例患者(504例男性;中位年龄70岁)。多变量回归分析显示,术后第一周活动训练时间的增加与住院时间缩短相关(β = -0.067,95%置信区间:-0.120,-0.017,p = 0.010),训练时间每增加1小时,住院时间缩短4.02天。

结论

术后第一周增加活动训练可显著缩短术后患者的住院时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d02b/11811531/1656ea9cc560/JRM-57-41015-g001.jpg

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