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September 2017 CME Article No. 11: Can Early Rehab ...
September 2017 CME Article No. 11: Can Early Rehabilitation on the General Ward After an Intensive Care Unit Stay Reduce Hospital Length of Stay in Survivors of Critical Illness?
Additional Information
Objective:
The aim of this study was to evaluate if an early rehabilitation program for survivors of critical illness improves functional recovery, reduces length of stay, and reduces hospital costs.
Design:
This was a prospective randomized controlled trial. Fifty-three consecutive survivors of critical illness were included in the study. After discharge from the intensive care unit, the intervention group received an early rehabilitation program, and the standard-care group received physical therapy as ordered by the primary care team. Length of stay at the generalward after transfer from the intensive care unitwas recorded.In addition, Early Rehabilitation Barthel Index, visual analog scale for pain, 3-minute walk test, Beck Depression Inventory, State-Trait Anxiety Inventory, and Medical Research Council scale were used.
Results:
In the per-protocol analysis, length of stay at the general ward was a median 14 days (interquartile range [IQR], 12–20 days) in the early rehabilitation and 21 days [IQR, 13–34 days) in the standard-care group. This significant result could not be confirmed by the intention-to-treat analysis (16 days [IQR, 13–23 days] vs. 21 days [IQR, 13–34 days]). Secondary outcomes were similar between the groups. Hospital lower in the intervention group. No adverse effects were detected.
Conclusions:
An early rehabilitation program in survivors of critical illness led to an earlier discharge from the hospital, improved functionalrecovery, and was also cost-effective and safe.
Learning Objectives:
Delineate the benefits of early rehabilitation on a general medicine ward after an intensive care unit stay
Recognize the safety of appropriately implemented early rehabilitation
Incorporate early rehabilitation on the general medical ward as applicable
Summary
Availability:
Retired
Cost:
FREE
Credit Offered:
No Credit Offered
×
September 2017 CME Article No. 11: Can Early Rehabilitation on the General Ward After an Intensive Care Unit Stay Reduce Hospital Length of Stay in Survivors of Critical Illness? Course List
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