Cargando…

Effect of early mobilization on discharge disposition of mechanically ventilated patients

[Purpose] The purpose of this study was to clarify the benefits of early mobilization for mechanically ventilated patients for their survival to discharge to home from the hospital. [Subjects and Methods] Medical records were retrospectively analyzed of patients who satisfied the following criteria:...

Descripción completa

Detalles Bibliográficos
Autores principales: Ota, Hideki, Kawai, Hideki, Sato, Makoto, Ito, Kazuaki, Fujishima, Satoshi, Suzuki, Hiroko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Society of Physical Therapy Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4395731/
https://www.ncbi.nlm.nih.gov/pubmed/25931747
http://dx.doi.org/10.1589/jpts.27.859
_version_ 1782366486785949696
author Ota, Hideki
Kawai, Hideki
Sato, Makoto
Ito, Kazuaki
Fujishima, Satoshi
Suzuki, Hiroko
author_facet Ota, Hideki
Kawai, Hideki
Sato, Makoto
Ito, Kazuaki
Fujishima, Satoshi
Suzuki, Hiroko
author_sort Ota, Hideki
collection PubMed
description [Purpose] The purpose of this study was to clarify the benefits of early mobilization for mechanically ventilated patients for their survival to discharge to home from the hospital. [Subjects and Methods] Medical records were retrospectively analyzed of patients who satisfied the following criteria: age ≥ 18 years; performance status 0–2 and independent living at their home before admission; mechanical ventilation for more than 48 h; and survival after mechanical ventilation. Mechanically ventilated patients in the early mobilization (EM) group (n = 48) received mobilization therapy, limb exercise and chest physiotherapy, whereas those in the control group (n = 60) received bed rest alone. Univariate and multivariate logistic regression analyses were performed to identify clinical variables associated with discharge disposition. [Results] Early mobilization was a positive independent factor and the presence of neurological deficits was a negative factor contributing to discharge to home. Among patients surviving mechanical ventilation without neurological deficits, the rate of discharge to home was significantly higher among patients in the EM group that in the control group (76% vs. 40%). [Conclusion] Early mobilization can improve the rate of discharge to home of patients requiring mechanical ventilation because of non-neurological deficits.
format Online
Article
Text
id pubmed-4395731
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher The Society of Physical Therapy Science
record_format MEDLINE/PubMed
spelling pubmed-43957312015-04-30 Effect of early mobilization on discharge disposition of mechanically ventilated patients Ota, Hideki Kawai, Hideki Sato, Makoto Ito, Kazuaki Fujishima, Satoshi Suzuki, Hiroko J Phys Ther Sci Original Article [Purpose] The purpose of this study was to clarify the benefits of early mobilization for mechanically ventilated patients for their survival to discharge to home from the hospital. [Subjects and Methods] Medical records were retrospectively analyzed of patients who satisfied the following criteria: age ≥ 18 years; performance status 0–2 and independent living at their home before admission; mechanical ventilation for more than 48 h; and survival after mechanical ventilation. Mechanically ventilated patients in the early mobilization (EM) group (n = 48) received mobilization therapy, limb exercise and chest physiotherapy, whereas those in the control group (n = 60) received bed rest alone. Univariate and multivariate logistic regression analyses were performed to identify clinical variables associated with discharge disposition. [Results] Early mobilization was a positive independent factor and the presence of neurological deficits was a negative factor contributing to discharge to home. Among patients surviving mechanical ventilation without neurological deficits, the rate of discharge to home was significantly higher among patients in the EM group that in the control group (76% vs. 40%). [Conclusion] Early mobilization can improve the rate of discharge to home of patients requiring mechanical ventilation because of non-neurological deficits. The Society of Physical Therapy Science 2015-03-31 2015-03 /pmc/articles/PMC4395731/ /pubmed/25931747 http://dx.doi.org/10.1589/jpts.27.859 Text en 2015©by the Society of Physical Therapy Science. Published by IPEC Inc. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License.
spellingShingle Original Article
Ota, Hideki
Kawai, Hideki
Sato, Makoto
Ito, Kazuaki
Fujishima, Satoshi
Suzuki, Hiroko
Effect of early mobilization on discharge disposition of mechanically ventilated patients
title Effect of early mobilization on discharge disposition of mechanically ventilated patients
title_full Effect of early mobilization on discharge disposition of mechanically ventilated patients
title_fullStr Effect of early mobilization on discharge disposition of mechanically ventilated patients
title_full_unstemmed Effect of early mobilization on discharge disposition of mechanically ventilated patients
title_short Effect of early mobilization on discharge disposition of mechanically ventilated patients
title_sort effect of early mobilization on discharge disposition of mechanically ventilated patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4395731/
https://www.ncbi.nlm.nih.gov/pubmed/25931747
http://dx.doi.org/10.1589/jpts.27.859
work_keys_str_mv AT otahideki effectofearlymobilizationondischargedispositionofmechanicallyventilatedpatients
AT kawaihideki effectofearlymobilizationondischargedispositionofmechanicallyventilatedpatients
AT satomakoto effectofearlymobilizationondischargedispositionofmechanicallyventilatedpatients
AT itokazuaki effectofearlymobilizationondischargedispositionofmechanicallyventilatedpatients
AT fujishimasatoshi effectofearlymobilizationondischargedispositionofmechanicallyventilatedpatients
AT suzukihiroko effectofearlymobilizationondischargedispositionofmechanicallyventilatedpatients