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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:...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Society of Physical Therapy Science
2015
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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 |
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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 |
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