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Relationship between Use of Rehabilitation Resources and ICU Readmission and ER Visits in ICU Survivors: the Korean ICU National Data Study 2008-2015

BACKGROUND: Despite the increasing importance of rehabilitation for critically ill patients, there is little information regarding how rehabilitation therapy is utilized in clinical practice. Our objectives were to evaluate the implementation rate of rehabilitation therapy in the intensive care unit...

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Autores principales: Park, Yun Hee, Ko, Ryoung-Eun, Kang, Danbee, Park, Jinkyeong, Jeon, Kyeongman, Yang, Jeong Hoon, Park, Chi-Min, Cho, Joongbum, Park, Young Sook, Park, Hyejung, Cho, Juhee, Guallar, Eliseo, Suh, Gee Young, Chung, Chi Ryang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7167400/
https://www.ncbi.nlm.nih.gov/pubmed/32301293
http://dx.doi.org/10.3346/jkms.2020.35.e101
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author Park, Yun Hee
Ko, Ryoung-Eun
Kang, Danbee
Park, Jinkyeong
Jeon, Kyeongman
Yang, Jeong Hoon
Park, Chi-Min
Cho, Joongbum
Park, Young Sook
Park, Hyejung
Cho, Juhee
Guallar, Eliseo
Suh, Gee Young
Chung, Chi Ryang
author_facet Park, Yun Hee
Ko, Ryoung-Eun
Kang, Danbee
Park, Jinkyeong
Jeon, Kyeongman
Yang, Jeong Hoon
Park, Chi-Min
Cho, Joongbum
Park, Young Sook
Park, Hyejung
Cho, Juhee
Guallar, Eliseo
Suh, Gee Young
Chung, Chi Ryang
author_sort Park, Yun Hee
collection PubMed
description BACKGROUND: Despite the increasing importance of rehabilitation for critically ill patients, there is little information regarding how rehabilitation therapy is utilized in clinical practice. Our objectives were to evaluate the implementation rate of rehabilitation therapy in the intensive care unit (ICU) survivors and to investigate the effects of rehabilitation therapy on outcomes. METHODS: A retrospective nationwide cohort study with including > 18 years of ages admitted to ICU between January 2008 and May 2015 (n = 1,465,776). The analyzed outcomes were readmission to ICU readmission and emergency room (ER) visit. RESULTS: During the study period, 249,918 (17.1%) patients received rehabilitation therapy. The percentage of patients receiving any rehabilitation therapy increased annually from 14% in 2008 to 20% in 2014, and the percentages for each type of therapy also increased over time. The most common type of rehabilitation was physical therapy (91.9%), followed by neuromuscular electrical stimulation (29.6%), occupational (28.6%), respiratory, (11.6%) and swallowing (10.3%) therapies. After adjusting for confounding variables, the risk of 30-day ICU readmission was lower in patients who received rehabilitation therapy than in those who did not (P < 0.001; hazard ratio [HR], 0.70; 95% confidence interval [CI], 0.65–0.75). And, the risk of 30-day ER visit was also lower in patients who received rehabilitation therapy (P < 0.001; HR, 0.83; 95% CI, 0.77–0.88). CONCLUSION: In this nationwide cohort study in Korea, only 17% of all ICU patients received rehabilitation therapy. However, rehabilitation is associated with a significant reduction in the risk of 30-day ICU readmission and ER visit.
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spelling pubmed-71674002020-04-22 Relationship between Use of Rehabilitation Resources and ICU Readmission and ER Visits in ICU Survivors: the Korean ICU National Data Study 2008-2015 Park, Yun Hee Ko, Ryoung-Eun Kang, Danbee Park, Jinkyeong Jeon, Kyeongman Yang, Jeong Hoon Park, Chi-Min Cho, Joongbum Park, Young Sook Park, Hyejung Cho, Juhee Guallar, Eliseo Suh, Gee Young Chung, Chi Ryang J Korean Med Sci Original Article BACKGROUND: Despite the increasing importance of rehabilitation for critically ill patients, there is little information regarding how rehabilitation therapy is utilized in clinical practice. Our objectives were to evaluate the implementation rate of rehabilitation therapy in the intensive care unit (ICU) survivors and to investigate the effects of rehabilitation therapy on outcomes. METHODS: A retrospective nationwide cohort study with including > 18 years of ages admitted to ICU between January 2008 and May 2015 (n = 1,465,776). The analyzed outcomes were readmission to ICU readmission and emergency room (ER) visit. RESULTS: During the study period, 249,918 (17.1%) patients received rehabilitation therapy. The percentage of patients receiving any rehabilitation therapy increased annually from 14% in 2008 to 20% in 2014, and the percentages for each type of therapy also increased over time. The most common type of rehabilitation was physical therapy (91.9%), followed by neuromuscular electrical stimulation (29.6%), occupational (28.6%), respiratory, (11.6%) and swallowing (10.3%) therapies. After adjusting for confounding variables, the risk of 30-day ICU readmission was lower in patients who received rehabilitation therapy than in those who did not (P < 0.001; hazard ratio [HR], 0.70; 95% confidence interval [CI], 0.65–0.75). And, the risk of 30-day ER visit was also lower in patients who received rehabilitation therapy (P < 0.001; HR, 0.83; 95% CI, 0.77–0.88). CONCLUSION: In this nationwide cohort study in Korea, only 17% of all ICU patients received rehabilitation therapy. However, rehabilitation is associated with a significant reduction in the risk of 30-day ICU readmission and ER visit. The Korean Academy of Medical Sciences 2020-02-26 /pmc/articles/PMC7167400/ /pubmed/32301293 http://dx.doi.org/10.3346/jkms.2020.35.e101 Text en © 2020 The Korean Academy of Medical Sciences. https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Park, Yun Hee
Ko, Ryoung-Eun
Kang, Danbee
Park, Jinkyeong
Jeon, Kyeongman
Yang, Jeong Hoon
Park, Chi-Min
Cho, Joongbum
Park, Young Sook
Park, Hyejung
Cho, Juhee
Guallar, Eliseo
Suh, Gee Young
Chung, Chi Ryang
Relationship between Use of Rehabilitation Resources and ICU Readmission and ER Visits in ICU Survivors: the Korean ICU National Data Study 2008-2015
title Relationship between Use of Rehabilitation Resources and ICU Readmission and ER Visits in ICU Survivors: the Korean ICU National Data Study 2008-2015
title_full Relationship between Use of Rehabilitation Resources and ICU Readmission and ER Visits in ICU Survivors: the Korean ICU National Data Study 2008-2015
title_fullStr Relationship between Use of Rehabilitation Resources and ICU Readmission and ER Visits in ICU Survivors: the Korean ICU National Data Study 2008-2015
title_full_unstemmed Relationship between Use of Rehabilitation Resources and ICU Readmission and ER Visits in ICU Survivors: the Korean ICU National Data Study 2008-2015
title_short Relationship between Use of Rehabilitation Resources and ICU Readmission and ER Visits in ICU Survivors: the Korean ICU National Data Study 2008-2015
title_sort relationship between use of rehabilitation resources and icu readmission and er visits in icu survivors: the korean icu national data study 2008-2015
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7167400/
https://www.ncbi.nlm.nih.gov/pubmed/32301293
http://dx.doi.org/10.3346/jkms.2020.35.e101
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