Cargando…

Investigation of Adverse Events Occurring during Rehabilitation in Acute Care Hospital

Adverse events (AEs) during intensive care unit (ICU) rehabilitation and serious AEs during acute care hospital stays have been reported previously. However, no AEs have been reported for all patients needing rehabilitation in a non-ICU setting at an acute care hospital. This study aimed to investig...

Descripción completa

Detalles Bibliográficos
Autores principales: Kinoshita, Tokio, Nishimura, Yukihide, Umemoto, Yasunori, Kawasaki, Shinji, Hori, Shinnosuke, Yasuoka, Yoshinori, Banno, Motohiko, Tajima, Fumihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9410363/
https://www.ncbi.nlm.nih.gov/pubmed/36012943
http://dx.doi.org/10.3390/jcm11164706
_version_ 1784775075127361536
author Kinoshita, Tokio
Nishimura, Yukihide
Umemoto, Yasunori
Kawasaki, Shinji
Hori, Shinnosuke
Yasuoka, Yoshinori
Banno, Motohiko
Tajima, Fumihiro
author_facet Kinoshita, Tokio
Nishimura, Yukihide
Umemoto, Yasunori
Kawasaki, Shinji
Hori, Shinnosuke
Yasuoka, Yoshinori
Banno, Motohiko
Tajima, Fumihiro
author_sort Kinoshita, Tokio
collection PubMed
description Adverse events (AEs) during intensive care unit (ICU) rehabilitation and serious AEs during acute care hospital stays have been reported previously. However, no AEs have been reported for all patients needing rehabilitation in a non-ICU setting at an acute care hospital. This study aimed to investigate all AEs during acute-phase rehabilitation. Reports of AEs occurring during acute-phase rehabilitation in a university hospital from 1 April 2021 to 31 March 2022 were retrospectively analyzed. Minor and severe AEs were defined as those that did not require new treatment and those that required intensive treatment and/or prolonged hospitalization, respectively. There were 113 incidences of AEs during rehabilitation. The majority of AEs were minor (93.8%) and did not require new treatment. Only one serious AE was documented. The most common AEs were peripheral intravenous tube removal, decreased level of consciousness, poor mood due to low blood pressure, and falling down. There was no significant correlation between years of experience and the frequency of AEs. The neurosurgery department had the highest cases of AEs. Physical, occupational, and speech-language-hearing therapists had different characteristics and experiences of AEs. Risk management strategies should consider exercise load and targeted disorders due to differences in therapists’ specialties.
format Online
Article
Text
id pubmed-9410363
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-94103632022-08-26 Investigation of Adverse Events Occurring during Rehabilitation in Acute Care Hospital Kinoshita, Tokio Nishimura, Yukihide Umemoto, Yasunori Kawasaki, Shinji Hori, Shinnosuke Yasuoka, Yoshinori Banno, Motohiko Tajima, Fumihiro J Clin Med Article Adverse events (AEs) during intensive care unit (ICU) rehabilitation and serious AEs during acute care hospital stays have been reported previously. However, no AEs have been reported for all patients needing rehabilitation in a non-ICU setting at an acute care hospital. This study aimed to investigate all AEs during acute-phase rehabilitation. Reports of AEs occurring during acute-phase rehabilitation in a university hospital from 1 April 2021 to 31 March 2022 were retrospectively analyzed. Minor and severe AEs were defined as those that did not require new treatment and those that required intensive treatment and/or prolonged hospitalization, respectively. There were 113 incidences of AEs during rehabilitation. The majority of AEs were minor (93.8%) and did not require new treatment. Only one serious AE was documented. The most common AEs were peripheral intravenous tube removal, decreased level of consciousness, poor mood due to low blood pressure, and falling down. There was no significant correlation between years of experience and the frequency of AEs. The neurosurgery department had the highest cases of AEs. Physical, occupational, and speech-language-hearing therapists had different characteristics and experiences of AEs. Risk management strategies should consider exercise load and targeted disorders due to differences in therapists’ specialties. MDPI 2022-08-11 /pmc/articles/PMC9410363/ /pubmed/36012943 http://dx.doi.org/10.3390/jcm11164706 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kinoshita, Tokio
Nishimura, Yukihide
Umemoto, Yasunori
Kawasaki, Shinji
Hori, Shinnosuke
Yasuoka, Yoshinori
Banno, Motohiko
Tajima, Fumihiro
Investigation of Adverse Events Occurring during Rehabilitation in Acute Care Hospital
title Investigation of Adverse Events Occurring during Rehabilitation in Acute Care Hospital
title_full Investigation of Adverse Events Occurring during Rehabilitation in Acute Care Hospital
title_fullStr Investigation of Adverse Events Occurring during Rehabilitation in Acute Care Hospital
title_full_unstemmed Investigation of Adverse Events Occurring during Rehabilitation in Acute Care Hospital
title_short Investigation of Adverse Events Occurring during Rehabilitation in Acute Care Hospital
title_sort investigation of adverse events occurring during rehabilitation in acute care hospital
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9410363/
https://www.ncbi.nlm.nih.gov/pubmed/36012943
http://dx.doi.org/10.3390/jcm11164706
work_keys_str_mv AT kinoshitatokio investigationofadverseeventsoccurringduringrehabilitationinacutecarehospital
AT nishimurayukihide investigationofadverseeventsoccurringduringrehabilitationinacutecarehospital
AT umemotoyasunori investigationofadverseeventsoccurringduringrehabilitationinacutecarehospital
AT kawasakishinji investigationofadverseeventsoccurringduringrehabilitationinacutecarehospital
AT horishinnosuke investigationofadverseeventsoccurringduringrehabilitationinacutecarehospital
AT yasuokayoshinori investigationofadverseeventsoccurringduringrehabilitationinacutecarehospital
AT bannomotohiko investigationofadverseeventsoccurringduringrehabilitationinacutecarehospital
AT tajimafumihiro investigationofadverseeventsoccurringduringrehabilitationinacutecarehospital