The effect of early cardiopulmonary rehabilitation on the outcomes of intensive care unit survivors

doi:10.1097/MD.0000000000014877

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Title:	The effect of early cardiopulmonary rehabilitation on the outcomes of intensive care unit survivors
Authors:	Lai, Chih-Cheng Willy Chou(周偉倪) Cheng, Ai-Chin Chao, Chien-Ming Cheng, Kuo-Chen Ho, Chung-Han Chen, Chin-Ming
Contributors:	Chi Mei Med Ctr, Dept Intens Care Med Chia Nan Univ Pharm & Sci, Dept Recreat & Hlth Care Management Chang Jung Christian Univ, Chi Mei Med Ctr, Dept Phys Med & Rehabil Chang Jung Christian Univ, Dept Med Sci Ind Chung Hwa Univ Med Technol, Chi Mei Med Ctr, Dept Internal Med, Sect Resp Care Chung Hwa Univ Med Technol, Dept Safety Hlth & Environm Chi Mei Med Ctr, Dept Internal Med Chi Mei Med Ctr, Dept Med Res Chi Mei Med Ctr, Dept Intens Care Med
Keywords:	early cardiopulmonary rehabilitation intensive care unit mortality readmission
Date:	2019-03
Issue Date:	2020-07-29 13:50:14 (UTC+8)
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Abstract:	This study aims to compare the impact of early and late post-discharge cardiopulmonary rehabilitation on the outcomes of intensive care unit (ICU) survivors.The retrospective, cohort study used a sub-database of the Taiwan National Health Insurance Research Database (NHIRD) that contained information of all patients had ICU admission between 2000 and 2012. Early group was defined if patients had received cardiopulmonary rehabilitation within 30 days after ICU discharge, and late group was define as if patients had received cardiopulmonary rehabilitation between 30 days and 1 year after ICU discharge. The end points were mortality and re-admission during the 3-year follow-up.Among 2136 patients received cardiopulmonary rehabilitation after ICU discharge, 994 was classified early group and other 1142 patients were classified as late group. Overall, early group had a lower mortality rate (6.64% vs. 10.86%, P=.0006), and a lower ICU readmission rate (47.8% vs. 57.97%, P<0.0001) than late group after 3-year follow-up. Kaplan-Meier analysis showed that early group had significantly lower mortality (P=.0009) and readmission rate (P<.0001) than late group. In multivariate analysis, the risk of ICU readmission was found to be independently associated with late group (hazard ratio, [HR], 1.28; 95% confidence intervals, [CI], 1.13-1.47).Early post-discharge cardiopulmonary rehabilitation among ICU survivors has the long-term survival benefit and significantly decreases the readmission rate.
Relation:	Medicine, v.98, n.11, e14877
Appears in Collections:	[Dept. of Recreation and Health-Care Management] Periodical Articles

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