Effectiveness of early rehabilitation on patients with chronic obstructive lung disease and acute respiratory failure in intensive care units: A case-control study

doi:10.1177/1479973118820310

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Title:	Effectiveness of early rehabilitation on patients with chronic obstructive lung disease and acute respiratory failure in intensive care units: A case-control study
Authors:	Willy Chou(周偉倪) Lai, Chih-Cheng Cheng, Kuo-Chen Yuan, Kuo-Shu Chen, Chin-Ming Cheng, Ai-Chin
Contributors:	Chi Mei Med Ctr, Dept Phys Med & Rehabil Chia Nan Univ Pharm & Sci, Dept Recreat & Hlth Care Management Chi Mei Med Ctr, Dept Intens Care Med Chi Mei Med Ctr, Dept Internal Med Chung Hwa Univ Med Technol, Dept Safety Hlth & Environm Chi Mei Med Ctr, Dept Med Res Natl Sun Yat Sen Univ, Dept Business Management Chi Mei Med Ctr, Sect Resp Care, Dept Internal Med Chang Jung Christian Univ, Dept Med Sci Ind
Keywords:	Early rehabilitation mechanical ventilation intensive care unit chronic obstructive pulmonary disease
Date:	2019-01
Issue Date:	2020-07-29 13:50:17 (UTC+8)
Publisher:	SAGE PUBLICATIONS LTD
Abstract:	The effect of early rehabilitation on the outcome of patients with chronic obstructive pulmonary disease (COPD) and acute respiratory failure (ARF) in intensive care units (ICUs) remains unclear. We examined the effect of early rehabilitation on the outcomes of COPD patients requiring mechanical ventilation (MV) in the ICU. This retrospective, observational, case-control study was conducted in a medical center with a 19-bed ICU. The records of all 105 ICU patients with COPD and ARF who required MV from January to December 2011 were examined. The outcomes (MV duration, rates of successful weaning and survival, lengths of ICU and hospital stays, and medical costs) were recorded and analyzed. During the study period, 35 patients with COPD underwent early rehabilitation in the ICU and 70 demographically and clinically matched patients with similar COPD stage, cause of intubation, type of respiratory failure, and levels of disease severity who had not undergone early rehabilitation in the ICU were selected as comparative controls. Multiple regression analysis showed that early rehabilitation was significantly negatively associated with MV duration. Early rehabilitation for COPD patients in the ICU with ARF shortened the duration of their MV.
Relation:	Chronic Respiratory Disease, v.16, pp.1-8
Appears in Collections:	[Dept. of Recreation and Health-Care Management] Periodical Articles

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