Title | Timing and Amount of Physical Therapy Treatment are Associated with Length of Stay in the Cardiothoracic ICU. |
Publication Type | Journal Article |
Year of Publication | 2017 |
Authors | Johnson AM, Henning AN, Morris PE, Tezanos AGVillasan, Dupont-Versteegden EE |
Journal | Sci Rep |
Volume | 7 |
Issue | 1 |
Pagination | 17591 |
Date Published | 2017 12 14 |
ISSN | 2045-2322 |
Keywords | Cardiac Surgical Procedures, Cross-Sectional Studies, Female, Humans, Intensive Care Units, Length of Stay, Male, Middle Aged, Physical Therapists, Regression Analysis, Retrospective Studies, Time Factors |
Abstract | Significant variability exists in physical therapy early mobilization practice. The frequency of physical therapy or early mobilization of patients in the cardiothoracic intensive care unit and its effect on length of stay has not been investigated. The goal of our research was to examine variables that influence physical therapy evaluation and treatment in the intensive care unit using a retrospective chart review. Patients (n = 2568) were categorized and compared based on the most common diagnoses or surgical procedures. Multivariate semi-logarithmic regression analyses were used to determine correlations. Differences among patient subgroups for all independent variables other than age and for length of stay were found. The regression model determined that time to first physical therapy evaluation, Charlson Comorbidity Index score, mean days of physical therapy treatment and mechanical ventilation were associated with increased hospital length of stay. Time to first physical therapy evaluation in the intensive care unit and the hospital, and mean days of physical therapy treatment associated with hospital length of stay. Further prospective study is required to determine whether shortening time to physical therapy evaluation and treatment in a cardiothoracic intensive care unit could influence length of stay. |
DOI | 10.1038/s41598-017-17624-3 |
Alternate Journal | Sci Rep |
PubMed ID | 29242519 |
PubMed Central ID | PMC5730602 |
Grant List | UL1 TR000117 / TR / NCATS NIH HHS / United States |