Display options
Cite
Wahab R, Yip NH, Chandra S, et al. The implementation of an early rehabilitation program is associated with reduced length of stay: A multi-ICU study. J Intensive Care Soc. 2015;17(1):2-11doi: 10.1177/1751143715605118.
Wahab, R., Yip, N. H., Chandra, S., Nguyen, M., Pavlovich, K. H., Benson, T., Vilotijevic, D., Rodier, D. M., Patel, K. R., Rychcik, P., Perez-Mir, E., Boyle, S. M., Berlin, D., Needham, D. M., & Brodie, D. (2016). The implementation of an early rehabilitation program is associated with reduced length of stay: A multi-ICU study. Journal of the Intensive Care Society, 17(1), 2-11. https://doi.org/10.1177/1751143715605118
Wahab, Romina, et al. "The implementation of an early rehabilitation program is associated with reduced length of stay: A multi-ICU study." Journal of the Intensive Care Society vol. 17,1 (2016): 2-11. doi: https://doi.org/10.1177/1751143715605118
Wahab R, Yip NH, Chandra S, Nguyen M, Pavlovich KH, Benson T, Vilotijevic D, Rodier DM, Patel KR, Rychcik P, Perez-Mir E, Boyle SM, Berlin D, Needham DM, Brodie D. The implementation of an early rehabilitation program is associated with reduced length of stay: A multi-ICU study. J Intensive Care Soc. 2016 Feb;17(1):2-11. doi: 10.1177/1751143715605118. Epub 2015 Sep 21. PMID: 28979452; PMCID: PMC5606382.
Copy Download .nbib Format: NLM
Share it on

J Intensive Care Soc. 2016 Feb;17(1):2-11. doi: 10.1177/1751143715605118. Epub 2015 Sep 21.

The implementation of an early rehabilitation program is associated with reduced length of stay: A multi-ICU study.

Journal of the Intensive Care Society

Romina Wahab, Natalie H Yip, Subani Chandra, Michael Nguyen, Katherine H Pavlovich, Thomas Benson, Denise Vilotijevic, Danielle M Rodier, Komal R Patel, Patricia Rychcik, Ernesto Perez-Mir, Suzanne M Boyle, David Berlin, Dale M Needham, Daniel Brodie

Affiliations

  1. Division of Pulmonary, Allergy, and Critical Care, Department of Medicine, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, New York, NY, USA.
  2. Department of Quality and Patient Safety Improvement, New York-Presbyterian Hospital, New York, NY, USA.
  3. Office of Strategy, New York-Presbyterian Hospital, New York, NY, USA.
  4. Department of Rehabilitation and Regenerative Medicine, New York-Presbyterian Hospital, New York, NY, USA.
  5. Department of Nursing, New York-Presbyterian Hospital, New York, NY, USA.
  6. Division of Pulmonary and Critical Care Medicine, Department of Medicine, Weill Cornell Medical College/New York-Presbyterian Hospital, New York, NY, USA.
  7. Outcomes After Critical Illness & Surgery (OACIS) Group, Division of Pulmonary and Critical Care Medicine, Department of Medicine, and Department of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

PMID: 28979452 PMCID: PMC5606382 DOI: 10.1177/1751143715605118

Abstract

INTRODUCTION: Survivors of critical illness face many potential long-term sequelae. Prior studies showed that early rehabilitation in the intensive care unit (ICU) reduces physical impairment and decreases ICU and hospital length of stay (LOS). However, these studies are based on a single ICU or were conducted with a small subset of all ICU patients. We examined the effect of an early rehabilitation program concurrently implemented in multiple ICUs on ICU and hospital LOS.

METHODS: An early rehabilitation program was systematically implemented in five ICUs at the sites of two affiliated academic institutions. We retrospectively compared ICU and hospital LOS in the year before (1/2011-12/2011) and after (1/2012-12/2012) implementation.

RESULTS: In the pre- and post-implementation periods, respectively, there were a total of 3945 and 4200 ICU admissions among the five ICUs. After implementation, there was a significant increase in the proportion of patients who received more rehabilitation treatments during their ICU stay (

CONCLUSIONS: A multi-ICU, coordinated implementation of an early rehabilitation program markedly increased rehabilitation treatments in the ICU and was associated with reduced ICU and hospital LOS as well as increased ICU admissions.

Keywords: Intensive care; early ambulation; length of stay; occupational therapy; physical therapy; rehabilitation

References

  1. Crit Care Med. 2011 Feb;39(2):371-9 - PubMed
  2. Crit Care Med. 2013 Mar;41(3):717-24 - PubMed
  3. Crit Care Med. 2007 Jan;35(1):139-45 - PubMed
  4. Am J Respir Crit Care Med. 2012 Mar 1;185(5):517-24 - PubMed
  5. Arch Phys Med Rehabil. 2010 Apr;91(4):536-42 - PubMed
  6. Crit Care Med. 2008 Apr;36(4):1119-24 - PubMed
  7. JAMA. 2010 Oct 27;304(16):1787-94 - PubMed
  8. N Engl J Med. 2011 Apr 7;364(14):1293-304 - PubMed
  9. Heart Lung. 2014 Jan-Feb;43(1):19-24 - PubMed
  10. Crit Care Med. 2014 Apr;42(4):849-59 - PubMed
  11. Surgery. 2013 Aug;154(2):152-61 - PubMed
  12. Health Serv Res. 1977 Fall;12(3):322-30 - PubMed
  13. Phys Ther. 2013 Feb;93(2):186-96 - PubMed
  14. N Engl J Med. 2014 Mar 13;370(11):1029-38 - PubMed
  15. Crit Care Resusc. 2013 Dec;15(4):260-5 - PubMed
  16. Crit Care Med. 2014 May;42(5):1178-86 - PubMed
  17. Cardiopulm Phys Ther J. 2012 Mar;23(1):5-13 - PubMed
  18. Phys Ther. 2013 Jul;93(7):975-85 - PubMed
  19. Crit Care Med. 2013 Jun;41(6):1543-54 - PubMed
  20. JAMA. 2008 Oct 8;300(14):1685-90 - PubMed
  21. Crit Care Med. 2014 Feb;42(2):369-77 - PubMed
  22. Crit Care Med. 2013 Sep;41(9 Suppl 1):S69-80 - PubMed
  23. N Engl J Med. 2013 Oct 3;369(14):1306-16 - PubMed
  24. Intensive Care Med. 2008 Jul;34(7):1188-99 - PubMed
  25. Crit Care Med. 2008 Aug;36(8):2238-43 - PubMed
  26. Crit Care Med. 2009 Sep;37(9):2499-505 - PubMed
  27. J Crit Care. 2010 Jun;25(2):254-62 - PubMed
  28. Lancet. 2009 May 30;373(9678):1874-82 - PubMed
  29. Arch Phys Med Rehabil. 2013 Mar;94(3):551-61 - PubMed

Publication Types