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Association between Participation in a Rehabilitation Program and 1-Year Survival in Patients Requiring Prolonged Mechanical Ventilation

Authors :
Wanho Yoo
Myung Hun Jang
Sang Hun Kim
Soohan Kim
Eun-Jung Jo
Jung Seop Eom
Jeongha Mok
Mi-Hyun Kim
Kwangha Lee
Source :
Tuberculosis and Respiratory Diseases. 86:133-141
Publication Year :
2023
Publisher :
The Korean Academy of Tuberculosis and Respiratory Diseases, 2023.

Abstract

Background: The present study evaluated the association between participation in a rehabilitation program during a hospital stay and 1-year survival of patients requiring at least 21 days of mechanical ventilation (prolonged mechanical ventilation [PMV]) with various respiratory diseases as their main diagnoses that led to mechanical ventilation.Methods: Retrospective data of 105 patients (71.4% male, mean age 70.1±11.3 years) who received PMV in the past 5 years were analyzed. Rehabilitation included physiotherapy, physical rehabilitation, and dysphagia treatment program that was individually provided by physiatrists.Results: The main diagnosis leading to mechanical ventilation was pneumonia (n=101, 96.2%) and the 1-year survival rate was 33.3% (n=35). One-year survivors had lower Acute Physiology and Chronic Health Evaluation (APACHE) II score (20.2±5.8 vs. 24.2±7.5, p=0.006) and Sequential Organ Failure Assessment score (6.7±5.6 vs. 8.5±2.7, p=0.001) on the day of intubation than non-survivors. More survivors participated in a rehabilitation program during their hospital stays (88.6% vs. 57.1%, p=0.001). The rehabilitation program was an independent factor for 1-year survival based on the Cox proportional hazard model (hazard ratio, 3.513; 95% confidence interval, 1.785 to 6.930; p

Details

ISSN :
20056184 and 17383536
Volume :
86
Database :
OpenAIRE
Journal :
Tuberculosis and Respiratory Diseases
Accession number :
edsair.doi...........ff29ab5b3fdb1deb73f3115f38d99b57