Effectiveness of Early Versus Delayed Physical Rehabilitation on In-Hospital Mortality in Interstitial Pneumonia: A Retrospective Cohort Study.

PM & R : the Journal of Injury, Function, and Rehabilitation
Masashi SawabeRyo Momosaki

Abstract

Although early rehabilitation for acute inpatients is widely recommended, the effectiveness of early physical rehabilitation for interstitial pneumonia in the acute setting remains unclear. To investigate the impact of early rehabilitation on mortality in patients with interstitial pneumonia in the acute setting. Retrospective cohort study used a hospital-based database created by the Japan Medical Data Center. Over 100 acute-care hospitals across Japan. Inpatients hospitalized due to interstitial pneumonia from 2014 to 2018. Early rehabilitation provided by physical therapists and/or occupational therapists within 2 day of admission. Thirty- and 90-day in-hospital mortality. Among the included inpatients, 847 (50%) underwent early rehabilitation. Mortality was significantly lower in the early rehabilitation group compared with the delayed rehabilitation group (30-day mortality: 6.8% vs 12.1%, 90-day mortality: 13.0% vs 19.8%). The differences were significant after propensity score adjustment using inverse probability weighting (30-day mortality: 7.6% vs 11.0%, 90-day mortality: 14.3% vs 18.0%). Early rehabilitation was associated with decreased mortality in hospitalized patients with interstitial pneumonia.

References

Sep 13, 2003·Chest·Linda M MundyWilliam Claiborne Dunagan
Jan 12, 1952·British Medical Journal·P HUGH-JONES, A V LAMBERT
Oct 27, 2011·JAMA : the Journal of the American Medical Association·Kenneth E CovinskyC Bree Johnston
Sep 28, 2012·Respiratory Care·Pedro A Mendez-Tellez, Dale M Needham
Aug 15, 2013·Respiration; International Review of Thoracic Diseases·K KennJ Behr
Aug 28, 2014·American Journal of Respiratory and Critical Care Medicine·Motoki NatsuizakaHiroki Takahashi
Oct 11, 2014·Archives of Physical Medicine and Rehabilitation·Ryo MomosakiMasahiro Abo
May 28, 2016·Seminars in Respiratory and Critical Care Medicine·Sara TomassettiVenerino Poletti
Aug 23, 2016·Journal of Clinical Medicine·Baruch VainshelboimJose Oliveira
Feb 6, 2017·Therapeutic Advances in Respiratory Disease·Atsuhito NakazawaAnne E Holland
Mar 3, 2018·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Yusuke SawadaHideo Yasunaga

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Citations

Dec 12, 2020·Journal of General and Family Medicine·Katsuhiko NagaiTakeo Nakayama

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