ICU sedation, delirium & recovery
Association Between Hospital Safety-Net Status and Delivery of Rehabilitation to Older Adults With Acute Respiratory Failure
Main findingResult — go to the resultAdjusted odds ratio 0.80 95% CI 0.75–0.86Authors' conclusion
SNHs showed a 20% lower odds of delivering rehabilitation to older adults hospitalized with ARF.
Study context
- Population
- Older adults (age ≥ 65 years) hospitalized with acute respiratory failure, ICU stay ≥ 1 day and invasive mechanical ventilation, US, 2016–2019ICU hospitalizations, 1,859 US hospitals
- Participants
- 868,735 adults
- Exposure
- Safety-net hospitals vs non-SNHs
- Outcome
- Delivery of rehabilitation (physical or occupational therapy or both) during hospitalization
Methodological detailshierarchical multivariable logistic regression, Medicare Provider Analysis and Review files
- Hierarchical multivariable logistic regression
- Medicare Provider Analysis and Review files
Main finding
As reported in the abstract
Adjusted odds ratio
0.80
95% CI 0.75–0.86
SNHs vs non-SNHs
aOR 0.80 (95% CI 0.75–0.86)
Observational data: associations, not effects.
Further findings
Rehabilitation delivery, all hospitalizations
- Rehabilitation delivered
- 59.1%
Hospital variation in risk-standardized rehabilitation rate
- Median risk-standardized rehabilitation rate (IQR 51.7%-67.3%)
- 59.4%
- Median OR
- 1.69
Original publication
Association Between Hospital Safety-Net Status and Delivery of Rehabilitation to Older Adults With Acute Respiratory Failure. Chest. Published 14 August 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →