ICU sedation, delirium & recovery

Long-Term Prognosis Following Early Rehabilitation in the ICU: A Retrospective Cohort Study

Crit Care MedPublished Retrospective cohort study

Authors' conclusion

Starting rehabilitation within 3 days of ICU admission was associated with shorter durations of future hospitalization and lower healthcare costs.

Study context

Population
ICU patients who received rehabilitation, Kumamoto Prefecture, Japan, April 2012 to February 2017
Participants
6,679 patients · 2,245 matched pairs
Exposure
Early vs delayed rehabilitation after ICU admission
  • Early rehabilitationn = 2,245
  • Delayed rehabilitationn = 2,245reference
Methodological detailspropensity-score matched, administrative claims database
  • Propensity-score matched
  • Administrative claims database

Main finding

As reported in the abstract

  • Outpatient consultations: no difference 1 year after discharge; differences between groups 3 years after discharge
  • Propensity-matched cohort

Observational data: associations, not effects.

Further findings

Overall duration of hospitalization after discharge (long-term)

P < 0.001

OutcomeEarly rehabilitationDelayed rehabilitationP value
Total healthcare costs$28,159$38,272P < 0.001
Average healthcare costs per monthAverage $1,6901,959P = 0.001
SurvivalP = 0.18

Survival

No differences in survival

Original publication

Long-Term Prognosis Following Early Rehabilitation in the ICU: A Retrospective Cohort Study. Crit Care Med. Published 29 March 2023. doi:10.1097/ccm.0000000000005862

Composed by AI from the published abstract and checked against it. How Briefs are made →

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