ICU sedation, delirium & recovery

Social Determinants of Health and Delivery of Rehabilitation to Older Adults During Intensive Care Unit (ICU) Hospitalization

JAMA Netw OpenPublished Cohort study

Study context

Population
Older adults hospitalized with an ICU stay (Medicare, 2011–2018)
Participants
1,618 ICU hospitalizations
Exposure
Social determinants of health (SDOH) and in-hospital rehabilitation delivery
  • Dual eligibilityn = 371
  • Less than high school educationn = 523
  • Rural residencen = 320
  • Limited English proficiency (LEP)n = 56
Outcome
Delivery of PT and/or OT during ICU hospitalization: any in-hospital PT or OT and rate of PT or OT (total units / LOS)
Methodological detailsNational Health and Aging Trends Study linked with Medicare claims, Data analyzed August 2022 to September 2023
  • National Health and Aging Trends Study linked with Medicare claims
  • Data analyzed August 2022 to September 2023

Main finding

As reported in the abstract

Receipt and rate of PT or OT
Estimate (95% CI)
Dual eligibilityreceipt of any PT or OT
aOR 0.70(0.50–0.97)
Rural residencereceipt of any PT or OT
aOR 0.65(0.48–0.87)
LEPrate of PT or OT
adjusted rate ratio 0.55(0.32–0.94)
Received any physical therapy (PT) or occupational therapy (OT) (all hospitalizations)
1076 (68.5%)
Mean rate of PT or OT, units/d
0.94 (95% CI 0.86-1.02)

Observational data: associations, not effects.

Original publication

Social Determinants of Health and Delivery of Rehabilitation to Older Adults During ICU Hospitalization. JAMA Netw Open. Published 1 May 2024. doi:10.1001/jamanetworkopen.2024.10713

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

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