Effectiveness of Early Versus Delayed Physical Rehabilitation on In-Hospital Mortality in Interstitial Pneumonia: A Retrospective Cohort Study.
INTRODUCTION: Although early rehabilitation for acute inpatients is widely recommended, the effectiveness of early physical rehabilitation for interstitial pneumonia in the acute setting remains unclear.
OBJECTIVE: To investigate the impact of early rehabilitation on mortality in patients with interstitial pneumonia in the acute setting.
DESIGN: Retrospective cohort study used a hospital-based database created by the Japan Medical Data Center.
SETTING: Over 100 acute-care hospitals across Japan.
PARTICIPANTS: Inpatients hospitalized due to interstitial pneumonia from 2014 to 2018.
INTERVENTIONS: Early rehabilitation provided by physical therapists and/or occupational therapists within 2 day of admission.
MAIN OUTCOME MEASURES: Thirty- and 90-day in-hospital mortality.
RESULTS: 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%).
CONCLUSION: Early rehabilitation was associated with decreased mortality in hospitalized patients with interstitial pneumonia.
|ジャーナル名||PM & R : the journal of injury, function, and rehabilitation|
|投稿者||Sawabe, Masashi; Hasebe, Kiyotaka; Momosaki, Ryo|
|組織名||Department of Rehabilitation, Teikyo University School of Medicine University;Hospital, Mizonokuchi, Japan.;Department of Rehabilitation Medicine, Teikyo University School of Medicine;University Hospital, Mizonokuchi, Japan.|