Short-Term Clinical and Quality Outcomes Have Inconsistent Changes From a Quality Improvement Initiative to Increase Access to Physical Therapy in the Cardiovascular and Surgical ICU.

ABSTRACT: Studies of mobility during critical illness have mostly examined transitions from immobility (passive activities) or limited mobility to active "early mobility."

Design

Observational analysis of a quality improvement initiative.

Setting

Two ICUs (surgical ICU, cardiovascular ICU) at a tertiary academic medical center.

Patients

Critically ill surgical and cardiovascular patients.

Interventions

Doubling available physical therapy.

Measurements and main results

We examined the outcomes of therapy time/patient/day, ICU and hospital length of stay, disposition location, and change in functional status. We adjusted for age, sex, illness severity, and number of surgeries. Among 1,515 patients (703 baseline, 812 quality improvement), total therapy time increased

SUBMITTER: Tonna JE 

PROVIDER: S-EPMC7063884 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature