Dataset Information

Improving Outcomes for Critically Ill Cardiovascular Patients Through Increased Physical Therapy Staffing.

ABSTRACT:

Objective

To examine the effect of increasing physical therapy (PT) staff in a cardiovascular intensive care unit (CVICU) on temporal measures of PT interventions and on outcomes important to patients and hospitals.

Design

Retrospective pre/post subgroup analysis from a quality improvement initiative.

Setting

Academic medical center.

Participants

Cardiovascular patients in either a baseline (N=52) or quality improvement period (N=62) with a CVICU length of stay (LOS) ≥7 days and use of any one of the following: mechanical ventilation, continuous renal replacement therapy, or mechanical circulatory support.

Interventions

The 6-month quality improvement initiative increased CVICU-dedicated PT staff from 2 to 4.

Main outcome measures

Changes in physical therapy delivery were examined using the frequency and daily duration of PT intervention. Post-CVICU LOS was the primary outcome. CVICU LOS, mobility change, and discharge level of care were secondary outcomes. A secondary analysis of hospital survivors was also conducted.

Results

Compared to those in the baseline period, cardiovascular patients in the quality improvement period participated in PT for an additional 9.6 minutes (95% confidence interval [CI]: 1.9, 17.2) per day for all patients and 15.1 minutes (95% CI: 7.6, 22.6) for survivors. Post-CVICU LOS decreased 2.2 (95% CI: -6.0, 1.0) days for all patients and 2.6 days (95% CI: -5.3, 0.0) for survivors. CVICU LOS decreased 3.6 days (95% CI: -6.4, -0.8) for all patients and 3.1 days (95% CI: -6.4, -0.9) for survivors. Differences in mobility change and discharge level of care were not significant.

Conclusions

Additional CVICU-dedicated PT staff was associated with increased PT treatment and reductions in CVICU and post-CVICU LOS. The effects of each were greatest for hospital survivors.

SUBMITTER: Johnson JK

PROVIDER: S-EPMC6348132 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature

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Publications

Improving Outcomes for Critically Ill Cardiovascular Patients Through Increased Physical Therapy Staffing.

Johnson Joshua K JK Lohse Bryan B Bento Haley A HA Noren Christopher S CS Marcus Robin L RL Tonna Joseph E JE

Archives of physical medicine and rehabilitation 20180830 2

<h4>Objective</h4>To examine the effect of increasing physical therapy (PT) staff in a cardiovascular intensive care unit (CVICU) on temporal measures of PT interventions and on outcomes important to patients and hospitals.<h4>Design</h4>Retrospective pre/post subgroup analysis from a quality improvement initiative.<h4>Setting</h4>Academic medical center.<h4>Participants</h4>Cardiovascular patients in either a baseline (N=52) or quality improvement period (N=62) with a CVICU length of stay (LOS) ...[more]

PMID: 30172645

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Dataset Information

Improving Outcomes for Critically Ill Cardiovascular Patients Through Increased Physical Therapy Staffing.

Objective

Design

Setting

Participants

Interventions

Main outcome measures

Results

Conclusions

Publications

Improving Outcomes for Critically Ill Cardiovascular Patients Through Increased Physical Therapy Staffing.

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