| Titre : | Effect of Early Rehabilitation by Physical Therapists on In-hospital Mortality After Aspiration Pneumonia in the Elderly (2015) |
| Auteurs : | Ryo Momosaki ; Hideo Yasunaga ; Hiroki Matsui |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/2, 2015) |
| Article en page(s) : | p. 205-209 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Aspiration ; Mortalité hospitalière ; Rééducation et réadaptation |
| Mots-clés: | Hospital mortality ; Pneumonia ; Pneumopathie de déglutition |
| Résumé : |
Objective To clarify the effect of early rehabilitation by physical therapists on in-hospital mortality among elderly patients with aspiration pneumonia. Design A retrospective cohort study. Setting A total of 1161 acute-care hospitals across Japan. Participants Consecutive patients (age, 70–100y) (N=68,584) from July 2010 to March 2012 in the Japanese Diagnosis Procedure Combination inpatient database with aspiration pneumonia on admission who underwent early physical therapist–guided rehabilitation (n=16,835) and who did not undergo rehabilitation administered by physical therapists (n=51,749). Interventions Early rehabilitation was defined as physical rehabilitation administered by a physical therapist, initiated within 3 days of admission, and undertaken for at least 7 days. Main Outcome Measure Thirty-day in-hospital mortality. Results The 30-day in-hospital mortality rates were 5.1% and 7.1% in the early rehabilitation group and the control group, respectively. The multivariable logistic regression model showed that the early rehabilitation group had a significantly lower in-hospital mortality rate (odds ratio, .71; 95% confidence interval [CI], .64–.79; P<.001 among patients without severe pneumonia we found no significant difference in mortality rates between who underwent early rehabilitation and those did not undergo by physical therapists. the instrumental variable analysis confirmed that was associated with a reduced risk for in-hospital ci to p number needed treat> Conclusions The data suggest that early rehabilitation by physical therapists was associated with a reduction in 30-day in-hospital mortality rates in elderly patients with severe aspiration pneumonia. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314011216 |
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