The impact of mobilization training time during the first postoperative week on the length of hospital stay in postoperative patients admitted to an intensive care unit.

IF 2.5 4区医学 Q1 REHABILITATION

Journal of Rehabilitation Medicine Pub Date : 2025-01-31 DOI:10.2340/jrm.v57.41015

Yusuke Ozaki, Yuji Kono, Ayato Shinohara, Tomoyuki Nakamura, Takuma Ishihara, Osamu Nishida, Yohei Otaka

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引用次数: 0

Abstract

Objective: To determine the impact of mobilization training time during the first postoperative week on the length of hospital stay for postoperative patients admitted to an intensive care unit.

Design: A retrospective cohort study.

Patients: Consecutive patients who underwent elective surgery and stayed in the intensive care unit of a university hospital for more than 48 h between July 2017 and August 2020 were enrolled.

Methods: The total duration of mobilization training during the first postoperative week and clinical variables, including demographic information, were collected from medical records. Multivariable regression analysis was used to investigate the impact of mobilization training time on the length of hospital stay, adjusting for potentially confounding variables.

Results: In total, 773 patients (504 males; median age, 70 years) were enrolled. Multivariable regression analysis showed that an increase in mobilization training time during the first postoperative week was associated with a shorter length of hospital stay (β = -0.067, 95% confidence interval: -0.120, -0.017, p = 0.010), with each 1-h increase in training time associated with a 4.02-day reduction in the length of hospital stay.

Conclusion: Increased mobilization training during the first postoperative week significantly reduced the length of hospital stay in postoperative patients.

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术后第一周活动训练时间对术后患者入住重症监护病房的住院时间的影响。

目的：探讨术后第一周活动训练时间对重症监护室术后患者住院时间的影响。设计：回顾性队列研究。患者：纳入2017年7月至2020年8月期间连续接受择期手术并在某大学医院重症监护病房住院超过48小时的患者。方法：从医疗记录中收集术后第一周的活动训练总时间和临床变量，包括人口统计信息。多变量回归分析用于调查运动训练时间对住院时间的影响，并对潜在的混淆变量进行调整。结果：共773例患者(男性504例；中位年龄为70岁)。多变量回归分析显示，术后第一周运动训练时间的增加与住院时间的缩短相关（β = -0.067, 95%可信区间：-0.120,-0.017,p = 0.010），训练时间每增加1小时，住院时间减少4.02天。结论：术后第一周增加活动训练可显著减少术后患者住院时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Rehabilitation Medicine 医学-康复医学

CiteScore

5.60

自引率

5.70%

发文量

102

审稿时长

4-8 weeks

期刊介绍： Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.