Efficacy of Multidisciplinary Team-Based Cardiopulmonary Rehabilitation in Improving Outcomes for Patients with Intensive Care Unit-Acquired Weakness: A Retrospective Cohort Study.

IF 2.4 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Multidisciplinary Healthcare Pub Date : 2025-09-12 eCollection Date: 2025-01-01 DOI:10.2147/JMDH.S537603

Shaohua Cui, Shengwei Zhang, Huijuan Ren, Yu Zhang, Lixia Geng

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引用次数: 0

Abstract

Objective: The aim of this study was to examine the impact of cardiopulmonary rehabilitation delivered through a multidisciplinary team (MDT) model on therapeutic outcomes in individuals diagnosed with intensive care unit-acquired weakness (ICU-AW).

Methods: In this retrospective cohort study conducted at The First Affiliated Hospital of Baotou Medical College (Inner Mongolia, China) between January 1, 2023, and December 30, 2024, 98 patients with ICU-AW were assigned to either a control group (standard rehabilitation, n = 49) or an observation group (MDT-based rehabilitation, n = 49). Outcomes were compared using independent samples t-tests and chi-square tests (SPSS version 21.0).

Results: The observation group showed significantly shorter median hospital stay (14 vs 21 days, p < 0.01), ICU stay (8 vs 12 days, p < 0.01), and mechanical ventilation duration (4 vs 7 days, p < 0.01) compared to controls. MRC scores improved earlier in the observation group (Day 4: 38 ± 6 vs 32 ± 5, p < 0.001; Day 7: 45 ± 7 vs 39 ± 6, p < 0.001). The overall effective rate was 83.7% in the observation group versus 61.2% in the control group (p < 0.05).

Conclusion: MDT-based cardiopulmonary rehabilitation accelerates recovery, reduces healthcare resource utilization, and enhances patient satisfaction in ICU-AW. These findings support its integration into critical care pathways. Future studies should explore long-term functional outcomes and cost-effectiveness.

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多学科团队心肺康复在改善重症监护病房获得性虚弱患者预后方面的疗效：一项回顾性队列研究。

目的：本研究的目的是研究通过多学科团队（MDT）模式提供的心肺康复对诊断为重症监护病房获得性虚弱（ICU-AW）的个体治疗结果的影响。方法：回顾性队列研究于2023年1月1日至2024年12月30日在中国内蒙古包头医学院第一附属医院进行，将98例ICU-AW患者分为对照组（标准康复组，n = 49）和观察组（基于mdt的康复组，n = 49）。结果比较采用独立样本t检验和卡方检验（SPSS version 21.0）。结果：观察组患者中位住院时间（14天比21天，p < 0.01）、ICU住院时间（8天比12天，p < 0.01）、机械通气时间（4天比7天，p < 0.01）均明显短于对照组。观察组MRC评分较早改善（第4天：38±6 vs 32±5，p < 0.001；第7天：45±7 vs 39±6，p < 0.001）。观察组总有效率为83.7%，对照组为61.2% （p < 0.05）。结论：基于mdt的ICU-AW心肺康复加速康复，降低医疗资源利用率，提高患者满意度。这些发现支持将其纳入重症监护途径。未来的研究应该探索长期的功能结果和成本效益。

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 Multidisciplinary Healthcare Nursing-General Nursing

CiteScore

4.60

自引率

3.00%

发文量

287

审稿时长

16 weeks

期刊介绍： The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.