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https://observatorio.fm.usp.br/handle/OPI/28097
Title: | Relationship between availability of physiotherapy services and ICU costs |
Authors: | ROTTA, Bruna Peruzzo; SILVA, Janete Maria da; FU, Carolina; GOULARDINS, Juliana Barbosa; PIRES-NETO, Ruy de Camargo; TANAKA, Clarice |
Citation: | JORNAL BRASILEIRO DE PNEUMOLOGIA, v.44, n.3, p.184-189, 2018 |
Abstract: | Objective: To determine whether 24-h availability of physiotherapy services decreases ICU costs in comparison with the standard 12 h/day availability among patients admitted to the ICU for the first time. Methods: This was an observational prevalence study involving 815 patients >= 18 years of age who had been on invasive mechanical ventilation (IMV) for >= 24 h and were discharged from an ICU to a ward at a tertiary teaching hospital in Brazil. The patients were divided into two groups according to h/day availability of physiotherapy services in the ICU: 24 h (PT-24; n = 332); and 12 h (PT-12; n = 483). The data collected included the reasons for hospital and ICU admissions; Acute Physiology and Chronic Health Evaluation II (APACHE II) score; IMV duration, ICU length of stay (ICU-LOS); and Omega score. Results: The severity of illness was similar in both groups. Round-theclock availability of physiotherapy services was associated with shorter IMV durations and ICU-LOS, as well as with lower total, medical, and staff costs, in comparison with the standard 12 h/day availability. Conclusions: In the population studied, total costs and staff costs were lower in the PT-24 group than in the PT-12 group. The h/day availability of physiotherapy services was found to be a significant predictor of ICU costs. |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MFT Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - LIM/05 Artigos e Materiais de Revistas Científicas - LIM/34 |
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