Physical and occupational therapy utilization in a pediatric intensive care unit.
Physical and occupational therapy utilization in a pediatric intensive care unit.
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DOI：
10.1016/j.jcrc.2017.03.003
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发表时间：
2017-08
影响因子：
3.7
通讯作者：
Fink EL
中科院分区：
文献类型：
--
作者：
Cui LR;LaPorte M;Civitello M;Stanger M;Orringer M;Casey F 3rd;Kuch BA;Beers SR;Valenta CA;Kochanek PM;Houtrow AJ;Fink EL
描述儿科重症监护病房（PICU）物理治疗（PT）和职业治疗（OT）咨询的使用情况。我们研究了入住三级护理PICU ≥ 3天的1周至18岁儿童。收集患者特征、PT和OT疗程的详细信息以及不良事件。进行多变量逻辑回归，以确定与接受PT和OT咨询相关的因素，并进行倾向性分析，然后对与结局相关的因素进行回归。在138名儿童中，40名（29%）接受了PT和OT咨询。在PICU入院后6.9 ± 10.0（平均值±标准差）天开始服务。活动度（83%）是最常见的治疗，28%的患者可以走动。64/297（21.5%）次治疗被推迟，7（2.4%）次治疗因生理不稳定而提前终止，无严重不良事件。接受PT和OT的儿童年龄较大，更可能需要神经肌肉阻滞剂，并且PICU前POPC评分较低（所有p<0.05）。需要数据来告知在ICU开始的康复治疗的有效性，以改善危重患儿的预后。
To characterize the use of physical therapy (PT) and occupational therapy (OT) consultation in our pediatric intensive care unit (PICU). We studied children aged 1 week – 18 years admitted to a tertiary care PICU for ≥ 3 days. Patient characteristics, details of PT and OT sessions and adverse events were collected. A multivariable logistic regression was performed to determine factors associated with receipt of PT and OT consultation with propensity analysis followed by a regression for factors associated with outcome. Of 138 children studied, 40 (29%) received PT and OT consultation. Services were initiated 6.9 ± 10.0 (mean ± standard deviation) days after PICU admission. Range of motion (83%) was the most common therapy provided and 28% of patients were ambulated. Sixty-four of 297 (21.5%) sessions were deferred and 7 (2.4%) sessions were terminated early due to physiologic instability with no serious adverse events. Children who received PT and OT were older, more likely to require neuromuscular blocking agents, and had lower pre-PICU POPC scores (all p<0.05). Data are needed to inform on the efficacy of rehabilitative therapies initiated in the ICU to improve outcome for critically ill children.
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影响因子：
4.1
作者：
Choong, Karen;Foster, Gary;Ward, Roxanne E.
通讯作者：
Ward, Roxanne E.
影响因子：
38.9
作者：
Angus, DC;Carlet, J
通讯作者：
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影响因子：
4.1
作者：
Bone, Meredith F.;Feinglass, Joseph M.;Goodman, Denise M.
通讯作者：
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影响因子：
1.9
作者：
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通讯作者：
Choong, Karen
DOI：
10.1164/rccm.200302-191up
发表时间：
2003-10-01
影响因子：
24.7
作者：
Deem, S;Lee, CM;Curtis, JR
通讯作者：
Curtis, JR