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Multicenter Study Comparative Study
Occupational therapy for patients with acute lung injury: factors associated with time to first intervention in the intensive care unit.
- Victor D Dinglas, Elizabeth Colantuoni, Nancy Ciesla, Pedro A Mendez-Tellez, Carl Shanholtz, and Dale M Needham.
- Division of Pulmonary and Critical Care Medicine and Outcomes after Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, MD, USA.
- Am J Occup Ther. 2013 May 1;67(3):355-62.
ObjectiveVery early occupational therapy intervention in the intensive care unit (ICU) improves patients' physical recovery. We evaluated the association of patient, ICU, and hospital factors with time to first occupational therapy intervention in ICU patients with acute lung injury (ALI).MethodWe conducted a prospective cohort study of 514 consecutive patients with ALI from 11 ICUs in three hospitals in Baltimore, MD.ResultsOnly 30% of patients ever received occupational therapy during their ICU stay. Worse organ failure, continuous hemodialysis, and uninterrupted continuous infusion of sedation were independently associated with delayed occupational therapy initiation, and hospital study site and admission to a trauma ICU were independently associated with earlier occupational therapy.ConclusionSeverity of illness and ICU practices for sedation administration were associated with delayed occupational therapy. Both hospital study site and type of ICU were independently associated with timing of occupational therapy, indicating modifiable environmental factors for promoting early occupational therapy in the ICU.Copyright © 2013 by the American Occupational Therapy Association, Inc.
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