ISPR8-0500
Rehabilitation can reduce mortality rate in patients who were intubated due to pneumonia

https://doi.org/10.1016/j.rehab.2018.05.655Get rights and content
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Introduction/Background

Pneumonia is an infectious disease that causes acute lung inflammation. Those who suffer from pneumonia often present the symptoms of dyspnea, productive cough, chest pain, and fever. Furthermore, respiratory failure can arise due to acute respiratory distress syndrome (ARDS), and intubation with mechanical ventilation will be applied. On the other hand, pulmonary rehabilitation including chest percussion, breathing techniques have shown to improve the life of quality, daily function, and decrease the respiratory symptoms, but the effect on mortality has yet to been shown clearly. Thus, our study was designed to examine the effect of rehabilitation on mortality among intubated patients with pneumonia.

Material and method

In total, 227 patients intubated due to pneumonia were selected retrospectively from 2016.1–2016.6 in Chi-Mei Medical Center, Taiwan. Gender, ages, Acute Physiology and Chronic Health Evaluation (APACHE) II score, in-hospital length, in-hospital expenditure, and mortality of the patients were recorded. The rehabilitation group received intervention included chest wall percussion, breathing exercise, ankle pumping, and joint mobilization, while control group received standard intubation treatment without rehabilitation.

Results

Among the 227 patients, 25 patients received rehabilitation. Comparing the rehabilitation and control groups, there was no significant difference in gender, ages, and APACHE II score. The mortality was higher in the control group (96 [48%] vs. 3 [12%], P < 0.01). The in-hospital length (50.28 ± 35.87 vs. 24.87 ± 18.20 days, P < 0.001) and the in-hospital expenditure (667823 ± 568883 vs. 394021 ± 372185 NTD, P = 0.002) were higher in the rehabilitation group.

Conclusion

The data suggests that rehabilitation was associated with a lower in-hospital mortality rates, higher in-hospital length and expenditure in patients who were intubated due to pneumonia.

Keywords

Pneumonia
Mortality
Pulmonary rehabilitation

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