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Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia
2018 May-Jun;44 (3): 184-189.

Relationship between availability of physiotherapy services and ICU costs.

Bruna Peruzzo Rotta, Janete Maria da Silva, Carolina Fu, Juliana Barbosa Goulardins, Ruy de Camargo Pires-Neto, Clarice Tanaka
Author Information
  1. Bruna Peruzzo Rotta: . Hospital do Servidor Público Estadual de São Paulo, São Paulo (SP) Brasil. ORCID
  2. Janete Maria da Silva: . Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil. ORCID
  3. Carolina Fu: . Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil. ORCID
  4. Juliana Barbosa Goulardins: . Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil. ORCID
  5. Ruy de Camargo Pires-Neto: . Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil. ORCID
  6. Clarice Tanaka: . Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil. ORCID
PMID: 30043883 DOI: 10.1590/S1806-37562017000000196

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-the-clock 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.

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MeSH Term

APACHE
Adult
Aged
Brazil
Exercise Therapy
Female
Health Care Costs
Health Services Accessibility
Humans
Intensive Care Units
Length of Stay
Linear Models
Male
Middle Aged
Respiration, Artificial
Severity of Illness Index
Statistics, Nonparametric
Time Factors
Journal Article Observational Study
Article has an altmetric score of 113

Word Cloud

Created with Highcharts 10.0.0availabilityICUcostsphysiotherapyservicesh/day12patientsIMVhcomparisonstandard≥24hospitalgroupsPT-24n=PT-12IIscoreICU-LOSlowertotalstaffgroupOBJECTIVE:determinewhether24-hdecreasesamongadmittedfirsttimeMETHODS:observationalprevalencestudyinvolving81518yearsageinvasivemechanicalventilationdischargedwardtertiaryteachingBrazildividedtwoaccordingICU:332483datacollectedincludedreasonsadmissionsAcutePhysiologyChronicHealthEvaluationAPACHEdurationlengthstayOmegaRESULTS:severityillnesssimilarRound-the-clockassociatedshorterdurationswellmedicalCONCLUSIONS:populationstudiedfoundsignificantpredictorRelationship

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