Disclosures: Hsin-Han Cheng, MD: Nothing to disclose

Objective: The study aims to examine the effect of rehabilitation on mortality in septic patients who were intubated in intensive care units.

Design: A retrospective cohort study.

Setting: Single center

Participants: 461 intubated patients with sepsis were recruited retrospectively from 2016.1-2016.6 ICU Database in Chi-Mei Medical Center, Taiwan. Gender, ages, Acute Physiology and Chronic Health Evaluation (APACHE) II score while admitted to ICU, therapeutic intervention scoring system (TISS), Glasgow Coma Scale (GCS), hospital length of stay (LOS), medical expenditure, and mortality of the patients were recorded.

Interventions: Rehabilitation included chest wall percussion, breathing exercise, ankle pumping, and joint mobilization.

Main Outcome Measures: Mortality, in-hospital length and in-hospital expenditure

Results: In our study, 48 [10.4%] patients received rehabilitation. Comparing the rehabilitation and the control group, there was no significant difference in gender, age, TISS and GCS score, while APACHE II score was higher in the rehabilitation group. The mortality was also higher in the control group. (221 [53.5%] vs 17 [35.4%], P=.018). The hospital LOS (43.63±47.66 vs 24.04±19.56 days, P <.007) and the medical expenditure (577.56±576.66 vs 366.02±345.13 x 103 NTD, P =.017) were higher in the rehabilitation group.

Conclusions: The data suggest that rehabilitation was associated with a lower in-hospital mortality, longer hospitalization periods and expenditure in septic patients who were intubated in ICU. Further prospective randomized control study is needed to confirm the results.

Level of Evidence: Level III

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PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/rehabilitation-can-reduce-mortality-in-septic-patients-who-were-intubated-in-intensive-care-units/