Table 2.
Outcomes for Standard Rehabilitation Therapy (SRT) vs Usual Care Among Patients With Acute Respiratory Failure
Median (IQR) | Median Difference (95% CI) | P Value | ||
---|---|---|---|---|
SRT (n = 150) | Usual Care (n = 150) | |||
Hospital days (primary outcome) | 10.0 (6 to 17) | 10.0 (7 to 16) | 0 (−1.5 to 3) | .41a |
Free daysb | ||||
Hospital | 18 (7 to 22) | 18 (9 to 21) | 0 (−3 to 1.5) | .96c |
Ventilator | 24 (19 to 26) | 24 (20 to 26) | 0 (−2 to 1) | .59c |
Intensive care unit | ||||
Days | 7.5 (4 to 14) | 8.0 (4 to 13) | 0 (−2.5 to 2) | .68a |
Free daysb | 19 (8 to 23) | 19 (12 to 24) | 0 (−1.5 to 3) | .83c |
Intravenous sedationd | ||||
Days | 2 (1 to 5) | 2 (0 to 4) | 0 (0 to 1.5) | .11 |
Days, % | 30.8 (0.8 to 54.1) | 27.1 (0 to 50.0) | 3.8 (−5.5 to 14.5) | .14 |
Vasopressor | ||||
Days | 0 (0 to 1) | 0 (0 to 1) | 0 (0 to 0) | >.99 |
Days, % | 0 (0 to 6.7) | 0 (0 to 8.3) | 0 (0 to 0) | .90 |
ICU fluid balance, cc | −68.5 (−806.6 to 664.4) | −148.8 (−766.8 to 520.2) | 53.9 (−270.3 to 281.2) | .89 |
Restraint | ||||
Days | 1 (0 to 4) | 1 (0 to 3) | 0 (−1 to 1) | .71 |
Days, % | 25.0 (0 to 55.8) | 25.0 (0 to 50.0) | 0 (−16.7 to 12.3) | .82 |
CAM-ICUe | ||||
Negative | ||||
Days | 2 (0 to 3) | 2 (0 to 4) | 0 (−1 to 1) | .88 |
Days, % | 24.5 (0 to 44.8) | 20 (0 to 50.0) | 3.4 (−5.0 to 10.1) | .91 |
Positive | ||||
Days | 0 (0 to 1) | 0 (0 to 1) | 0 (0 to 0) | .77 |
Days, % | 0 (0 to 12.5) | 0 (0 to 9.1) | 0 (0 to 0) | .71 |
RASS score of 4 or 5f | ||||
Days | 1 (0 to 4) | 1 (0 to 3) | 0 (−1 to 1) | .43 |
Days, % | 14.6 (0 to 36.9) | 14.3 (0 to 33.3) | 1.8 (−6.7 to 10.5) | .71 |
Abbreviations: CAM-ICU, Confusion Assessment Method for the Intensive Care Unit20; IQR, interquartile range; RASS, Richmond Agitation Sedation Scale.21
Log-rank test.
All free days are based on 28 days.
Wilcoxon ranked sum.
Intravenous sedation days were defined as any part of a day a continuous delivery intravenous occurred of fentanyl, morphine, midazolam, lorazepam, propofol or dexmedetomidine. Percentage of restraint days, CAM-ICU–positive days, CAM-ICU–negative days, and RASS score 4 or 5 days represent the percentage of ventilator days.
CAM-ICU scores were positive or negative for delirium.
RASS score ranged from −3 (moderate sedation) to 4 (combative).