論文

査読有り 国際誌
2020年5月

Is increased "stay away from bed" time associated with improved clinical rehabilitation outcomes in Japanese rehabilitation hospitals? A prospective observational study and clinical practice.

Aging clinical and experimental research
  • Ichiro Murayama
  • ,
  • Tsuyoshi Asai
  • ,
  • Shogo Misu
  • ,
  • Masaya Yamauchi
  • ,
  • Azumi Miura
  • ,
  • Takeshi Ikemura
  • ,
  • Takahiro Takehisa
  • ,
  • Yozo Takehisa

32
5
開始ページ
913
終了ページ
920
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s40520-019-01269-5

BACKGROUND: A comprehensive team approach for increasing stay away from bed time (SaB-time) called CASaB was conducted at multiple rehabilitation hospitals. AIMS: The aim of the present study was to investigate the association between SaB-time and clinical rehabilitation outcomes (CROs) before introducing CASaB (observational phase), and comparing CROs before and after CASaB (CASaB phase). METHODS: This prospective observational study included patients who were admitted to nine rehabilitation hospitals, with complete data. The final analysis included 197/229 patients in the observation phase, and 229/256 patients in the CASaB phase. We first tested whether SaB-time was positively associated with CROs in an observational study, then compared CROs before and after CASaB. RESULTS: In the observation phase, longer SaB-time was significantly associated with greater rehabilitation efficiency (REy) after adjusting for confounders (standardized β = 0.20, p = 0.007). In a comparison of CROs before and after CASaB, the length of hospital stay during the CASaB phase was significantly shorter than during the observational phase (61.5, 57.6-65.4 days vs 75.6, 71.4-79.9 days, p < 0.001), and the REy after CASaB was significantly greater than that before the CASaB (0.38, 0.33-0.42/day vs 0.28, 0.25-0.33/day, p = 0.006). DISCUSSION: The current results suggest that increasing SaB-time may help the recovery of functional abilities, particularly for patients in rehabilitation hospitals. CONCLUSIONS: The CASaB provides a method for improving the recovery efficiency of patients in rehabilitation hospitals.

リンク情報
DOI
https://doi.org/10.1007/s40520-019-01269-5
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31327123
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190592