TY - JOUR
T1 - Occupational therapy for patients with acute lung injury
T2 - Factors associated with time to first intervention in the intensive care unit
AU - Dinglas, Victor D.
AU - Colantuoni, Elizabeth
AU - Ciesla, Nancy
AU - Mendez-Tellez, Pedro A.
AU - Shanholtz, Carl
AU - Needham, Dale M.
PY - 2013/5
Y1 - 2013/5
N2 - Objective. Very early occupational therapy intervention in the intensive care unit (ICU) improves patients' physical recovery. We evaluated the association of patient, ICU, and hospital factors with time to first occupational therapy intervention in ICU patients with acute lung injury (ALI). Method. We conducted a prospective cohort study of 514 consecutive patients with ALI from 11 ICUs in three hospitals in Baltimore, MD. Results. Only 30% of patients ever received occupational therapy during their ICU stay. Worse organ failure, continuous hemodialysis, and uninterrupted continuous infusion of sedation were independently associated with delayed occupational therapy initiation, and hospital study site and admission to a trauma ICU were independently associated with earlier occupational therapy. Conclusion. Severity of illness and ICU practices for sedation administration were associated with delayed occupational therapy. Both hospital study site and type of ICU were independently associated with timing of occupational therapy, indicating modifiable environmental factors for promoting early occupational therapy in the ICU.
AB - Objective. Very early occupational therapy intervention in the intensive care unit (ICU) improves patients' physical recovery. We evaluated the association of patient, ICU, and hospital factors with time to first occupational therapy intervention in ICU patients with acute lung injury (ALI). Method. We conducted a prospective cohort study of 514 consecutive patients with ALI from 11 ICUs in three hospitals in Baltimore, MD. Results. Only 30% of patients ever received occupational therapy during their ICU stay. Worse organ failure, continuous hemodialysis, and uninterrupted continuous infusion of sedation were independently associated with delayed occupational therapy initiation, and hospital study site and admission to a trauma ICU were independently associated with earlier occupational therapy. Conclusion. Severity of illness and ICU practices for sedation administration were associated with delayed occupational therapy. Both hospital study site and type of ICU were independently associated with timing of occupational therapy, indicating modifiable environmental factors for promoting early occupational therapy in the ICU.
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U2 - 10.5014/ajot.2013.007807
DO - 10.5014/ajot.2013.007807
M3 - Article
C2 - 23597694
AN - SCOPUS:84877878790
SN - 0272-9490
VL - 67
SP - 355
EP - 362
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
IS - 3
ER -