Relationship between Ventilator-Associated Events and Timing of Rehabilitation in Subjects with Emergency Tracheal Intubation at Early Mobilization Facility

The present study aimed to investigate the relationship between the occurrence of ventilator-associated events (VAE) in the intensive care unit and the timing of rehabilitation intervention. We included subjects who underwent emergency tracheal intubation and received rehabilitation. We performed re...

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Main Authors: Taku Shinoda, Hiromasa Nishihara, Takayuki Shimogai, Tsubasa Ito, Ryuya Takimoto, Ryutaro Seo, Masashi Kanai, Kazuhiro P. Izawa, Kentaro Iwata
Format: Article
Language:English
Published: MDPI AG 2018-12-01
Series:International Journal of Environmental Research and Public Health
Subjects:
Online Access:https://www.mdpi.com/1660-4601/15/12/2892
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spelling doaj-a18023432de143bc82ba0c6545d5a26b2020-11-25T00:14:40ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012018-12-011512289210.3390/ijerph15122892ijerph15122892Relationship between Ventilator-Associated Events and Timing of Rehabilitation in Subjects with Emergency Tracheal Intubation at Early Mobilization FacilityTaku Shinoda0Hiromasa Nishihara1Takayuki Shimogai2Tsubasa Ito3Ryuya Takimoto4Ryutaro Seo5Masashi Kanai6Kazuhiro P. Izawa7Kentaro Iwata8Department of Rehabilitation, Division of Physical Therapy, Kobe City Medical Center General Hospital, Kobe 650-0047, JapanDepartment of Rehabilitation, Division of Physical Therapy, Kobe City Medical Center General Hospital, Kobe 650-0047, JapanDepartment of Rehabilitation, Division of Physical Therapy, Kobe City Medical Center General Hospital, Kobe 650-0047, JapanDepartment of Rehabilitation, Division of Physical Therapy, Kobe City Medical Center General Hospital, Kobe 650-0047, JapanDepartment of Rehabilitation, Division of Physical Therapy, Kobe City Medical Center General Hospital, Kobe 650-0047, JapanDepartment of Emergency Medicine, Kobe City Medical Center General Hospital, Kobe 650-0047, JapanDepartment of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, JapanDepartment of Public Health, Kobe University Graduate School of Health Sciences, Kobe 654-0142, JapanDepartment of Rehabilitation, Division of Physical Therapy, Kobe City Medical Center General Hospital, Kobe 650-0047, JapanThe present study aimed to investigate the relationship between the occurrence of ventilator-associated events (VAE) in the intensive care unit and the timing of rehabilitation intervention. We included subjects who underwent emergency tracheal intubation and received rehabilitation. We performed rehabilitation according to our hospital&#8217;s protocol. We assessed the mechanical ventilation parameters of inspired oxygen fraction and positive-end expiratory pressure, and a VAE was identified if these parameters stabilized or decreased for &#8805;2 days and then had to be increased for &#8805;2 days. We defined time in hours from tracheal intubation to the first rehabilitation intervention as Timing 1 and that to first sitting on the edge of the bed as Timing 2. Data were analyzed by the <i>t</i>-test and &#967;<sup>2</sup> tests. We finally analyzed 294 subjects. VAE occurred in 9.9% and high mortality at 48.3%. Median values of Timing 1 and Timing 2 in the non-VAE and VAE groups were 30.3 &#177; 24.0 and 30.0 &#177; 20.7 h, and 125.7 &#177; 136.6 and 127.9 &#177; 111.4 h, respectively, and the differences were not significant (<i>p</i> = 0.95 and <i>p</i> = 0.93, respectively). We found no significant relationship between the occurrence of VAE leading to high mortality and timing of rehabilitation intervention.https://www.mdpi.com/1660-4601/15/12/2892ventilator-associated eventstiming of rehabilitationearly mobilizationintubated trachearetrospective researchrehabilitation protocol
collection DOAJ
language English
format Article
sources DOAJ
author Taku Shinoda
Hiromasa Nishihara
Takayuki Shimogai
Tsubasa Ito
Ryuya Takimoto
Ryutaro Seo
Masashi Kanai
Kazuhiro P. Izawa
Kentaro Iwata
spellingShingle Taku Shinoda
Hiromasa Nishihara
Takayuki Shimogai
Tsubasa Ito
Ryuya Takimoto
Ryutaro Seo
Masashi Kanai
Kazuhiro P. Izawa
Kentaro Iwata
Relationship between Ventilator-Associated Events and Timing of Rehabilitation in Subjects with Emergency Tracheal Intubation at Early Mobilization Facility
International Journal of Environmental Research and Public Health
ventilator-associated events
timing of rehabilitation
early mobilization
intubated trachea
retrospective research
rehabilitation protocol
author_facet Taku Shinoda
Hiromasa Nishihara
Takayuki Shimogai
Tsubasa Ito
Ryuya Takimoto
Ryutaro Seo
Masashi Kanai
Kazuhiro P. Izawa
Kentaro Iwata
author_sort Taku Shinoda
title Relationship between Ventilator-Associated Events and Timing of Rehabilitation in Subjects with Emergency Tracheal Intubation at Early Mobilization Facility
title_short Relationship between Ventilator-Associated Events and Timing of Rehabilitation in Subjects with Emergency Tracheal Intubation at Early Mobilization Facility
title_full Relationship between Ventilator-Associated Events and Timing of Rehabilitation in Subjects with Emergency Tracheal Intubation at Early Mobilization Facility
title_fullStr Relationship between Ventilator-Associated Events and Timing of Rehabilitation in Subjects with Emergency Tracheal Intubation at Early Mobilization Facility
title_full_unstemmed Relationship between Ventilator-Associated Events and Timing of Rehabilitation in Subjects with Emergency Tracheal Intubation at Early Mobilization Facility
title_sort relationship between ventilator-associated events and timing of rehabilitation in subjects with emergency tracheal intubation at early mobilization facility
publisher MDPI AG
series International Journal of Environmental Research and Public Health
issn 1660-4601
publishDate 2018-12-01
description The present study aimed to investigate the relationship between the occurrence of ventilator-associated events (VAE) in the intensive care unit and the timing of rehabilitation intervention. We included subjects who underwent emergency tracheal intubation and received rehabilitation. We performed rehabilitation according to our hospital&#8217;s protocol. We assessed the mechanical ventilation parameters of inspired oxygen fraction and positive-end expiratory pressure, and a VAE was identified if these parameters stabilized or decreased for &#8805;2 days and then had to be increased for &#8805;2 days. We defined time in hours from tracheal intubation to the first rehabilitation intervention as Timing 1 and that to first sitting on the edge of the bed as Timing 2. Data were analyzed by the <i>t</i>-test and &#967;<sup>2</sup> tests. We finally analyzed 294 subjects. VAE occurred in 9.9% and high mortality at 48.3%. Median values of Timing 1 and Timing 2 in the non-VAE and VAE groups were 30.3 &#177; 24.0 and 30.0 &#177; 20.7 h, and 125.7 &#177; 136.6 and 127.9 &#177; 111.4 h, respectively, and the differences were not significant (<i>p</i> = 0.95 and <i>p</i> = 0.93, respectively). We found no significant relationship between the occurrence of VAE leading to high mortality and timing of rehabilitation intervention.
topic ventilator-associated events
timing of rehabilitation
early mobilization
intubated trachea
retrospective research
rehabilitation protocol
url https://www.mdpi.com/1660-4601/15/12/2892
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