[article] 
inAmerican Journal of Occupational Therapy > Vol. 67/3 (mai-juin 2013) . - p. 355-362

Titre :	Occupational therapy for patients with acute lung injury : factors associated with time to first intervention in the intensive care unit
Type de document :	texte imprimé
Auteurs :	Victor D. DINGLAS ; Elizabeth COLANTUONI ; et al. ; Nancy CIESLA
Année de publication :	2013
Article en page(s) :	p. 355-362
Langues :	Anglais (eng)
Mots-clés :	Appareil respiratoire [pathologie]  Ergothérapie  Soins intensifs  Réhabilitation
Résumé :	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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[article] Occupational therapy for patients with acute lung injury : factors associated with time to first intervention in the intensive care unit [texte imprimé] / Victor D. DINGLAS ; Elizabeth COLANTUONI ; et al. ; Nancy CIESLA . - 2013 . - p. 355-362.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 67/3 (mai-juin 2013) . - p. 355-362

Mots-clés :	Appareil respiratoire [pathologie]  Ergothérapie  Soins intensifs  Réhabilitation
Résumé :	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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