Efficacy of Enhanced Rehabilitation Initiated After Hospital Discharge to Improve Quality of Life in Survivors of Critical Care: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
2024

Improving Quality of Life After Critical Care with Enhanced Rehabilitation

Sample size: 573 publication 10 minutes Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Shimizu Motohiro, Yoshihiro Shodai, Watanabe Shinichi, Aikawa Gen, Fujinami Yoshihisa, Kawamura Yusuke, Matsuoka Ayaka, Nakanishi Nobuto, Shida Haruka, Sugimoto Kensuke, Taito Shunsuke, Inoue Shigeaki

Hypothesis

Does enhanced rehabilitation initiated after hospital discharge improve the quality of life in survivors of critical care?

Conclusion

Enhanced rehabilitation may improve the mental component of quality of life for survivors of critical care, but has minimal impact on the physical component.

Supporting Evidence

  • Enhanced rehabilitation resulted in no difference in the physical component-summary score.
  • Enhanced rehabilitation resulted in a higher mental component-summary score.
  • The evidence on the effect of enhanced rehabilitation on adverse events was very uncertain.

Takeaway

This study looked at how special rehabilitation after leaving the hospital can help people feel better after being very sick. It found that while it helps with mental health, it doesn't really change physical health much.

Methodology

This systematic review and meta-analysis evaluated randomized controlled trials focusing on enhanced rehabilitation programs initiated after hospital discharge.

Potential Biases

The overall risk of bias was categorized as serious due to potential issues in study design and reporting.

Limitations

The number of included studies was small, and the interventions varied widely, making it difficult to draw definitive conclusions.

Participant Demographics

Participants included adult survivors of critical care from various countries, with a total of 573 patients.

Statistical Information

P-Value

0.006

Confidence Interval

95% CI: 2.08-12.46

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.7759/cureus.75184

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