Effectiveness of Early Versus Delayed Physical Rehabilitation on In-Hospital Mortality in Interstitial Pneumonia: A Retrospective Cohort Study.

Abstract

Although early rehabilitation for acute inpatients is widely recommended, the effectiveness of early physical rehabilitation for interstitial pneumonia in the acute setting remains unclear. To investigate the impact of early rehabilitation on mortality in patients with interstitial pneumonia in the acute setting. Retrospective cohort study used a hospital-based database created by the Japan Medical Data Center. Over 100 acute-care hospitals across Japan. Inpatients hospitalized due to interstitial pneumonia from 2014 to 2018. Early rehabilitation provided by physical therapists and/or occupational therapists within 2 day of admission. Thirty- and 90-day in-hospital mortality. Among the included inpatients, 847 (50%) underwent early rehabilitation. Mortality was significantly lower in the early rehabilitation group compared with the delayed rehabilitation group (30-day mortality: 6.8% vs 12.1%, 90-day mortality: 13.0% vs 19.8%). The differences were significant after propensity score adjustment using inverse probability weighting (30-day mortality: 7.6% vs 11.0%, 90-day mortality: 14.3% vs 18.0%). Early rehabilitation was associated with decreased mortality in hospitalized patients with interstitial pneumonia.