| Usual care | Protocol care | P |
---|---|---|---|
Organization of service | |||
Percentage of therapy sessions provided over a weekend | 10% | 21% | <0.001 |
Rate of therapy sessions/patient/ICU day | 0.57 | 1.38 | <0.001 |
Duration of individual therapy session in minutes (mean ± SD) | 23 ± 7 | 22 ± 11 | 0.94 |
Time (hours) from unit admission to first contact with therapist (mean ± SD) | 27 ± 20 | 14 ± 7 | <0.001 |
Content of sessions | |||
Percentage of therapy sessions that included techniques to remove bronchial secretions (suction; cough) | 75% | 35% | <0.001 |
Percentage of therapy sessions that included deep-breathing exercises | 16% | 34% | <0.001 |
Percentage of therapy sessions that included techniques to mobilize patient (passive/active/away from bed) | 66% | 82% | <0.001 |
Percentage of therapy sessions that included techniques to mobilize bronchial secretions (manual techniques; manual hyperinflation; vibromat) | 52% | 10% | <0.001 |
Percentage of therapy sessions that included techniques to improve pulmonary volumes (DBE; IPPB; PEP; recruitment) | 39% | 39% | 0.96 |
Inclusion of rehabilitation management option; Odds ratio, 95% CI | 2.34 (1.66 to 3.43) | <0.001 | |
Inclusion of chest physiotherapy management option; Odds ratio, 95% CI | 0.14 (0.09 to 0.22) | <0.001 |