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Updated: Feb 7, 2026
06:04
Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
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Relationship between availability of physiotherapy services and ICU costs
Bruna Peruzzo Rotta1,2, Janete Maria da Silva2,3, Carolina Fu2,4
1. Hospital do Servidor Público Estadual de São Paulo, São Paulo (SP) Brasil.
Summary
Providing 24-hour physiotherapy services in the ICU reduces costs and length of stay for mechanically ventilated patients. This round-the-clock care is more cost-effective than standard 12-hour availability.
Area of Science:
- Critical Care Medicine
- Health Economics
- Physiotherapy Practice
Background:
- Intensive Care Units (ICUs) are resource-intensive environments.
- Physiotherapy is crucial for patients on invasive mechanical ventilation (IMV).
- Optimizing physiotherapy service availability may impact patient outcomes and healthcare costs.
Purpose of the Study:
- To compare the cost-effectiveness of 24-hour versus 12-hour physiotherapy availability in the ICU.
- To evaluate the impact of continuous physiotherapy on patient outcomes and resource utilization.
Main Methods:
- Observational prevalence study of 815 adult patients requiring IMV for at least 24 hours.
- Comparison between two groups: 24-hour physiotherapy (PT-24) and 12-hour physiotherapy (PT-12).
- Data collected included APACHE II score, IMV duration, ICU length of stay (ICU-LOS), and costs.
Main Results:
- Patient illness severity was comparable between the PT-24 and PT-12 groups.
- 24-hour physiotherapy availability was linked to shorter IMV duration and ICU-LOS.
- Round-the-clock physiotherapy services resulted in lower total, medical, and staff costs.
Conclusions:
- Total and staff costs were significantly lower with 24-hour physiotherapy availability.
- The daily availability of physiotherapy services is a key predictor of ICU costs.
- Implementing 24-hour physiotherapy in ICUs may offer economic benefits.
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