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Comparative Analysis of Mortality and Hospital Stay in Non-ICU Admitted Patients: The Impact of a Comprehensive
Ajit Anand Asati1, Surendra Kumar Padarya2, Dinesh Kumar Patel3
1Department of Pediatrics, Bundelkhand Medical College Sagar, Madhya Pradesh, India.
Background:
Hospitalized patients with respiratory illnesses, even in non-ICU settings, are vulnerable to complications due to inactivity, dehydration, and nutritional deficits. Modified pulmonary rehabilitation (PR), when integrated into inpatient care, may improve outcomes by addressing these factors holistically.
Objectives:
To evaluate the impact of a comprehensive intervention comprising supervised hydration, structured exercise, and nutritional intake on in-hospital mortality and hospital stay in non-ICU patients with respiratory diseases.
Materials And Methods:
This prospective comparative study included 120 adult patients admitted to a tertiary hospital ward, randomized into an intervention group (modified PR) and a control group (standard care). Outcomes assessed included mortality, hospital stay duration, early ambulation, and fatigue levels. Statistical comparisons were performed using t-tests and chi-square analysis.
Results:
In-hospital mortality was significantly lower in the intervention group (3.3%) compared with controls (11.7%, P = 0.04). The mean hospital stay was reduced (5.2 ± 1.4 vs. 7.4 ± 2.1 days, P < 0.001), and early ambulation (78.3% vs. 41.7%) and fatigue scores (3.2 vs. 5.8) showed marked improvement in the intervention group.
Conclusion:
A multidisciplinary, modified PR approach significantly enhances recovery, reduces hospital burden, and improves patient-reported outcomes in non-ICU settings. Its integration into standard ward care should be considered.
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