Does physical therapy care provided within 24 hours improve outcomes compared with physical therapy provided within 18 hours in trauma intensive care unit? A cohort study

24/7 Physical Therapy Intervention With Adult Patients in a Chilean Intensive Care Unit: A Cost-Benefit Analysis in a Developing Country

“…20 Additionally, cohort studies in other ICU populations reported that the presence of 24/7-PT contributes decisively to reducing the number of hospitalization days and also the mortality of trauma patients while in the ICU. 33 Including scientific evidence that reports unfavorable results for the physical therapy intervention in the analysis 32,34,35 adds more validity to the results of this study. The results did not change significantly with the variability of costs, benefits, and variations in income (sensitivity analysis), so the uncertainty in these variables has little impact; therefore, these results are more robust.…”

“…Third, the complexity in the pathologies treated in this ICU could be higher than those of the patients included in the studies used to define the benefit of the interventions, thus reducing the power to assume that the benefit reported in the literature will be the real benefit in the patients of the institution. Fourth, the article (Castro et al, 2013) 33 with better methodological quality to compare 24/7-PT versus BH-PT had a risk of severe bias, which could overestimate the scenario for this comparison, and it could be considered that the beneficial results were overestimated as well. This problem was corrected by performing a sensitivity analysis considering the rest of the articles for this alternative, including those that report unfavorable benefits for the 24/7-PT.…”