ArticleLife (Basel, Switzerland)2026
Implementation and Outcomes of an Early Rehabilitation Program in a Tertiary Emergency and Critical Care Center: A Single-Center Historical Cohort Study.
Article in Life (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Early rehabilitation may reduce the likelihood of long-term disability after critical illness, but in high-turnover emergency and critical care settings, benefits other than improved survival may appear at discharge. This retrospective historical cohort study assessed the impact of a standardized rehabilitation system initiated within 24 h of hospital arrival on inpatient and discharge outcomes. The study included consecutive intensive care unit admissions between 2011 and 2023 and compared periods before and after 1 April 2022 when the system was introduced. Outcomes included in-hospital mortality, frequency of a favorable discharge outcome (Glasgow Outcome Scale score indicating good recovery or moderate disability), rate of transfer to a rehabilitation hospital, and length of hospital stay. Between-period differences were adjusted using propensity-score overlap weighting. Among 20,252 patients, adjusted analyses showed no significant differences in in-hospital mortality (odds ratio [OR] 1.17, 95% confidence interval [CI] 0.81-1.69) or length of stay (mean difference -0.12 days, 95% CI -1.28 to 1.04). After implementation, there was a likelihood of a favorable discharge outcome (OR 1.74, 95% CI 1.29-2.36) and transfer to a rehabilitation hospital (OR 1.77, 95% CI 1.23-2.54). This change was associated with a more favorable transition to post-acute rehabilitation without improving short-term mortality.
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