Occupational Therapy in the Intensive Care Unit: A Retrospective Cohort Study.
Importance: Determining whether individualized occupational therapy (OT) can be feasibly and safely provided to intensive care unit (ICU) patients is essential. Objective: The aim of this study is to investigate the feasibility and safety of providing individualized OT programs in the ICU based on f...
| Published in: | Occupational Therapy International Vol. 2026; pp. 1 - 14 |
|---|---|
| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
5/18/2026
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193836979&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193836979 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09667903 GPF jtl: Occupational Therapy International issn: 09667903 maglogo: Y pubinfo: dt: 5/18/2026 vid: 2026 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 193836979 193836979 193836979 10.1155/oti/4043807 193836979 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Occupational Therapy in the Intensive Care Unit: A Retrospective Cohort Study. aug: au: Jeon, So Hyun Hyun, Sung Eun Lee, Chae Hyeon Yang, Yeong Ae Kaushik, Shashank affil: Department of Rehabilitation Medicine,, Seoul National University Hospital,, Seoul, Republic of Korea, snuh.org sug: subj: Occupational Therapy Intensive Care Units Patient Safety Individualized Medicine Functional Assessment Health Care Delivery, Integrated Funding Source Human Male Female Middle Age Aged Retrospective Design Record Review Prospective Studies Pilot Studies Nonexperimental Studies Tertiary Health Care Academic Medical Centers Critical Illness Rehabilitation Clinical Assessment Tools Psychological Tests Scales Descriptive Statistics Treatment Refusal Hypotension Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Importance: Determining whether individualized occupational therapy (OT) can be feasibly and safely provided to intensive care unit (ICU) patients is essential. Objective: The aim of this study is to investigate the feasibility and safety of providing individualized OT programs in the ICU based on functional assessment outcomes. Design: This study was designed as a retrospective cohort study. Setting: The study was conducted in the ICU of a tertiary university hospital. Participants: Patients referred for ICU rehabilitation who met predefined ICU OT inclusion and exclusion criteria and initiated ICU OT between February 2021 and December 2023 were included. Intervention: Based on functional evaluation, each patient′s individualized OT program was classified into cognitive training, functional and activities of daily living (ADLs) training, or a combination of cognitive training and functional and ADL training. Outcomes and Measures: Feasibility was assessed based on eligibility, initiation and interruption rates, time to OT initiation, missed or deferred sessions, and adherence to the intervention framework. Safety was evaluated by whether OT sessions were discontinued or prescriptions were terminated owing to adverse events based on predefined criteria during OT delivery. Results: Among 828 patients referred for ICU rehabilitation, 184 (22%) met eligibility criteria, and 158 patients initiated the ICU OT program. Among these, 55 patients (34.8%) completed all prescribed OT sessions, whereas 103 (65.2%) did not, yielding a program interruption rate of 65.2%. The median time from OT prescription to the first session was 1 day. No sessions were canceled owing to patient refusal, and only one session (0.15%) was deferred because of agitation. Only one adverse event (hypotension) occurred during OT delivery. Conclusion and Relevance: Individualized ICU OT can be feasible and safe to be implemented for ICU patients who meet predefined eligibility criteria when interventions are guided by structured functional assessments and clearly defined criteria for treatment discontinuation or termination. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|