Effects of interprofessional conferences on intensive care units : comparing lengths of stay in the intensive care unit before and after the introduction of interprofessional conferences

• Published in: Journal of Rural Medicine Vol. 18; no. 2; pp. 133 - 142
• Main Authors: Watanabe, Daichi, Uranaka, Keiichi, Asazawa, Kyoko, Akimoto, Takako, Ohnuma, Hironori
• Format: Journal Article
• Language: Japanese; English
• Published: Japan The Japanese Association of Rural Medicine 01.04.2023
• Subjects: Original; patient care team; length of stay; intersectoral collaboration; intensive care units; interprofessional collaboration
• ISSN: 1880-487X; 1880-4888
• DOI: 10.2185/jrm.2022-053

[Abstract] Objective: This study evaluated the effects of interprofessional conferences on intensive care units (ICUs) by comparing related outcomes before and after their introduction. Patients and Methods: This study was conducted at a single center and included ICU patients admitted between April 2017 and March 2019. Interprofessional conferences include physicians, nurses, physical therapists, nutritionists, and pharmacists. Data were extracted from the available medical records. The primary outcome measure was ICU length of stay (LOS). The secondary outcome measures were hospital LOS and any rehabilitation and nutrition begun within 48 hours of ICU admission. Outcomes before and after the introduction of the interprofessional conferences were compared. The adjusted variables were sex, age, body mass index, ICU readmission, health outcomes, Barthel index at admission, and disease (classified according to the International Statistical Classification of Diseases and Related Health Problems 10th edition). Results: We included 1, 765 ICU patients admitted between April 2017 and March 2019. There were 898 patients in the "pre-interprofessional conference introduction" group (before group) and 867 in the "post-interprofessional conference introduction" group (after group). The ICU LOS (regression coefficient: -0.08; 95% confidence interval [CI]: -0.13 to -0.04) and hospital LOS (regression coefficient: -2.96; 95% CI: -5.20 to -0.72) were significantly shorter in the after group. Moreover, the proportion of patients who commenced nutrition (odds ratio [OR]: 1.45; 95% CI: 1.14 to 1.84) and rehabilitation (OR: 0.77; 95% CI: 0.51 to 1.17) within 48 hours of ICU admission was significantly higher in the after group. Conclusions: Introduction of interprofessional conferences effectively reduced ICU and hospital LOSs and improved likelihood of commencing nutrition and rehabilitation within 48 hours of ICU admission.