Physio_CriticalCare
2024-10-11
1 Literature Review
2 Physio Critical Care (CC)
2.1 Objectives
- Length of Stay
- Survival rates
- Admission types (emergency vs. elective - medicine, surgery, trauma)
- Rates of secondary transfer admissions
- Discharge location
Dashboard
Referral rates (to the different HSCPs, patient required referrals)
Benchmark against NICE CG 83 (rehabilitation after critical illness):
- During Critical Care Stay: MDT rehab goals agreed &
timeframe
- Before Discharge From Critical Care: Cilnical handover completed for
each HSCP on CC discharge
- On The Ward
- Before Discharge To Home Or Comunity
- 2-3 Months After Discharge
- During Critical Care Stay: MDT rehab goals agreed &
timeframe
2.2 Design
Retrospective
2.3 Setting
Physiotherapy Critical Care
2.4 Sampling
- Population: Patients with critical illness
- Targeted population: Patients administered rehabilitation after critical illness
- Sample size (number & type of cases): Total population sampling (August-September 2024)
- Sampling method: convenience sampling
2.5 Metrics
Standard: NICE Clinical Guideline 83 (CG83)
During CC Stay
No. Admission Types
Rates of secondary transfer admissions
No. Cases having MDT rehab goals agreed & timeframe
Time from CC admission for rehabilitation milestones: average & median days
- First sit to edge of bed
- First chair transfer
- First Stand
- First step
Before Discharge From CC
- No. of Cilincal handover having completed for each HSCP on CC
discharge
- Referral rates to the different HSCP
- No. CC on each discharge location
- % improvement (CC admission & discharge scores) - CPAx [Chelsea
CC Physical Assessment Tool], scores @ CC discharge are predictors of
hospital discharge location
- % improvement (CC admission & discharge scores) - MRC sum score,
the threshold for conformation of ICU-acquired weakness is score
<48
- % improvement (CC admission & discharge scores) - Grip
strength
- Johns Hopkins Highest Level of Mobility [JH HLM]: Average &
median scores
- Clinical Frailty score [CFS]: Average & median scores
Outcomes
- Length of Stay for CC vs. MMUH
- Survival Rates for CC vs. MMUH
Variable definition:
2.6 Results
2.6.1 Load file
## [1] "C:/Users/User/Documents/RStudio/Physiotherapy/Critical Care"##
## Attaching package: 'dplyr'## The following objects are masked from 'package:stats':
##
## filter, lag## The following objects are masked from 'package:base':
##
## intersect, setdiff, setequal, union2.6.2 Data transformation
2.6.2.1 Admission sample size
##
## 3 10 27 30 31 32 33 34 35 36 37 38
## 1 1 1 1 2 4 4 14 10 9 9 52.6.2.2 Admission CC sample size
##
## 28 30 31 32 33 34 35 36 37 38
## 1 1 1 2 1 12 10 15 11 72.6.2.3 Discharge CC sample size
##
## 35 36 37 38 39
## 3 12 16 18 122.6.2.4 Discharge sample size
##
## 36 37 38 39 40 41
## 4 9 7 14 8 42.6.3 During CC Stay
2.6.3.1 No. Admission Types
## Table of frequency of Admission Type :## name freq per
## 2 Medical Emergency 25 40.983607
## 3 Surgical Elective 22 36.065574
## 4 Surgical Emergency 10 16.393443
## 5 Trauma 3 4.918033
## 1 Medical Elective 1 1.639344
2.6.3.2 Rates of secondary transfer admissions
## Table of frequency of Secondary Transfer Admission :## name freq per
## 1 No 54 88.52459
## 2 Yes 7 11.47541
2.6.3.3 No. Cases having MDT rehab goals agreed & timeframe
## Table of frequency of MDT rehab goals agreed :## name freq per
## 2 Yes 43 70.4918
## 1 No 18 29.5082
## Table of frequency of Rehab timeframe :## name freq per
## 1 >7 Days 25 58.139535
## 3 Within 7 Days 17 39.534884
## 2 Within 4 Days 1 2.325581
2.6.3.4 Time from CC admission for rehabilitation milestones: average & median days
- First sit to edge of bed
## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## 1.000 2.000 3.000 4.922 6.000 23.000 10## median mean SE.mean CI.mean.0.95 var std.dev
## 3.0000000 4.9215686 0.6198312 1.2449676 19.5937255 4.4264800
## coef.var
## 0.8994043## binwidth =[1] 2.032264
## Minimum of scale =[1] 0
## Maximum of scale =[1] 23
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.78281, p-value = 4.287e-08
- First chair transfer (sit out)
## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## 1.000 2.000 4.000 6.412 8.000 43.000 10## median mean SE.mean CI.mean.0.95 var std.dev
## 4.000000 6.411765 1.000461 2.009486 51.047059 7.144722
## coef.var
## 1.114315## binwidth =[1] 2.54033
## Minimum of scale =[1] 0
## Maximum of scale =[1] 43
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.66985, p-value = 1.948e-10
- First Stand
## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## 1.000 2.000 4.000 6.234 7.000 34.000 14## median mean SE.mean CI.mean.0.95 var std.dev
## 4.0000000 6.2340426 0.9018497 1.8153292 38.2266420 6.1827698
## coef.var
## 0.9917754## binwidth =[1] 2.54033
## Minimum of scale =[1] 0
## Maximum of scale =[1] 34
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.73472, p-value = 3.6e-09
- First step
## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## 1.000 2.000 4.000 5.692 6.000 34.000 22## median mean SE.mean CI.mean.0.95 var std.dev
## 4.000000 5.692308 1.056535 2.138844 43.534413 6.598061
## coef.var
## 1.159119## binwidth =[1] 2.032264
## Minimum of scale =[1] 0
## Maximum of scale =[1] 34
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.60298, p-value = 1.406e-11
2.6.4 Before Discharge From CC*
2.6.4.1 Referral rates & Handover to different HSCPs
Referral rates (Involvement)
## Table of frequency of Total Involvement in different HSCPs :## name freq per
## 4 4 16 26.666667
## 3 3 15 25.000000
## 5 5 13 21.666667
## 2 2 12 20.000000
## 1 1 4 6.666667
Handover
## Table of frequency of Handover with Rehab Prog On Discharge From CC :## name freq per
## 1 Yes 58 100
- Physiotherapy Involvement & Handover
## Table of frequency of Physiotherapy Involvement :## name freq per
## 2 Yes 59 96.721311
## 1 No 2 3.278689
## Table of frequency of Physiotherapy Handover :## name freq per
## 3 Yes 46 82.142857
## 2 Discharged Service 7 12.500000
## 1 Continuing Care - Same Service 3 5.357143
- Occupational Therapy Involvement & Handover
## Table of frequency of Occupational therapy Involvement :## name freq per
## 2 Yes 35 58.33333
## 1 No 25 41.66667
## Table of frequency of Occupational therapy Handover :## name freq per
## 3 Yes 30 88.235294
## 1 Continuing Care - Same Service 2 5.882353
## 2 Discharged Service 2 5.882353
- SLT Involvement & Handover
## Table of frequency of SLT Involvement :## name freq per
## 1 No 36 59.01639
## 2 Yes 25 40.98361
## Table of frequency of SLT Handover :## name freq per
## 2 Yes 16 66.66667
## 1 Discharged Service 8 33.33333
- Psychology Involvement & Handover
## Table of frequency of Psychology Involvement :## name freq per
## 1 No 55 90.163934
## 2 Yes 6 9.836066
## Table of frequency of Psychology Handover :## name freq per
## 1 Continuing Care - Same Service 5 83.33333
## 2 Discharged Service 1 16.66667
- MSW Involvement & Handover
## Table of frequency of MSW Involvement :## name freq per
## 1 No 41 67.21311
## 2 Yes 20 32.78689
## Table of frequency of MSW Handover :## name freq per
## 4 Yes 13 72.222222
## 1 Continuing Care - Same Service 2 11.111111
## 2 Discharged Service 2 11.111111
## 3 No 1 5.555556
- Dietetics Involvement & Handover
## Table of frequency of Dietetics Involvement :## name freq per
## 2 Yes 58 95.081967
## 1 No 3 4.918033
## Table of frequency of Dietetics Handover :## name freq per
## 3 Yes 53 96.363636
## 1 Continuing Care - Same Service 1 1.818182
## 2 Discharged Service 1 1.818182
2.6.4.2 No. Critical Care on each discharge location
## Table of frequency of CC Discharge location :## name freq per
## 2 MMUH Ward 55 90.163934
## 1 Discharge Home 3 4.918033
## 3 RIP 3 4.918033
2.6.4.3 % improvement (CC admission & discharge scores) - CPAx [Chelsea CC Physical Assessment Tool]
scores @ CC discharge are predictors of hospital discharge location
## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## 0.00 3.00 15.00 17.04 30.50 50.00 6## median mean SE.mean CI.mean.0.95 var std.dev
## 15.0000000 17.0363636 1.9244945 3.8583792 203.7023569 14.2724335
## coef.var
## 0.8377629## binwidth =[1] 13.71778
## Minimum of scale =[1] 0
## Maximum of scale =[1] 50
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.87926, p-value = 2.177e-05## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## 0.00 25.50 34.00 31.82 39.00 50.00 6## median mean SE.mean CI.mean.0.95 var std.dev
## 34.0000000 31.8181818 1.5492131 3.1059853 132.0033670 11.4892718
## coef.var
## 0.3610914## binwidth =[1] 9.145186
## Minimum of scale =[1] 0
## Maximum of scale =[1] 50
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.89469, p-value = 7.448e-05## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## -10.00 1.50 14.00 14.78 26.50 45.00 6## median mean SE.mean CI.mean.0.95 var std.dev
## 14.0000000 14.7818182 1.9711199 3.9518575 213.6922559 14.6182166
## coef.var
## 0.9889322## binwidth =[1] 12.70165
## Minimum of scale =[1] -10
## Maximum of scale =[1] 45
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.91601, p-value = 0.0004751
2.6.4.4 % improvement (CC admission & discharge scores) - MRC sum score
MRC-SS score the threshold for conformation of ICU-acquired weakness is score <48
## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## 0.00 0.00 36.00 29.58 48.00 60.00 6## median mean SE.mean CI.mean.0.95 var std.dev
## 36.0000000 29.5818182 3.1847375 6.3850142 557.8404040 23.6186453
## coef.var
## 0.7984176## binwidth =[1] 24.38716
## Minimum of scale =[1] 0
## Maximum of scale =[1] 60
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.77899, p-value = 3.479e-08## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## 0.00 39.50 48.00 45.16 54.00 60.00 6## median mean SE.mean CI.mean.0.95 var std.dev
## 48.0000000 45.1636364 1.9422233 3.8939233 207.4727273 14.4039136
## coef.var
## 0.3189272## binwidth =[1] 9.145186
## Minimum of scale =[1] 0
## Maximum of scale =[1] 60
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.78594, p-value = 5.095e-08## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## -4.00 0.00 6.00 15.58 36.00 60.00 6## median mean SE.mean CI.mean.0.95 var std.dev
## 6.000000 15.581818 2.743550 5.500486 413.988552 20.346709
## coef.var
## 1.305798## binwidth =[1] 14.22585
## Minimum of scale =[1] -4
## Maximum of scale =[1] 60
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.73503, p-value = 3.655e-09
2.6.4.5 % improvement (CC admission & discharge scores) - Grip strength
## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## 0 0 6 10 16 45 6## median mean SE.mean CI.mean.0.95 var std.dev
## 6.000000 10.000000 1.630930 3.269818 146.296296 12.095301
## coef.var
## 1.209530## binwidth =[1] 8.129054
## Minimum of scale =[1] 0
## Maximum of scale =[1] 45
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.77701, p-value = 3.125e-08## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## 0.0 7.5 15.0 17.2 25.0 45.0 6## median mean SE.mean CI.mean.0.95 var std.dev
## 15.000000 17.200000 1.727067 3.462561 164.051852 12.808273
## coef.var
## 0.744667## binwidth =[1] 10.66938
## Minimum of scale =[1] 0
## Maximum of scale =[1] 45
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.91743, p-value = 0.0005417## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## 0.0 0.0 0.0 7.2 8.5 42.0 6## median mean SE.mean CI.mean.0.95 var std.dev
## 0.000000 7.200000 1.588341 3.184433 138.755556 11.779455
## coef.var
## 1.636035## binwidth =[1] 3.048395
## Minimum of scale =[1] 0
## Maximum of scale =[1] 42
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.63528, p-value = 4.803e-11
2.6.4.6 Johns Hopkins Highest Level of Mobility [JH HLM]: Average & median scores
## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## 1.000 4.000 5.000 5.855 8.000 17.000 6## median mean SE.mean CI.mean.0.95 var std.dev
## 5.0000000 5.8545455 0.3495241 0.7007537 6.7191919 2.5921404
## coef.var
## 0.4427569## binwidth =[1] 2.032264
## Minimum of scale =[1] 0
## Maximum of scale =[1] 17
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.88812, p-value = 4.364e-05
2.6.4.7 Clinical Frailty score [CFS]: Average & median scores
## Min. 1st Qu. Median Mean 3rd Qu. Max. NA's
## 1.000 2.000 3.000 3.473 4.000 7.000 6## median mean SE.mean CI.mean.0.95 var std.dev
## 3.0000000 3.4727273 0.2105861 0.4221997 2.4390572 1.5617481
## coef.var
## 0.4497180## binwidth =[1] 1.016132
## Minimum of scale =[1] 0
## Maximum of scale =[1] 7
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.94918, p-value = 0.01318
2.6.5 Outcomes
2.6.5.1 Length of Stay for CC
## Table of frequency of Seen by Critical Care (Physio)? :## name freq per
## 2 Yes 55 93.220339
## 1 No 4 6.779661
## Min. 1st Qu. Median Mean 3rd Qu. Max.
## 6.00 7.00 11.00 14.26 16.00 56.00## median mean SE.mean CI.mean.0.95 var std.dev
## 11.0000000 14.2622951 1.3293455 2.6590868 107.7967213 10.3825200
## coef.var
## 0.7279698## binwidth =[1] 4.572593
## Minimum of scale =[1] 6
## Maximum of scale =[1] 56
##
## Generalized Shapiro-Wilk test for Multivariate Normality by
## Villasenor-Alva and Gonzalez-Estrada
##
## data: scale
## MVW = 0.76317, p-value = 1.5e-08
## Table of frequency of LoS for CC over 10 days :## name freq per
## 2 Yes 32 52.45902
## 1 No 29 47.54098
2.6.5.2 Length of Stay for Hospital
## Length Class Mode
## 61 difftime numeric## x
## median 22.5000000
## mean 29.4782609
## SE.mean 4.2439772
## CI.mean.0.95 8.5478088
## var 828.5217391
## std.dev 28.7840536
## coef.var 0.9764502
2.6.5.3 Survival Rates for MMUH
## Table of frequency of Survival Rates for MMUH :## name freq per
## 2 Yes 39 84.78261
## 1 No 7 15.217392.6.5.4 Survival Rates for CC
2.6.5.5 Variables
## Hospital Number Date Of Entry
## Length:61 Min. :2024-09-03 00:00:00.00
## Class :character 1st Qu.:2024-09-10 00:00:00.00
## Mode :character Median :2024-09-16 00:00:00.00
## Mean :2024-09-16 00:23:36.39
## 3rd Qu.:2024-09-23 00:00:00.00
## Max. :2024-09-30 00:00:00.00
##
## Date Of Admission To Hospital Secondary Transfer?
## Min. :2024-01-15 Length:61
## 1st Qu.:2024-08-19 Class :character
## Median :2024-08-28 Mode :character
## Mean :2024-08-20
## 3rd Qu.:2024-09-08
## Max. :2024-09-19
##
## Date Of Admission To Mater Critical Care
## Min. :2024-07-12 00:00:00.00
## 1st Qu.:2024-08-25 00:00:00.00
## Median :2024-09-02 00:00:00.00
## Mean :2024-08-31 04:43:16.72
## 3rd Qu.:2024-09-10 00:00:00.00
## Max. :2024-09-21 00:00:00.00
##
## Condition On Admission To Critical Care
## Length:61
## Class :character
## Mode :character
##
##
##
##
## Date Of Discharge From Mater Critical Care Critical Care LOS (Auto-Calc)
## Min. :2024-08-30 00:00:00.00 Min. : 6.00
## 1st Qu.:2024-09-09 00:00:00.00 1st Qu.: 7.00
## Median :2024-09-13 00:00:00.00 Median :11.00
## Mean :2024-09-14 11:00:59.01 Mean :14.26
## 3rd Qu.:2024-09-21 00:00:00.00 3rd Qu.:16.00
## Max. :2024-09-27 00:00:00.00 Max. :56.00
##
## Date Of Discharge From Mater Hospital
## Min. :2024-09-04
## 1st Qu.:2024-09-14
## Median :2024-09-25
## Mean :2024-09-22
## 3rd Qu.:2024-09-29
## Max. :2024-10-10
## NA's :15
## Disciplines Involved With The Patient (Select All That Apply)
## Mode:logical
## NA's:61
##
##
##
##
##
## Occupational Therapy Involvement? Physiotherapy Involvement?
## Length:61 Length:61
## Class :character Class :character
## Mode :character Mode :character
##
##
##
##
## SLT Involvement? Psychology Involvement? MSW Involvement?
## Length:61 Length:61 Length:61
## Class :character Class :character Class :character
## Mode :character Mode :character Mode :character
##
##
##
##
## Dietetics Involvement?
## Length:61
## Class :character
## Mode :character
##
##
##
##
## Have Rehabilitation Goals Been Agreed At The Long Stay MDT?
## Length:61
## Class :character
## Mode :character
##
##
##
##
## If Rehabititions Goals Agreed, Within How Many Days
## Length:61
## Class :character
## Mode :character
##
##
##
##
## Was There A Formal Handover Of Care With Rehabilitation Program And Goals Of Care On Discharge From Critical Care?
## Length:61
## Class :character
## Mode :character
##
##
##
##
## Physiotherapy Handover? OT Handover? SLT Handover?
## Length:61 Length:61 Length:61
## Class :character Class :character Class :character
## Mode :character Mode :character Mode :character
##
##
##
##
## Psychology Handover? MSW Handover? Dietetics Handover?
## Length:61 Length:61 Length:61
## Class :character Class :character Class :character
## Mode :character Mode :character Mode :character
##
##
##
##
## Critical Care Discharge Location? Survival To MMUH Discharge?
## Length:61 Length:61
## Class :character Class :character
## Mode :character Mode :character
##
##
##
##
## Seen By Critical Care HSCP? (Physio) CPAX - Initial CPAX - Discharge
## Length:61 Min. : 0.00 Min. : 0.00
## Class :character 1st Qu.: 3.00 1st Qu.:25.50
## Mode :character Median :15.00 Median :34.00
## Mean :17.04 Mean :31.82
## 3rd Qu.:30.50 3rd Qu.:39.00
## Max. :50.00 Max. :50.00
## NA's :6 NA's :6
## MRC-SS - Initial MRC-SS - Discharge Grip Strength - Initial
## Min. : 0.00 Min. : 0.00 Min. : 0
## 1st Qu.: 0.00 1st Qu.:39.50 1st Qu.: 0
## Median :36.00 Median :48.00 Median : 6
## Mean :29.58 Mean :45.16 Mean :10
## 3rd Qu.:48.00 3rd Qu.:54.00 3rd Qu.:16
## Max. :60.00 Max. :60.00 Max. :45
## NA's :6 NA's :6 NA's :6
## Grip Strength - Discharge
## Min. : 0.0
## 1st Qu.: 7.5
## Median :15.0
## Mean :17.2
## 3rd Qu.:25.0
## Max. :45.0
## NA's :6
## John Hopkins Highest Level of Mobility - Highest Level Achieved During Stay
## Min. : 1.000
## 1st Qu.: 4.000
## Median : 5.000
## Mean : 5.855
## 3rd Qu.: 8.000
## Max. :17.000
## NA's :6
## Clinical Fraility Score On Admission Days From Admission To First Sit Out (PT)
## Min. :1.000 Min. : 1.000
## 1st Qu.:2.000 1st Qu.: 2.000
## Median :3.000 Median : 4.000
## Mean :3.473 Mean : 6.412
## 3rd Qu.:4.000 3rd Qu.: 8.000
## Max. :7.000 Max. :43.000
## NA's :6 NA's :10
## Days Of Admission To First - Sit On Edge? Days Of Admission To First - Stand?
## Min. : 1.000 Min. : 1.000
## 1st Qu.: 2.000 1st Qu.: 2.000
## Median : 3.000 Median : 4.000
## Mean : 4.922 Mean : 6.234
## 3rd Qu.: 6.000 3rd Qu.: 7.000
## Max. :23.000 Max. :34.000
## NA's :10 NA's :14
## Days Of Admission To First - Step? admission_ym admission_wk
## Min. : 1.000 Min. :2024 Min. : 3.00
## 1st Qu.: 2.000 1st Qu.:2025 1st Qu.:34.00
## Median : 4.000 Median :2025 Median :35.00
## Mean : 5.692 Mean :2025 Mean :33.85
## 3rd Qu.: 6.000 3rd Qu.:2025 3rd Qu.:36.00
## Max. :34.000 Max. :2025 Max. :38.00
## NA's :22
## admission_day admissionCC_ym admissionCC_wk admissionCC_day dischargeCC_ym
## Monday : 9 Min. :2024 Min. :28.00 Monday :11 Min. :2025
## Tuesday :11 1st Qu.:2025 1st Qu.:34.00 Tuesday :10 1st Qu.:2025
## Wednesday: 9 Median :2025 Median :36.00 Wednesday: 9 Median :2025
## Thursday :14 Mean :2025 Mean :35.36 Thursday :10 Mean :2025
## Friday : 5 3rd Qu.:2025 3rd Qu.:37.00 Friday : 7 3rd Qu.:2025
## Saturday : 5 Max. :2025 Max. :38.00 Saturday : 7 Max. :2025
## Sunday : 8 Sunday : 7
## dischargeCC_wk discharge_day discharge_ym discharge_wk
## Min. :35.00 Thursday :14 Min. :2025 Min. :36.00
## 1st Qu.:37.00 Wednesday: 9 1st Qu.:2025 1st Qu.:37.00
## Median :37.00 Monday : 7 Median :2025 Median :39.00
## Mean :37.39 Friday : 6 Mean :2025 Mean :38.54
## 3rd Qu.:38.00 Tuesday : 5 3rd Qu.:2025 3rd Qu.:39.75
## Max. :39.00 (Other) : 5 Max. :2025 Max. :41.00
## NA's :15 NA's :15 NA's :15
## occupationInv physioInv sltInv psychoInv
## Min. :0.0000 Min. :0.0000 Min. :0.0000 Min. :0.00000
## 1st Qu.:0.0000 1st Qu.:1.0000 1st Qu.:0.0000 1st Qu.:0.00000
## Median :1.0000 Median :1.0000 Median :0.0000 Median :0.00000
## Mean :0.5833 Mean :0.9672 Mean :0.4098 Mean :0.09836
## 3rd Qu.:1.0000 3rd Qu.:1.0000 3rd Qu.:1.0000 3rd Qu.:0.00000
## Max. :1.0000 Max. :1.0000 Max. :1.0000 Max. :1.00000
## NA's :1
## mswInv dietInv totalInvolvement totalInvolvement_moreEqual3
## Min. :0.0000 Min. :0.0000 Min. :1.000 Length:61
## 1st Qu.:0.0000 1st Qu.:1.0000 1st Qu.:2.000 Class :character
## Median :0.0000 Median :1.0000 Median :3.000 Mode :character
## Mean :0.3279 Mean :0.9508 Mean :3.367
## 3rd Qu.:1.0000 3rd Qu.:1.0000 3rd Qu.:4.000
## Max. :1.0000 Max. :1.0000 Max. :5.000
## NA's :1
## LoS_over10 CPAX_improveScore CPAX_improve MRC_improveScore
## Length:61 Min. :-10.00 Min. :-1.0000 Min. :-4.00
## Class :character 1st Qu.: 1.50 1st Qu.: 1.0000 1st Qu.: 0.00
## Mode :character Median : 14.00 Median : 1.0000 Median : 6.00
## Mean : 14.78 Mean : 0.7091 Mean :15.58
## 3rd Qu.: 26.50 3rd Qu.: 1.0000 3rd Qu.:36.00
## Max. : 45.00 Max. : 1.0000 Max. :60.00
## NA's :6 NA's :6 NA's :6
## MRC_improve Grip_improveScore Grip_improve LoS
## Min. :-1.0000 Min. : 0.0 Min. :0.0000 Length:61
## 1st Qu.: 0.0000 1st Qu.: 0.0 1st Qu.:0.0000 Class :difftime
## Median : 1.0000 Median : 0.0 Median :0.0000 Mode :numeric
## Mean : 0.5091 Mean : 7.2 Mean :0.4909
## 3rd Qu.: 1.0000 3rd Qu.: 8.5 3rd Qu.:1.0000
## Max. : 1.0000 Max. :42.0 Max. :1.0000
## NA's :6 NA's :6 NA's :6## Rows: 61
## Columns: 67
## $ `Hospital Number` <chr> …
## $ `Date Of Entry` <dttm> …
## $ `Date Of Admission To Hospital` <date> …
## $ `Secondary Transfer?` <chr> …
## $ `Date Of Admission To Mater Critical Care` <dttm> …
## $ `Condition On Admission To Critical Care` <chr> …
## $ `Date Of Discharge From Mater Critical Care` <dttm> …
## $ `Critical Care LOS (Auto-Calc)` <dbl> …
## $ `Date Of Discharge From Mater Hospital` <date> …
## $ `Disciplines Involved With The Patient (Select All That Apply)` <lgl> …
## $ `Occupational Therapy Involvement?` <chr> …
## $ `Physiotherapy Involvement?` <chr> …
## $ `SLT Involvement?` <chr> …
## $ `Psychology Involvement?` <chr> …
## $ `MSW Involvement?` <chr> …
## $ `Dietetics Involvement?` <chr> …
## $ `Have Rehabilitation Goals Been Agreed At The Long Stay MDT?` <chr> …
## $ `If Rehabititions Goals Agreed, Within How Many Days` <chr> …
## $ `Was There A Formal Handover Of Care With Rehabilitation Program And Goals Of Care On Discharge From Critical Care?` <chr> …
## $ `Physiotherapy Handover?` <chr> …
## $ `OT Handover?` <chr> …
## $ `SLT Handover?` <chr> …
## $ `Psychology Handover?` <chr> …
## $ `MSW Handover?` <chr> …
## $ `Dietetics Handover?` <chr> …
## $ `Critical Care Discharge Location?` <chr> …
## $ `Survival To MMUH Discharge?` <chr> …
## $ `Seen By Critical Care HSCP? (Physio)` <chr> …
## $ `CPAX - Initial` <dbl> …
## $ `CPAX - Discharge` <dbl> …
## $ `MRC-SS - Initial` <dbl> …
## $ `MRC-SS - Discharge` <dbl> …
## $ `Grip Strength - Initial` <dbl> …
## $ `Grip Strength - Discharge` <dbl> …
## $ `John Hopkins Highest Level of Mobility - Highest Level Achieved During Stay` <dbl> …
## $ `Clinical Fraility Score On Admission` <dbl> …
## $ `Days From Admission To First Sit Out (PT)` <dbl> …
## $ `Days Of Admission To First - Sit On Edge?` <dbl> …
## $ `Days Of Admission To First - Stand?` <dbl> …
## $ `Days Of Admission To First - Step?` <dbl> …
## $ admission_ym <yearmon> …
## $ admission_wk <dbl> …
## $ admission_day <ord> …
## $ admissionCC_ym <yearmon> …
## $ admissionCC_wk <dbl> …
## $ admissionCC_day <ord> …
## $ dischargeCC_ym <yearmon> …
## $ dischargeCC_wk <dbl> …
## $ discharge_day <ord> …
## $ discharge_ym <yearmon> …
## $ discharge_wk <dbl> …
## $ occupationInv <dbl> …
## $ physioInv <dbl> …
## $ sltInv <dbl> …
## $ psychoInv <dbl> …
## $ mswInv <dbl> …
## $ dietInv <dbl> …
## $ totalInvolvement <dbl> …
## $ totalInvolvement_moreEqual3 <chr> …
## $ LoS_over10 <chr> …
## $ CPAX_improveScore <dbl> …
## $ CPAX_improve <dbl> …
## $ MRC_improveScore <dbl> …
## $ MRC_improve <dbl> …
## $ Grip_improveScore <dbl> …
## $ Grip_improve <dbl> …
## $ LoS <drtn> …