Cost-Effectiveness of In-Bed Cycling and Routine Physiotherapy for Patients Receiving Mechanical Ventilation
JAMA Network Open 10.1001/jamanetworkopen.2025.29399September 08, 2025 at 11:00 AM EDT
What is the cost-effectiveness of in-bed cycling plus usual physiotherapy compared with usual physiotherapy alone among adults receiving invasive mechanical ventilation?This economic evaluation including 360 randomized clinical trial participants found that the per-patient cost of acquiring and delivering early in-bed cycling accounted for 0.5% of the index hospitalization costs. There were no statistically significant differences in the per-patient 90-day costs and quality-adjusted life-years between the 2 groups.These findings highlight the need for future economic studies based on the totality of the randomized clinical trial evidence of in-bed cycling for critically ill patients.
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