Improving mobility in the intensive care unit with a protocolized, early mobilization program: observations of a single center before-and-after the implementation of a multidisciplinary program

Background: Early intensive care unit (ICU) protocolized rehabilitative programs have been described previously, yet with differing starting time points and mostly on mechanically ventilated patients. We extended the concept to all admitted ICU patients and investigate the efficacy of early mobiliza...

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Published in:	Acute and critical care Vol. 37; no. 3; pp. 286 - 294
Main Authors:	Ho, Laptin, Tsang, Joe Hin Cheung, Cheung, Emmanuel, Chan, Wing Yan, Lee, Ka Wai, Lui, Sweetie R, Lee, Chung Yau, Lee, Alfred Lok Hang, Lam, Philip Koon Ngai
Format:	Journal Article
Language:	English
Published:	Korean Society of Critical Care Medicine 01-08-2022 대한중환자의학회
Subjects:	critical illness early ambulation intensive care unit Original physical therapy 마취과학
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Summary:	Background: Early intensive care unit (ICU) protocolized rehabilitative programs have been described previously, yet with differing starting time points and mostly on mechanically ventilated patients. We extended the concept to all admitted ICU patients and investigate the efficacy of early mobilization in improving mobility of the critically ill, address issues surrounding the timing and intensity of an early rehabilitative program.Methods: Prospective cohorts of patients admitted consecutively before-and-after (control, n=92; intervention, n=90) the introduction of an early mobilization program in a single center, general hospital ICU. Improvement in mobility as assessed by ICU mobility score, on ICU admission and upon ICU discharge, was measured as a primary outcome.Results: Those receiving early mobilization in the intensive care unit had higher ICU mobility score (2.63; 95% confidence interval, 0.65–4.61; P<0.001) upon discharge from the intensive care, with earlier out of bed mobilization on day 5 compared to the control group of day 21 (P<0.001). No differences were found in terms of mortality, intensive care hospitalization and subsequent hospitalization duration after discharge from ICU.Conclusions: Here, we report that improvement in mobility score earlier in the course of intensive care hospitalization with the introduction of a protocolized early rehabilitative program.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 These authors contributed equally to this study. https://www.accjournal.org/journal/view.php?doi=10.4266/acc.2021.01564
ISSN:	2586-6052 2586-6060
DOI:	10.4266/acc.2021.01564