Clinical and Psychological Effects of Early Mobilization in Patients Treated in a Neurologic ICU: A Comparative Study

Q: What does this research mean for the field?

An early mobility protocol in a neurologic ICU increases patient mobility, decreases length of stay, and increases the likelihood of discharge home, but does not significantly improve overall quality metrics or psychological profiles. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Kate Klein; Malissa Mulkey; James Bena; Nancy M. Albert

doi:10.1097/ccm.0000000000000787">https://doi.org/10.1097/ccm.0000000000000787</a></p

April 1, 2015

Clinical and Psychological Effects of Early Mobilization in Patients Treated in a Neurologic ICU: A Comparative Study

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Key Points

To assess the impact of early mobilization on mobility and clinical and psychological outcomes in neurologic ICU patients.
Prospective two-group pre/post comparative design
Data collection during a 4-month run-in and subsequent 4-month intervention period
Included a progressive mobility protocol with staff assistance
Daily assessments of mobility for 13 days and collection of clinical outcomes from databases
Postintervention patients had higher mobility levels (p<0.001)
Reduced hospital and neurologic ICU length of stay (p<0.001)
Higher likelihood of being discharged home (p=0.033)
Decreased rates of bloodstream infections, hospital-acquired pressure ulcers, and anxiety (all p<0.03)
No significant differences in mortality or certain psychological metrics

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Implication

Comparative study demonstrates early mobilization improves mobility and clinical outcomes in neurologic ICU patients, suggesting its efficacy.

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Klein et al. (2015) studied this question.

synapsesocial.com/papers/69be38a46e48c4981c6792db https://doi.org/10.1097/ccm.0000000000000787">https://doi.org/10.1097/ccm.0000000000000787</a></p

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Clinical and Psychological Effects of Early Mobilization in Patients Treated in a Neurologic ICU: A Comparative Study

Key Points

No abstract yet

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Implication

Discussion

Cite This Study

Clinical and Psychological Effects of Early Mobilization in Patients Treated in a Neurologic ICU: A Comparative Study

Key Points

No abstract yet

Ask about this paper

Implication

Discussion

Cite This Study

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