What question did this study set out to answer?

Determine the feasibility, safety, and tolerability of initiating mobilization within the first 24 hours of admission to an intensive care unit.

January 1, 2016Annals of Intensive CareOpen Access

Teamwork enables high level of early mobilization in critically ill patients

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Authors

CHCheryl HickmannHaute École Provinciale de Hainaut Condorcet DCDiego Castanares‐ZapateroBelgian Health Care Knowledge Centre ÉBÉmilie BialaisCliniques Universitaires Saint-Luc

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Implication

Cohort study reveals early mobilization within 24 hours is feasible and safe in critically ill ICU patients, indicating advanced organ support should not preclude physical rehabilitation.

Key Points

Determine the feasibility, safety, and tolerability of initiating mobilization within the first 24 hours of admission to an intensive care unit.
Monitored 171 consecutive ICU admissions across 731 patient-days over a 2-month period using a standardized early mobilization protocol.
Assessed mobilization activities, bed-to-chair transfers, and adverse event interruptions across patient subsets, including those receiving mechanical ventilation, vasopressors, or continuous renal replacement therapy.
Mobilization was achieved on 86% of 709 eligible patient-days, with bed-to-chair transfers on 74% and a median time to first mobilization of 19 hours (IQR = 15–23).
Among mechanically ventilated patients (46% of patient-days), early mobilization activities occurred on 80% and bed-to-chair transfers on 68% of patient-days despite concurrent vasopressor support (35%) or renal replacement therapy (11%).
Hemodynamic instability prompted the interruption of only 0.8% of mobilization sessions, primarily due to reversible hypotension or arrhythmia.

Cite This Study

Hickmann et al. (2016) studied this question.

synapsesocial.com/papers/6a760b5dc0eb3924a794ae19 https://doi.org/10.1186/s13613-016-0184-y

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Implication

Cohort study reveals early mobilization within 24 hours is feasible and safe in critically ill ICU patients, indicating advanced organ support should not preclude physical rehabilitation.

Teamwork enables high level of early mobilization in critically ill patients

Discussion

Member takes

Implication

Key Points

Cite This Study

Teamwork enables high level of early mobilization in critically ill patients

Discussion

Member takes

Implication

Key Points

Cite This Study

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