Purpose: No published studies have described implementing a Johns Hopkins Activity and Mobility Promotion (JH-AMP) -inspired early mobilization initiative in an intensive care unit (ICU) serving a racially and socioeconomically diverse patient population. We hypothesized that a JH-AMP -modeled intervention would increase the proportion of patients achieving a Johns Hopkins Highest Level of Mobility (JH-HLM) ≥3, a threshold for clinically meaningful mobility in the ICU, compared with pre-intervention care. Methods: We conducted a retrospective review of a multidisciplinary quality improvement project. ICU admissions from April 4, 2021 to April 3, 2022 served as the pre-intervention group (N=769), and admissions from April 4, 2022 to April 4, 2023 served as the intervention group (N=930). The primary outcome was the percentage of patients who achieved JH-HLM ≥3 at any point during their ICU admission. Results: Patients in the intervention group were more likely to achieve JH-HLM ≥3 during their ICU stay (35.0% vs 24.1%; unadjusted OR 1.70, 95% CI 1.37 -2.10; P<.0001). After adjustment for potential confounders, this association remained significant (adjusted OR 2.16, 95% CI 1.58 -2.95; P<.0001). Conclusions: Implementation of this multidisciplinary intervention improved mobility among patients who are critically ill ICU and supports feasibility of early mobility practices in diverse settings.
Savitzky et al. (2026) studied this question.