The Effects of Early Mobilization on Patients Requiring Extended Mechanical Ventilation Across Multiple ICUs

Critical Care Explorations
Miguel X EscalonStephanie A Kolakowsky-Hayner

Abstract

1) To successfully implement early mobilization of individuals with prolonged mechanical ventilation in multiple ICUs at a tertiary care hospital and 2) to reduce length of stay and improve quality of care to individuals in the ICUs. Comparative effectiveness cohort study based on a quality improvement project. Five ICUs at a tertiary care hospital. A total of 541 mechanically ventilated patients over a 2-year period (2014-2015): 280 and 261, respectively. Age ranged from 19 to 94 years (mean, 63.84; sd, 14.96). A hospital-based initiative spurred development of a multidisciplinary team, tasked with establishing early mobilization in ICUs. Early mobilization in the ICUs was evaluated by the number of physical therapy consults, length of stay, individual treatment sessions utilizing functional outcomes, and follow-up visits. Implementation of an early mobilization protocol across all ICUs led to a significant increase in the number of physical therapy consults, a significant decrease in ICU and overall lengths of stay, significantly shorter days to implement physical therapy, and a significantly higher physical therapy follow-up rate. Mobilizing individuals in an intensive care setting decreases length of stay and hospital costs...Continue Reading

References

Jan 1, 1997·Journal of Applied Physiology·H E BergP A Tesch
Feb 21, 2003·The New England Journal of Medicine·Margaret S HerridgeUNKNOWN Canadian Critical Care Trials Group
Nov 30, 2006·Critical Care Medicine·Polly BaileyRamona O Hopkins
Jul 20, 2007·Intensive Care Medicine·Robert D StevensDale M Needham
Apr 24, 2008·Critical Care Medicine·Heidrun FinkManfred Blobner
Jul 4, 2008·Critical Care Medicine·Peter E MorrisEdward Haponik
Oct 9, 2008·JAMA : the Journal of the American Medical Association·Dale M Needham
Sep 10, 2010·Topics in Stroke Rehabilitation·Dale M Needham, Radha Korupolu
Oct 21, 2010·Critical Care Medicine·Sanjay V DesaiDale M Needham
Mar 2, 2011·The American Journal of the Medical Sciences·Peter E MorrisEdward Haponik
Jan 16, 2013·Critical Care Medicine·Robert K LordDale M Needham
Oct 11, 2013·JAMA : the Journal of the American Medical Association·Zudin A PuthuchearyHugh E Montgomery
Jan 18, 2014·Current Physical Medicine and Rehabilitation Reports·Ann ParkerDale M Needham
May 16, 2014·American Journal of Respiratory and Critical Care Medicine·Greet HermansGreet Van den Berghe
Sep 12, 2014·American Journal of Respiratory and Critical Care Medicine·Pei-wen ChaoYung-Tai Chen
Dec 6, 2014·Critical Care : the Official Journal of the Critical Care Forum·Carol L HodgsonSteven A Webb
Apr 12, 2016·Chest·Sarah E JolleyCatherine L Hough
May 6, 2016·Annals of the American Thoracic Society·Rolf DubbDale M Needham

❮ Previous
Next ❯

Citations

Aug 18, 2021·The American Journal of Nursing·Ann L Hendrich

❮ Previous
Next ❯

Methods Mentioned

BETA
sedation

Software Mentioned

SPSS Statistics

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Critical Care Nurse
B Horrigan
Pediatrics
R White, T Whitman
Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
Kaweesak ChittawatanaratThai Society of Critical Care Medicine Study Group
Journal of Intensive Care Medicine
Alberto SibillaSapna R Kudchadkar
© 2021 Meta ULC. All rights reserved