Journals / Dahili ve Cerrahi Bilimler Yoğun Bakım Dergisi / 2018 / Cilt: 9 - Sayı: 1

Factors Affecting Early Mobilization in the Intensive Care Unit and the Functional Status after Discharge

Yoğun Bakım Ünitelerinde Erken Mobilizasyonu ve Taburculuk Sonrası Fonksiyonel Durumu Etkileyen Faktörler

Pages
12–17
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

When mobilized and nonmobilizedgroups were compared; ages, duration of hospitalizationin days, and APACHE II scores were lower, whilethe functional improvement after discharge was significantlyhigher in the mobilized group (p-values

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The purpose of this study is to assess the mobilizationrates in an intensive care unit (ICU) and factorsaffecting early mobilization, and to compare the clinicalcharacteristics of mobilized and non-mobilized patients.Material and Methods: Eighty-six patients who were hospitalizedfor at least 3 days and mobilized before the ICUwere included.
📊
Key Findings & Data:The diagnosis at the ICU admission, comorbidities,the best mobility level during hospitalization,discharge status, and Ramsay and Acute Physiologic andChronic Health Evaluation (APACHE II) scores were recorded.The mobilization status of the surviving patients 1month after discharge was evaluated.Results: Fifty-eight (67.4%) patients were not mobilizedduring their hospitalization.
💡
Conclusion & Impact:When mobilized and nonmobilizedgroups were compared; ages, duration of hospitalizationin days, and APACHE II scores were lower, whilethe functional improvement after discharge was significantlyhigher in the mobilized group (p-values
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The purpose of this study is to assess the mobilizationrates in an intensive care unit (ICU) and factorsaffecting early mobilization, and to compare the clinicalcharacteristics of mobilized and non-mobilized patients.Material and Methods: Eighty-six patients who were hospitalizedfor at least 3 days and mobilized before the ICUwere included. The diagnosis at the ICU admission, comorbidities,the best mobility level during hospitalization,discharge status, and Ramsay and Acute Physiologic andChronic Health Evaluation (APACHE II) scores were recorded.The mobilization status of the surviving patients 1month after discharge was evaluated.Results: Fifty-eight (67.4%) patients were not mobilizedduring their hospitalization. When mobilized and nonmobilizedgroups were compared; ages, duration of hospitalizationin days, and APACHE II scores were lower, whilethe functional improvement after discharge was significantlyhigher in the mobilized group (p-values

Özet

Amaç: Bu çalışmanın amacı, yoğun bakım ünitesinde (YBÜ) mobilizasyon oranını ve mobilizasyona engel olan faktörleri değerlendirmek, mobilize olan ve olamayan hastaların klinik özelliklerini karşılaştırmaktır. Gereç ve Yöntemler: Yoğun bakım ünitesinde en az üç gün yatışı olan ve daha önce mobilize olan 86 hasta dahil edildi. YBÜ’ye geliş tanısı, komorbiditeler, hospitalizasyon süresi, yatışı boyunca en iyi mobilizasyon düzeyi, mekanik ventilasyon ihtiyacı, taburculuk durumu, Ramsay ve Acute Physiologic and Chronic Health Evaluation (APACHE) II skoru kaydedildi. Taburculuktan bir ay sonra hastaların mobilizasyon durumu değerlendirildi. Bulgular: Elli sekiz (%67,4) hasta hiç mobilize olamadı. Mobilize olan ve olmayan hastalar karşılaştırıldığında; yaş, hospitalizasyon süresi ve APACHE II skoru mobilize olan grupta daha düşük iken, taburculuk sonrası fonksiyonel iyileşme mobilize olan grupta daha yüksek idi (p değeri

🔖

Cite This Article

TURAN, I. Ö., SOYAL, Ö. B., UÇKUN, A. Ç., BODUR, H., YURDAKUL, F. G., MUTLU, N. M. (2022). Factors Affecting Early Mobilization in the Intensive Care Unit and the Functional Status after Discharge. Dahili ve Cerrahi Bilimler Yoğun Bakım Dergisi, Cilt: 9 - Sayı: 1, 12–17. https://ajindex.com/articles/486530

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (2)

  1. Chambers MA, Moylan JS, Reid MB. Physical inactivity and muscle weakness in the critically ill. Crit Care Med 2009; 37: 337-46. [CrossRef ] Stevens RD, Dowdy DW, Michaels RK, et al. Neuromuscular dysfunction acquired in critical illness: a systematic review. Intensive Care Med 2007; 33: 1876-91. [CrossRef ] Ali NA, O’Brien JM Jr, Hoffmann SP, et al. Acquired weakness, handgrip strength, and mortality in critically ill patients. Am J Respir Crit Care Med 2008; 178: 261-8. [CrossRef ] Herridge MS, Tansey CM, Matté A et al. Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med 2011; 364: 1293-304. [CrossRef ] Herridge MS. Legacy of intensive care unit-acquired weakness. Crit Care Med 2009; 37: 457-61. [CrossRef ] Brower RG. Consequences of bed rest. Crit Care Med 2009; 37: 422-8. [CrossRef] Hodgson CL, Berney S, Harrold M, et al. Clinical review: early patient mobilization in the ICU. Crit Care 2013; 17: 207. [CrossRef ] Bailey P, Thomsen GE, Spuhler VJ, et al. Early activity is feasible and safe in respiratory failure patients. Crit Care Med 2007; 35: 139-45. [CrossRef ] Morandi A, Brummel NE, Ely EW. Sedation, delirium and mechanicalventilation: the ‘ABCDE’ approach. Curr Opin Crit Care 2011; 17: 43-9. [CrossRef ] Özçelik Z, Uçar N, Yılmaz D, et al. Administration of Early Mobilization in Intensive Care Unit Patients and Effects of Early Mobilization on Patient Hemodynamics. J Turk Soc Intens Care 2017; 15: 53-8. [CrossRef ] Leditschke A, Green M, Irvine J, et al. What are the barriers to mobilizing intensive care patients? Cardiopulm Phys Ther J 2012; 23: 26-9.
  2. Morris PE, Goad A, Thompson C, et al. Early intensive care unit mobility therapy in the treatment of acute respiratory failure. Crit Care Med 2008; 36: 2238-43. [CrossRef ] Schweickert WD, Pohlman MC, Pohlman AS, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomized controlled trial. Lancet 2009; 373: 1874-82. [CrossRef ] Kayambu G, Boots R, Paratz J. Physical therapy for the critically ill in the ICU: a systematic review and meta-analysis. Crit Care Med 2013; 41: 1543-54. [CrossRef ] Stiller K. Physiotherapy in intensive care: an updated systematic review. Chest 2013; 144: 825-47. [CrossRef ] Nydahl P, Ruhl AP, Bartoszek G, et al. Early mobilization of mechanically ventilated patients: a 1-day point-prevalence study in Germany. Crit Care Med 2014; 42: 1178-86. [CrossRef ] Berney SC, Harrold M, Webb SA, et al.