The German Validation Study of the Surgical Intensive Care Unit Optimal Mobility Score

详细信息    查看全文

• 作者：Stefan J. Schaller^a ; ^{stefan.schaller@tum.de" class="auth_mail" title="E-mail the corresponding author} ; Christiane G. Stä ; uble^a ; Mika Suemasa^a ; Markus Heim^a ; Ingrid Moreno Duarte^b ; Oliver Mensch^a ; Ralph Bogdanski^a ; Heidrun Lewald^a ; Matthias Eikermann^b ; Manfred Blobner^a
• 关键词：Muscle wasting ; Intensive care unit&ndash ; acquired weakness (ICUAW) ; Early mobilization ; Scoring system ; SOMS
• 刊名：Journal of Critical Care
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：32
• 期：Complete
• 页码：201-206
• 全文大小：367 K

文摘

Immobilization of critically ill patients leads to muscle weakness, which translates to increased costs of care and long-term functional disability. We tested the validity of a German Surgical Intensive Care Unit (ICU) Optimal Mobilization Score (SOMS) in 2 different cohorts (neurocritical and nonneurocritical care patients).

Materials and Methods

Physical therapists estimated the patients' mobilization capacity by using the German version of the SOMS the morning after admission. We tested the prognostic value of the prediction for ICU and hospital length of stay (LOS) as well as for mortality, and built a model to account for other known predictors of these outcomes in the 2 cohorts.

Results

A total of 128 patients were included in the analysis, 48 of these were neurocritical care patients. The SOMS predicted mortality and ICU and hospital LOS. Neurocritical care patients stayed significantly longer in the ICU (median 12 vs 4 days, P < .001) and in the hospital (25 vs 17 days, P = .02). The SOMS predicted ICU and hospital LOS. It predicted mortality only in nonneurocritical patients.

Conclusions

The German SOMS assessed by physical therapists on the day after ICU admission predicts ICU and hospital LOS, and mortality. Our data suggest that the association between early mobilization and mortality is more complex in neurocritical care patients.