Time for critically ill patients to regain mobility after early mobilization in the intensive care unit and transition to a general inpatient floor

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• 作者：Sarah M. Pandullo ; ARNP ; CCNS-BC^a ; Sarah K. Spilman ; MA^b ; ^{sarah.spilman@unitypoint.org" class="auth_mail" title="E-mail the corresponding author} ; Janell A. Smith ; RN ; CCRN^a ; Lisa K. Kingery ; RRT^c ; Sara M. Pille ; PT ; DPT^d ; Robert D. Rondinelli ; MD ; PhD^e ; Sheryl M. Sahr ; MD ; MS^b
• 关键词：Progressive mobility ; Intensive care unit ; Transfer ; Hospital length of stay ; Ambulation ; Inpatient floor
• 刊名：Journal of Critical Care
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：30
• 期：6
• 页码：1238-1242
• 全文大小：283 K

文摘

The purpose of this study is to determine if patient mobility achievements in an intensive care unit (ICU) setting are sustained during subsequent phases of hospitalization, specifically after transferring to inpatient floors and on the day of hospital discharge.

Materials and Methods

The study is an analysis of adult patients who stayed in the ICU for 48 hours or more during the second quarter of 2013. The study sample included 182 patients who transferred to a general inpatient floor after the ICU stay.

Results

Patients experienced an average delay of 16 hours to regain or exceed chair level of mobility and 7 hours to regain ambulation level after transferring to an inpatient floor. One third of patients ambulated in the ICU, and those patients had significantly shorter post-ICU and hospital stays compared with patients who did not ambulate in the ICU. Delays in regaining mobility on the floor were modestly associated with initial Morse Fall Score and being male.

Conclusions

Mobility progression through the hospital course is imperative to improving patient outcomes. Study findings show the need for improvement in maintaining early ICU mobilization achievement during the crucial phase between ICU stay and hospital discharge.