Neuroanesthesia & neurocritical care

Assessing the impact of early progressive mobilization on moderate-to-severe traumatic brain injury: a randomized controlled trial

Crit CarePublished Randomised controlled trial

Authors' conclusion

The early progressive out-of-bed mobilization protocol can enhance mobility and functional outcomes and shorten ICU stay and ventilation duration of patients with moderate-to-severe TBI.

Study context

Population
Intensive care unit (ICU)-admitted patients with moderate to severe traumatic brain injury (TBI), trauma ICU of a medical center
Participants
65 patients
Comparison
Early progressive mobilization (EPM) vs early progressive upright positioning (EPUP)
  • EPMn = 33
  • EPUPn = 32reference
Primary endpoint
Perme ICU Mobility Score
Methodological detailssingle-centre
  • Single-centre

Primary result

As reported in the abstract

  • EPM significantly outperformed EPUP in Perme ICU Mobility Score

Secondary outcomes

OutcomeDifference (days)P value
ICU LOSShorter ICU stay with EPM5.9P < 0.001
Duration of ventilationShorter ventilation duration with EPM6.7P = 0.001

FIM-motor score

EPM significantly outperformed EPUP in FIM-motor score

Phase angle (PhA)

No significant differences in PhAs

Original publication

Assessing the impact of early progressive mobilization on moderate-to-severe traumatic brain injury: a randomized controlled trial. Crit Care. Published 22 May 2024. doi:10.1186/s13054-024-04940-0

Composed by AI from the published abstract and checked against it. How Briefs are made →

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