ICU sedation, delirium & recovery
Enhancing early mobilization in critically ill patients through multidisciplinary rounds: A process-focused observational study
Main finding · EM practiceResult — go to the resultAdjusted relative risk 1.84 95% CI 1.30–2.61Authors' conclusion
MDR played a pivotal role in enhancing the initiation of EM for ICU patients, highlighting its significance in overcoming barriers to EM.
Study context
- Population
- Patients who received physical therapy (PT) during their stay in the medical/surgical intensive care unit (ICU) of a tertiary university medical center in Tokyo, Japan
- Participants
- 301 patients
- Exposure
- Post-MDR vs pre-MDR
- Phase 1n = 110reference
- Phase 2n = 191
- Outcome
- Initiation of early mobilization (EM)
Methodological detailsprocess-focused, before-after (pre-MDR vs post-MDR), single-centre
- Process-focused
- Before-after (pre-MDR vs post-MDR)
- Single-centre
Main finding
EM practice
Adjusted relative risk
1.84
95% CI 1.30–2.61
By group
MDR
adjusted relative risk 1.84 (95% CI 1.30–2.61)
As reported in the abstract
Observational data: associations, not effects.
Further findings
EM practice, mechanically ventilated patients (subgroup)
P < 0.001
Time from ICU admission to PT initiation
P < 0.001
PT consultations
- PT consultations significantly increased from 9.2% to 16.5%
- χ2 = 27.75, p < 0.001
Original publication
Enhancing early mobilization in critically ill patients through multidisciplinary rounds: A process-focused observational study. Anaesth Crit Care Pain Med. Published 30 January 2025. doi:10.
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