ICU sedation, delirium & recovery

Evaluating early mobilisation in critically ill COVID-19 patients: Secondary analysis from the European Society of Intensive Care Medicine (ESICM) UNITE-COVID-II multicentre observational study

Anaesth Crit Care Pain MedPublished Secondary analysis of the ESICM UNITE-COVID-II multicentre observational study

Primary result · 60-day mortality (EM, combined cohort)Result — go to the resultOdds ratio 0.74 95% CI 0.64–0.86

Authors' conclusion

EM is feasible and beneficial for critically ill COVID-19 patients. It was associated with reduced mortality and lower transfer rates to other care facilities

Study context

Population
Critically ill ICU patients with confirmed SARS-COV-2 infection103 ICUs in 35 countries
Participants
2,053 vs 4,190
Comparison
Early mobilisation vs no early mobilisation; second vs first COVID-19 wave
  • Second waven = 2,053
  • First waven = 4,190reference
Primary endpoint
Association between EM (within first 72 h of ICU admission) and outcomes
Follow-up
60 days

Primary result

60-day mortality (EM, combined cohort)

Odds ratio

0.74

95% CI 0.64–0.86

P = 0.001

EM vs No EM
OR 0.74 (95% CI 0.64–0.86); P = 0.001

As reported in the abstract

Further findings

EM achieved

P < 0.001

Likelihood of early mobilisation (EM) with mechanically ventilated (MV) on admission (combined cohort)

OR (95% CI)P value
MV on admission0.29 (0.25–0.33)P = 0.001
OutcomeOR (95% CI)P value
Transfer to other care facilities (EM)EM vs No EM0.74 (0.59–0.94)P = 0.001

ICU and hospital LOS (EM)

EM did not improve ICU or hospital LOS

Original publication

Evaluating early mobilisation in critically ill COVID-19 patients: Secondary analysis from the ESICM UNITE-COVID-II multicentre observational study. Anaesth Crit Care Pain Med. Published 17 May 2025. doi:10.1016/j.accpm.2025.101550

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.