ICU sedation, delirium & recovery

Impact of mobilization dose on outcome of critically ill patients receiving mechanical ventilation—a target trial emulation using data from the TEAM trial

Am J Respir Crit Care MedPublished Secondary analysis of the TEAM randomised trial

Authors' conclusion

Prolonged mobilization when only lower IMS levels could be achieved was associated with increased 28-day mortality.

Study context

Population
Adults in the ICU undergoing invasive mechanical ventilation in the TEAM trial
Participants
741 adults
Comparison
Simulated mobilization strategies vs natural course
Primary endpoint
Mortality
Follow-up
28 days
Methodological detailstarget trial emulation, per-protocol effect, g-formula, post hoc
  • Target trial emulation
  • Per-protocol effect
  • G-formula
  • Post hoc

Primary result

As reported in the abstract

28-day mortality
Each group vs natural courseRelative risk (95% CI)
Mobilization ≤20 minutes, mobility scale 2prolonged mobilization time worse when lower mobility levels achieved
1.33(1.10–1.63)
Mobilization ≤20 minutes, IMS 4with IMS >4 achieved, prolonged duration did not increase mortality
1.13(0.96–1.46)

Original publication

Impact of mobilization dose on outcome of critically ill patients receiving mechanical ventilation—a target trial emulation using data from the TEAM trial. Am J Respir Crit Care Med. Published 23 January 2026. doi:10.1093/ajrccm/aamaf109

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

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