ICU sedation, delirium & recovery
Mobilisation practices during the SARS-CoV-2 pandemic: A retrospective analysis (MobiCOVID)
Authors' conclusion
COVID-19 did not hinder mobilisation. Those treated in surge ICUs were more likely to receive EM and reached higher mobilisation levels.
Study context
- Population
- Adults admitted to one of 16 ICUs, Charité-Universitätsmedizin Berlin, Germany, March 2018 to November 2021611 matched pairs analysed
- Participants
- 12,462 adults
- Exposure
- COVID-19 vs non-COVID-19 ICU patients
- Outcome
- Mobilisation level and frequency, early mobilisation (EM) and time to active sitting position (ASP)
Methodological detailssingle-centre, 1:1 propensity score matching, supervised machine learning conversion to ICU mobility scale
- Single-centre
- 1:1 propensity score matching
- Supervised machine learning conversion to ICU mobility scale
Main finding
As reported in the abstract
Mobilisation practices in matched COVID-19 vs non-COVID-19 patients
Mobilisation frequency, COVID-19 vs non-COVID-19
0.4 vs. 0.3
Maximum ICU mobility scale (IMS), COVID-19 vs non-COVID-19
3 vs. 3
Early mobilisation (EM), COVID-19 vs non-COVID-19
43.2% vs. 37.8%
Observational data: associations, not effects.
Further findings
Mobilisation in surge ICUs vs other ICUs (subgroup, COVID-19 patients)
| HR (time to ASP) (95% CI) | P value | ||
|---|---|---|---|
| Surge ICUs | 1.15 (0.85–1.56) | P = 0.36 | |
| 0.512Hazard ratio (time to ASP) (log scale) |
| Outcome | Estimate | P value |
|---|---|---|
| Mobilisation in surge ICUs vs other ICUs (subgroup, COVID-19 patients)Surge ICUs | EM 53.9% vs. 39.8% | P = 0.03 |
| Mobilisation in surge ICUs vs other ICUs (subgroup, COVID-19 patients)Surge ICUs | Maximum IMS 4 vs. 3 | P = 0.03 |
| Mobilisation in surge ICUs vs other ICUs (subgroup, COVID-19 patients)Surge ICUs | Mobilisation frequency 0.5 vs. 0.3 | P = 0.32 |
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Mobilisation practices during the SARS-CoV-2 pandemic: A retrospective analysis (MobiCOVID). Anaesth Crit Care Pain Med. Published 29 May 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →