ICU sedation, delirium & recovery
Multidisciplinary Approach to Early Mobility at an Academic Medical Center
Primary result · Daily mobility goals met (patient-day level)Result — go to the resultTimes more likely to reach daily mobility goal (adjusted) 1.96Authors' conclusion
A multidisciplinary quality improvement initiative can improve adherence to daily mobility goals.
Study context
- Population
- ICU patients in two ICUs at a large academic medical center, July 2023 to February 2024
- Participants
- 574 patients
- Comparison
- Multidisciplinary early mobility QI initiative vs control ICU
- Intervention ICUn = 271
- Control ICUn = 276reference
- Primary endpoint
- Achievement of an intensity-specific mobility goal with nursing staff on a patient-day level
Methodological detailspragmatic, difference-in-differences analysis, two ICUs, single academic medical centre
- Pragmatic
- Difference-in-differences analysis
- Two ICUs
- Single academic medical centre
Primary result
Daily mobility goals met (patient-day level) · post-intervention
Times more likely to reach daily mobility goal (adjusted)
1.96
P = 0.017
By group
As reported in the abstract
- Intervention ICU: daily mobility goals met pre- vs post-intervention
- 48.6% vs 65.4% (p < 0.001)
Further findings
ICU LOS, inpatient LOS, discharge to home, in-hospital mortality
- No significant change between intervention vs control ICU
Original publication
Multidisciplinary Approach to Early Mobility at an Academic Medical Center. Crit Care Med. Published 19 September 2025. doi:10.
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