ICU sedation, delirium & recovery

Predictive validity and interrater reliability of the German intensive care unit mobility scale (IMS)

J Crit CarePublished Prospective observational study

Authors' conclusion

The German IMS demonstrates robust predictive validity and exceptional interrater reliability in a multiprofessional ICU setting.

Study context

Population
Patients in a 21-bed anaesthesiology-led intensive care unit (ICU) (German translation of the IMS)
Participants
100 patients
Outcome
Predictive validity (ICU and hospital length of stay (LOS), 90-day mortality, functional outcomes at discharge) and interrater reliability of the German IMS
Methodological detailssingle-centre, validation study, IMS assessed by nurses, physical therapists, residents and attending physicians, three times daily
  • Single-centre
  • Validation study
  • IMS assessed by nurses, physical therapists, residents and attending physicians, three times daily

Main finding

As reported in the abstract

Higher mean IMS during ICU stayEstimate (95% CI)P value
Shorter hospital LOS; independent predictor
IRR 0.90(0.82–0.95)
P = 0.004
Lower 90-day mortality; independent predictor
OR 0.47(0.30–0.74)
P = 0.002
Interrater reliability excellent across all professional categories
>0.95

Observational data: associations, not effects.

Further findings

Higher discharge IMS correlated with improved functional outcomes (grip strength, Medical Research Council Sum Score (MRC-SS)), lower risk of ICU-acquired weakness and reduced 90-day mortality

Original publication

Predictive validity and interrater reliability of the German intensive care unit mobility scale (IMS). J Crit Care. Published 6 June 2026. doi:10.1016/j.jcrc.2026.155647

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

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