ICU sedation, delirium & recovery
Robotic-Assisted In-Bed Mobilization in Ventilated ICU Patients With COVID-19: An Interventional, Randomized, Controlled Pilot Study (ROBEM II Study)*
Authors' conclusion
Robotic-assisted mobilization in mechanically ventilated COVID-19 patients appears to be safe and feasible.
Study context
- Population
- Critically ill mechanically ventilated COVID-19 patients expected to require >24 hours of ventilation, 4 COVID-19 ICUs, Charité Berlin
- Participants
- 20 participants
- Comparison
- Robotic-assisted in-bed mobilization vs standard care
- Primary endpoint
- Mobilization level (ICU Mobility Scale [IMS] and Surgical ICU Optimal Mobilization Score [SOMS])
- Follow-up
- Until day 5 or extubation
Methodological detailspilot, Intervention sessions conducted per protocol in 98.9%; one session missed due to staff shortage
- Pilot
- Intervention sessions conducted per protocol in 98.9%; one session missed due to staff shortage
Primary result
As reported in the abstract
| Group | Value | SOMS median |
|---|---|---|
| Intervention | median 0 (range 0–0.16) | 1 (1-1.03) |
| Standard care | median 0 (range 0–0.15) | 0.8 (0.65-1.20) |
Value
Interventionmedian 0 (range 0–0.16)
Standard caremedian 0 (range 0–0.15)
SOMS median
Intervention1 (1-1.03)
Standard care0.8 (0.65-1.20)
- Intervention vs Standard care: P = 0.77
- Intervention vs Standard care: P = 0.08
Secondary outcomes
Total mobilization time · during intervention
P = 0.011
| Outcome | Intervention | Standard care | P value |
|---|---|---|---|
| Number of mobilization sessions · during intervention | 8.5 (range 7.75–10) | 4.5 (range 3.5–5) | P = 0.001 |
| Healthcare providers per session · during intervention | 2 (range 2–2) | 1 (range 1–1.4) | P = 0.001 |
Safety
| Outcome | Intervention |
|---|---|
| Safety events during mobilization | |
| Hypertension | 2 |
| Agitation | 2 |
Original publication
Robotic-Assisted In-Bed Mobilization in Ventilated ICU Patients With COVID-19: An Interventional, Randomized, Controlled Pilot Study (ROBEM II Study)*. Crit Care Med. Published 18 January 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →