More daily out-of-bed mobility for ICU patients tied to shorter mechanical ventilation duration<\/p>\n<\/h3>\n
By Lori Solomon HealthDay Reporter<\/b><\/p>\n
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FRIDAY, May 10, 2024 (HealthDay News) — More out-of-bed mobility interventions for critically ill patients are associated with better intensive care unit (ICU) outcomes, according to a study published online May 1 in the\u00a0American Journal of Critical Care<\/em>.<\/p>\n Sarina A. Fazio, Ph.D., R.N., from UC Davis Health in Sacramento, California, and colleagues examined associations between daily doses of out-of-bed mobility and patient outcomes in ICUs. The analysis included electronic record data from seven adult ICUs in an academic quarternary hospital (8,609 adults from 2015 through 2018).<\/p>\n The researchers found that patients were mobilized out of bed on 46.5 percent of ICU days and were eligible for mobility interventions on a median of 2.0 of 2.7 ICU days. For all patients, median out-of-bed events per mobility-eligible day were 0.5. Mechanical ventilation duration decreased by 10 percent for every unit increase in out-of-bed events per mobility-eligible day before extubation. Additionally, daily mobility increased ICU stays by 4 percent but decreased hospital stays by 5 percent. There were differences in effect sizes among ICUs.<\/p>\n “Our findings support a dose-response relationship between mobility and specific patient outcomes,” Fazio said in a statement. “Associations differed across ICU patient populations, raising important questions as to how frequently, how intensively, and for how long therapy should be provided for people in different units.”<\/p>\n