Journal of Medical and Surgical Intensive Care Medicine 2018 , Vol 9, Issue 1
Factors Affecting Early Mobilization in the Intensive Care Unit and the Functional Status after Discharge
Fatma Gül Yurdakul 1 , Aslı Çalışkan Uçkun 1 , Hatice Bodur 1 , Özlem Balkız Soyal 2 , Nevzat Mehmet Mutlu 2 , Işıl Özkoçak Turan 2
1Clinic of Physical Medicine and Rehabilitation, Ankara Numune Training and Research Hospital, Ankara, Turkey
2Clinic of Anesthesia and Reanimation, Ankara Numune Training and Research Hospital, Ankara, Turkey
DOI : 10.5152/dcbybd.2018.1718

Objective: The purpose of this study is to assess the mobilization rates in an intensive care unit (ICU) and factors affecting early mobilization, and to compare the clinical characteristics of mobilized and non-mobilized patients.


Material and Methods
: Eighty-six patients who were hospitalized for at least 3 days and mobilized before the ICU were included. The diagnosis at the ICU admission, comorbidities, the best mobility level during hospitalization, discharge status, and Ramsay and Acute Physiologic and Chronic Health Evaluation (APACHE II) scores were recorded. The mobilization status of the surviving patients 1 month after discharge was evaluated.


Results
: Fifty-eight (67.4%) patients were not mobilized during their hospitalization. When mobilized and non-mobilized groups were compared; ages, duration of hospitalization in days, and APACHE II scores were lower, while the functional improvement after discharge was significantly higher in the mobilized group (p-values <0.001 for this analysis).


Conclusion
: We found that the mobilization rate was quite low compared to studies from other countries. The most important modifiable barrier to mobilization was mechanical ventilation, and we found that mobilization in ICU may improve the discharge functional status.


Cite this article as
: Yurdakul FG, Balkız Soyal Ö, Çalışkan Uçkun A, et al. Factors Affecting Early Mobilization in the Intensive Care Unit and the Functional Status after Discharge. Yoğun Bakım Derg 2018; 9 (1): 12-7.

Keywords : Critical care, APACHE, early ambulation, mechanical ventilator