Effects of mobility dose on discharge disposition in critically ill stroke patients
Submitted Date
Received Date
Accepted Date
Issued Date
2023-01-01
Copyright Date
Announcement No.
Application No.
Patent No.
Valid Date
Resource Type
Edition
Resource Version
Language
File Type
No. of Pages/File Size
ISBN
ISSN
19341482
eISSN
Scopus ID
2-s2.0-85170548524
WOS ID
Pubmed ID
37448373
arXiv ID
Call No.
Other identifier(s)
Journal Title
PM and R
Volume
Issue
item.page.oaire.edition
Start Page
End Page
Access Rights
Access Status
Rights
Rights Holder(s)
SCOPUS
Physical Location
Bibliographic Citation
PM and R (2023)
Citation
Mazwi N. (2023). Effects of mobility dose on discharge disposition in critically ill stroke patients. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/90066.
Title
Effects of mobility dose on discharge disposition in critically ill stroke patients
Alternative Title(s)
Author(s)
Author's Affiliation
Siriraj Hospital
TUM Fakultät für Medizin
Leibniz Institute for Prevention Research and Epidemiology
Massachusetts General Hospital
Charité – Universitätsmedizin Berlin
Saint Michael's Hospital University of Toronto
University of Washington
Spedali Civili Di Brescia
Universität Ulm
Harvard Medical School
Albert Einstein College of Medicine of Yeshiva University
TUM Fakultät für Medizin
Leibniz Institute for Prevention Research and Epidemiology
Massachusetts General Hospital
Charité – Universitätsmedizin Berlin
Saint Michael's Hospital University of Toronto
University of Washington
Spedali Civili Di Brescia
Universität Ulm
Harvard Medical School
Albert Einstein College of Medicine of Yeshiva University
Author's E-mail
Editor(s)
Editor's Affiliation
Corresponding Author(s)
Creator(s)
Compiler
Advisor(s)
Illustrator(s)
Applicant(s)
Inventor(s)
Issuer
Assignee
Other Contributor(s)
Series
Has Part
Abstract
Background: Mobilization in the intensive care unit (ICU) has the potential to improve patient outcomes following acute stroke. The optimal duration and intensity of mobilization for patients with hemorrhagic or ischemic stroke in the ICU remain unclear. Objective: To assess the effect of mobilization dose in the ICU on adverse discharge disposition in patients after stroke. Design: This is an international, prospective, observational cohort study of critically ill stroke patients (November 2017–September 2019). Duration and intensity of mobilization was quantified daily by the mobilization quantification score (MQS). Setting: Patients requiring ICU-level care were enrolled within 48 hours of admission at four separate academic medical centers (two in Europe, two in the United States). Participants: Participants included individuals (>18 years old) admitted to an ICU within 48 hours of ischemic or hemorrhagic stroke onset who were functionally independent at baseline. Interventions: Not applicable. Main Outcome Measure: The primary outcome was adverse discharge disposition. Results: Of the patients screened, 163 were eligible for inclusion in the study. One patient was subsequently excluded due to insufficient data collection (n = 162). The dose of mobilization varied greatly between centers and patients, which could not be explained by patients' comorbidities or disease severity. High dose of mobilization (mean MQS > 7.3) was associated with a lower likelihood of adverse discharge (adjusted odds ratio, [aOR]: 0.14; 95% confidence interval [CI]: 0.06–0.31; p <.01). Conclusion: The increased use of mobilization acutely in the ICU setting may improve patient outcomes.