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Quantifying Patient‐Level Factors Associated With Mobilisation in Intensive Care: A Prospective Study

Year: 2025

Type: article

Abstract: AIM: To quantify how specific patient-level characteristics influence the actual amount of mobilisation received during ICU care, thereby identifying key predictors to support individualised mobilisation strategies. STUDY DESIGN: A prospective observational study was conducted in four tertiary hospitals among a convenience sample of 141 critically ill patients from July to November 2023. Data on mobilisation and patient characteristics were collected using standardised data collection tools, including a mobilisation log and a demographic information sheet. Data were analysed using non-parametric tests, Spearman correlation analysis, and multivariate regression to examine associations between early mobilisation and patient-related factors. RESULTS: Males and surgical patients engaged in more activity (p < 0.001). Muscle strength (r = 0.568, p < 0.001) and haemoglobin levels (r = 0.207, p = 0.014) were positively associated with mobilisation, while higher disease severity (r = -0.321, p < 0.001) and greater pain (r = -0.284, p < 0.001) were linked to reduced activity. Muscle strength, disease severity, surgical status, and sex were independent predictors, explaining 32.5% of the variance. CONCLUSION: Early mobilisation in the ICU is influenced by various patient-related factors. Protocols should be tailored to individual patient profiles to enhance outcomes. IMPLICATIONS FOR CLINICAL PRACTICE: This study provides guidance for ICU clinicians to develop targeted mobilisation strategies that consider patients' specific clinical profiles. Tailored approaches may help optimise early mobilisation practices and patient outcomes.

Source: Journal of Clinical Nursing

DOI: 10.1111/jocn.70066

Authors: Hui Zhang, Shanshan Bai, Yu Sheng, Zhenwei Dai, Zunzhu Li, Hongbo Luo, Qinglai Zhang, Frances Fengzhi Lin

Institutions: Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College Hospital, Capital Medical University, Beijing Chao-Yang Hospital, Capital Medical University, Griffith University, Flinders University, Caring Futures Institute

Language: English

Topic: Intensive Care Unit Cognitive Disorders

Subfield: Critical Care and Intensive Care Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W4413099625

FWCI:

Cites: 36

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Related to: 10