Document Detail

Early mobilization in the intensive care unit: a systematic review.
MedLine Citation:
PMID:  22807649     Owner:  NLM     Status:  PubMed-not-MEDLINE    
PURPOSE: The purpose of this review is to evaluate the literature related to mobilization of the critically ill patient with an emphasis on functional outcomes and patient safety.
METHODS: We searched the electronic databases of PubMed, CINAHL, Medline (Ovid), and The Cochrane Library for a period spanning 2000-2011. Articles used in this review included randomized and nonrandomized clinical trials, prospective and retrospective analyses, and case series in peer-reviewed journals. Sackett's Levels of Evidence were used to classify the current literature to evaluate the strength of the outcomes reported.
RESULTS: Fifteen studies met inclusion criteria and were reviewed. According to Sackett's Levels of Evidence, 9 studies were level 4 evidence, one study was level 3, 4 studies were level 2, and one study was level one evidence. Ten studies pertained to patient safety/feasibility and 10 studies pertained to functional outcomes with 5 fitting into both categories.
CONCLUSION: A search of the scientific literature revealed a limited number of studies that examined the mobilization of critically ill patients in the intensive care unit. However, literature that does exist supports early mobilization and physical therapy as a safe and effective intervention that can have a significant impact on functional outcomes.
Joseph Adler; Daniel Malone
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiopulmonary physical therapy journal     Volume:  23     ISSN:  1541-7891     ISO Abbreviation:  Cardiopulm Phys Ther J     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-07-18     Completed Date:  2012-08-23     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101155626     Medline TA:  Cardiopulm Phys Ther J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  5-13     Citation Subset:  -    
Good Shepherd Penn Partners at The Hospital of the University of Pennsylvania, Philadelphia, PA.
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