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Review
. 2018 Mar 20;22(1):77.
doi: 10.1186/s13054-018-1998-9.

Early Mobilization of Patients in Intensive Care: Organization, Communication and Safety Factors that Influence Translation into Clinical Practice

Carol L Hodgson  1   2 , Elizabeth Capell  3 , Claire J Tipping  4   3
Affiliations
Review

Early Mobilization of Patients in Intensive Care: Organization, Communication and Safety Factors that Influence Translation into Clinical Practice

Carol L Hodgson et al. Crit Care. .

Abstract

Please change the first sentence to: This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2018. Other selected articles can be found online at https://www.biomedcentral.com/collections/annualupdate2018 . Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901 .

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Conflict of interest statement

Ethics approval and consent to participate

Not applicable.

Consent for publication

Not applicable.

Competing interests

Prof Carol Hodgson is lead investigator of a multicenter Phase III study of early activity and mobilisation in intensive care. Claire Tipping is on the management committee of the same Phase III study. There are no other competing interests.

Disclaimer

The following references are cited in Figure 2: [–42].

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Figures

Fig. 1
Fig. 1
Expert consensus color coding definitions for safe early mobilization of mechanically ventilated patients [15]
Fig. 2
Fig. 2
Forest plot of mortality in ICU, in hospital and at six months comparing early mobilization with standard care in randomized controlled trials
See this image and copyright information in PMC

References

    1. Tipping CJ, Harrold M, Holland A, Romero L, Nisbet T, Hodgson CL. The effects of active mobilisation and rehabilitation in ICU on mortality and function: a systematic review. Intensive Care Med. 2017;43:171–183. doi: 10.1007/s00134-016-4612-0. - DOI - PubMed
    1. Morris PE, Berry MJ, Files DC, et al. Standardized rehabilitation and hospital length of stay among patients with acute respiratory failure: a randomized clinical trial. JAMA. 2016;315:2694–2702. doi: 10.1001/jama.2016.7201. - DOI - PMC - PubMed
    1. Moss M, Nordon-Craft A, Malone D, et al. A randomized trial of an intensive physical therapy program for patients with acute respiratory failure. Am J Respir Crit Care Med. 2016;193:1101–1110. doi: 10.1164/rccm.201505-1039OC. - DOI - PMC - PubMed
    1. Schaller SJ, Anstey M, Blobner M, et al. Early, goal-directed mobilisation in the surgical intensive care unit: a randomised controlled trial. Lancet. 2016;388:1377–1388. doi: 10.1016/S0140-6736(16)31637-3. - DOI - PubMed
    1. Schweickert WD, Pohlman MC, Pohlman AS, et al. Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet. 2009;373:1874–1882. doi: 10.1016/S0140-6736(09)60658-9. - DOI - PMC - PubMed

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