Intensive care unit mobility practices in Australia and New Zealand: A point prevalence study
Objectives: To develop a comprehensive set of items describing physiotherapy mobilisation practices for critically ill patients, and to document current practices in intensive care units in Australia and New Zealand, focusing on patients having >48 hours of mechanical ventilation. Design: Prospec...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
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Australasian Academy of Critical Care Medicine
2013
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| Online Access: | http://www.cicm.org.au/ http://hdl.handle.net/20.500.11937/26875 |
| _version_ | 1848752109837615104 |
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| author | Berney, S. Harrold, Megan Webb, S. Seppelt, I. Patman, Shane Thomas, P. Denehy, L. |
| author_facet | Berney, S. Harrold, Megan Webb, S. Seppelt, I. Patman, Shane Thomas, P. Denehy, L. |
| author_sort | Berney, S. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objectives: To develop a comprehensive set of items describing physiotherapy mobilisation practices for critically ill patients, and to document current practices in intensive care units in Australia and New Zealand, focusing on patients having >48 hours of mechanical ventilation. Design: Prospective, observational, multicentre, single-day, point prevalence study. Participants and setting: All patients in 38 Australian and New Zealand ICUs at 10 am on one of three designated days in 2009 and 2010. Main outcome measures: Demographic data, admission diagnosis and mobilisation practices that had occurred in the previous 24 hours. Results: 514 patients were enrolled, with 498 complete datasets. Mean age was 59.2 years (SD, 16.7 years) and 45% were mechanically ventilated. Mobilisation activities were classified into five categories that were not mutually exclusive: 140 patients (28%) completed an in-bed exercise regimen, 93 (19%) sat over the side of the bed, 182 (37%) sat out of bed, 124 (25%) stood and 89 (18%) walked. Predefined adverse events occurred on 24 occasions (5%). No patient requiring mechanical ventilation sat out of bed or walked. On the study day, 391 patients had been in ICU for > 48 hours. There were 384 complete datasets available for analysis and, of these, 332 patients (86%) were not walked. Of those not walked, 76 (23%) were in the ICU for >/=7 days. Conclusion: Patient mobilisation was shown to be low in a single-day point prevalence study. Future observational studies are required to confirm the results. |
| first_indexed | 2025-11-14T08:03:24Z |
| format | Journal Article |
| id | curtin-20.500.11937-26875 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:03:24Z |
| publishDate | 2013 |
| publisher | Australasian Academy of Critical Care Medicine |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-268752017-10-02T02:27:48Z Intensive care unit mobility practices in Australia and New Zealand: A point prevalence study Berney, S. Harrold, Megan Webb, S. Seppelt, I. Patman, Shane Thomas, P. Denehy, L. Objectives: To develop a comprehensive set of items describing physiotherapy mobilisation practices for critically ill patients, and to document current practices in intensive care units in Australia and New Zealand, focusing on patients having >48 hours of mechanical ventilation. Design: Prospective, observational, multicentre, single-day, point prevalence study. Participants and setting: All patients in 38 Australian and New Zealand ICUs at 10 am on one of three designated days in 2009 and 2010. Main outcome measures: Demographic data, admission diagnosis and mobilisation practices that had occurred in the previous 24 hours. Results: 514 patients were enrolled, with 498 complete datasets. Mean age was 59.2 years (SD, 16.7 years) and 45% were mechanically ventilated. Mobilisation activities were classified into five categories that were not mutually exclusive: 140 patients (28%) completed an in-bed exercise regimen, 93 (19%) sat over the side of the bed, 182 (37%) sat out of bed, 124 (25%) stood and 89 (18%) walked. Predefined adverse events occurred on 24 occasions (5%). No patient requiring mechanical ventilation sat out of bed or walked. On the study day, 391 patients had been in ICU for > 48 hours. There were 384 complete datasets available for analysis and, of these, 332 patients (86%) were not walked. Of those not walked, 76 (23%) were in the ICU for >/=7 days. Conclusion: Patient mobilisation was shown to be low in a single-day point prevalence study. Future observational studies are required to confirm the results. 2013 Journal Article http://hdl.handle.net/20.500.11937/26875 http://www.cicm.org.au/ Australasian Academy of Critical Care Medicine fulltext |
| spellingShingle | Berney, S. Harrold, Megan Webb, S. Seppelt, I. Patman, Shane Thomas, P. Denehy, L. Intensive care unit mobility practices in Australia and New Zealand: A point prevalence study |
| title | Intensive care unit mobility practices in Australia and New Zealand: A point prevalence study |
| title_full | Intensive care unit mobility practices in Australia and New Zealand: A point prevalence study |
| title_fullStr | Intensive care unit mobility practices in Australia and New Zealand: A point prevalence study |
| title_full_unstemmed | Intensive care unit mobility practices in Australia and New Zealand: A point prevalence study |
| title_short | Intensive care unit mobility practices in Australia and New Zealand: A point prevalence study |
| title_sort | intensive care unit mobility practices in australia and new zealand: a point prevalence study |
| url | http://www.cicm.org.au/ http://hdl.handle.net/20.500.11937/26875 |