Review Article

Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit

Table 9

Practice of early mobilization.

Study (year)Study designPlacePopulationConclusion

Timenetsky et al. [69] (2020)1-day point prevalence studyBrazil348 adult patients with more than 24 h of ICU stay (24 mixed ICU, 1 surgical ICU, and 1 medical ICU)High prevalence of mobilization activities in critically ill patients
Not much active mobilization in mechanically ventilated patients

Sibilla et al. [70] (2017)Point prevalence studySwitzerland161 mechanically ventilated patients from 35 ICUsOnly 33% of the mechanically ventilated patients actively mobilized

Nydahl et al. [71] (2014)1-day point prevalence studyGermanyMechanically ventilated patientsThree quarters of the patients not mobilized out of bed

Berney et al. [72] (2013)One-day point prevalence studyAustralia and New Zealand514 patients admitted to the intensive care unit from 38 ICUsLow patient mobilization on that day

TEAM study investigators [65] (2015)Cohort studyAustralia and New Zealand192 mechanically ventilated ICU patients from 12 ICUs84% of the physiotherapy sessions did not include early mobilization

Leong et al. [73] (2017)Cross-sectional survey on early mobilization of mechanically ventilated patientsMalaysia186 nurses working in adult critical care units of University Malaya Medical Centre (UMMC), a 1200-bed referral centreMobilizing patient three times and above per shift was reported by 75% of nurses. 47.7% reported that they only performed passive range of motion to mechanically ventilated patients. 29.5% reported that they only provide active ROM for their patient. 72% nurses reported that they had not gone through patient mobilization training

Bhat et al. [74] (2016)Cross-sectional surveyIndia82 physiotherapists working in neurological intensive care units of India97.6% participants reported that patients received mobilization in some form. Mobilization in various forms practiced in the neurological ICUs of India. Less availability of physiotherapists on weekends and night hours.

Chawla et al. [75] (2014)SurveyIndia659 physicians of the Indian Society of Critical Care Medicine and the Indian Society of Anesthesiologists who worked full time or part time in intensive careHigh awareness of benefits of early mobilization and low implementation