Matches in SemOpenAlex for { <https://semopenalex.org/work/W4313271985> ?p ?o ?g. }
Showing items 1 to 76 of
76
with 100 items per page.
- W4313271985 endingPage "326" @default.
- W4313271985 startingPage "326" @default.
- W4313271985 abstract "Introduction: Critical illness leads to reduced muscle strength and physical function that can persist after pediatric intensive care unit (PICU) discharge. Safe mobilization can decrease these concerns, and early mobility protocols have been suggested as an important component of PICU care. This project aimed to increase early mobilization (EM) of patients in a single PICU using an early mobility protocol. Specific aims include decreasing time to evaluation by physical and occupational therapy (PT/OT), and increasing PT/OT consults and mobilization sessions without increasing unplanned extubation (UE) rates. Methods: This retrospective & prospective QI project included all PICU patients admitted over three distinct 3-month periods. In January 2018, a multidisciplinary team began education promoting PT/OT involvement by day 3 of ICU admission. In September 2020, a formal EM protocol for all PICU patients admitted for >72 hours was implemented. Deidentified data on mobilization, patient days, ventilator days, & UE data were collected. We compared retrospective historical control data (March-May 2017), prospective data from post-educational initiative (March-May 2019), and prospective data from post-formal EM protocol implementation (March-May 2022). Results: Mobilization sessions increased over the 3 distinct time periods, corresponding with an increase in mobilization rate from 14.1 to 54.2 to 115.3 mobilizations/100 patient days across each respective period. Time to PT consult improved from a mean of 2.2 days in 2019 to 1.7 days in 2022, & time to OT consult improved from a mean of 3.1 days in 2019 to 1.9 days in 2022. Overall UE rate decreased from 0.85 to 0.75/100 non-tracheostomy ventilator days. No UEs occurred during mobilizations. Conclusions: This QI project describes how an EM protocol decreases time to PT/OT consult and increases frequency of patient mobilization without increasing UE, which is commonly feared to occur with EM. Limitations include unknown individual patient characteristics or specific PT/OT interventions due to the retrospective nature of the data. These results support ongoing study of the impact of EM on patient recovery." @default.
- W4313271985 created "2023-01-06" @default.
- W4313271985 creator A5014715468 @default.
- W4313271985 creator A5024258815 @default.
- W4313271985 creator A5025424465 @default.
- W4313271985 creator A5056847853 @default.
- W4313271985 creator A5064897212 @default.
- W4313271985 creator A5084563050 @default.
- W4313271985 date "2022-12-15" @default.
- W4313271985 modified "2023-09-26" @default.
- W4313271985 title "673: INCREASING EARLY MOBILIZATION IN AN ACADEMIC PEDIATRIC ICU" @default.
- W4313271985 doi "https://doi.org/10.1097/01.ccm.0000908424.81341.e6" @default.
- W4313271985 hasPublicationYear "2022" @default.
- W4313271985 type Work @default.
- W4313271985 citedByCount "0" @default.
- W4313271985 crossrefType "journal-article" @default.
- W4313271985 hasAuthorship W4313271985A5014715468 @default.
- W4313271985 hasAuthorship W4313271985A5024258815 @default.
- W4313271985 hasAuthorship W4313271985A5025424465 @default.
- W4313271985 hasAuthorship W4313271985A5056847853 @default.
- W4313271985 hasAuthorship W4313271985A5064897212 @default.
- W4313271985 hasAuthorship W4313271985A5084563050 @default.
- W4313271985 hasBestOaLocation W43132719851 @default.
- W4313271985 hasConcept C141071460 @default.
- W4313271985 hasConcept C142724271 @default.
- W4313271985 hasConcept C144024400 @default.
- W4313271985 hasConcept C156708679 @default.
- W4313271985 hasConcept C166957645 @default.
- W4313271985 hasConcept C167135981 @default.
- W4313271985 hasConcept C177713679 @default.
- W4313271985 hasConcept C188816634 @default.
- W4313271985 hasConcept C194828623 @default.
- W4313271985 hasConcept C204787440 @default.
- W4313271985 hasConcept C22467394 @default.
- W4313271985 hasConcept C2778939556 @default.
- W4313271985 hasConcept C2780385302 @default.
- W4313271985 hasConcept C36289849 @default.
- W4313271985 hasConcept C71924100 @default.
- W4313271985 hasConcept C95457728 @default.
- W4313271985 hasConceptScore W4313271985C141071460 @default.
- W4313271985 hasConceptScore W4313271985C142724271 @default.
- W4313271985 hasConceptScore W4313271985C144024400 @default.
- W4313271985 hasConceptScore W4313271985C156708679 @default.
- W4313271985 hasConceptScore W4313271985C166957645 @default.
- W4313271985 hasConceptScore W4313271985C167135981 @default.
- W4313271985 hasConceptScore W4313271985C177713679 @default.
- W4313271985 hasConceptScore W4313271985C188816634 @default.
- W4313271985 hasConceptScore W4313271985C194828623 @default.
- W4313271985 hasConceptScore W4313271985C204787440 @default.
- W4313271985 hasConceptScore W4313271985C22467394 @default.
- W4313271985 hasConceptScore W4313271985C2778939556 @default.
- W4313271985 hasConceptScore W4313271985C2780385302 @default.
- W4313271985 hasConceptScore W4313271985C36289849 @default.
- W4313271985 hasConceptScore W4313271985C71924100 @default.
- W4313271985 hasConceptScore W4313271985C95457728 @default.
- W4313271985 hasIssue "1" @default.
- W4313271985 hasLocation W43132719851 @default.
- W4313271985 hasLocation W43132719852 @default.
- W4313271985 hasOpenAccess W4313271985 @default.
- W4313271985 hasPrimaryLocation W43132719851 @default.
- W4313271985 hasRelatedWork W1902126886 @default.
- W4313271985 hasRelatedWork W2166806551 @default.
- W4313271985 hasRelatedWork W2324013405 @default.
- W4313271985 hasRelatedWork W2600568016 @default.
- W4313271985 hasRelatedWork W3013145321 @default.
- W4313271985 hasRelatedWork W3133679036 @default.
- W4313271985 hasRelatedWork W3197240072 @default.
- W4313271985 hasRelatedWork W3210359220 @default.
- W4313271985 hasRelatedWork W4200320517 @default.
- W4313271985 hasRelatedWork W4367672288 @default.
- W4313271985 hasVolume "51" @default.
- W4313271985 isParatext "false" @default.
- W4313271985 isRetracted "false" @default.
- W4313271985 workType "article" @default.