ArticleNeurocritical care2019
Early Progressive Mobilization of Patients with External Ventricular Drains: Safety and Feasibility.
Article in Neurocritical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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The trial behind it
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Who cites it
15 citing papers in PubMed.
- Neuromuscular Electrical Stimulation and High-Protein Supplementation After Subarachnoid Hemorrhage: A Single-Center Phase 2 Randomized Clinical Trial.Neurocritical care · 2021Trial
- Safety of Protocolized Motorized Verticalization in Critically Ill Patients With Impaired Consciousness and Invasive Devices, Including External Ventricular Drains.Critical care explorations · 2026Article
- Early Mobilization Outcomes With Tenecteplase Treatment in Acute Ischemic Stroke (EMOTE-TNK) Study: Safety and Tolerability.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026Article
- Time-Driven Activity-Based Costing Methodology for Cost Savings in the EMOTE-TNK Study.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026Article
- Optimizing the Efficacy of a Rehabilitation Program for Neurological Critical Patients.Journal of clinical neurology (Seoul, Korea) · 2025Article
- [Early mobilization in the intensive care unit for patients with subarachnoid hemorrhage-a review].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Review
- Intracranial Pressure During Mobilization in a Patient With Postoperative Putaminal Hemorrhage: A Case Report.Cureus · 2025Article
- Diagnosis and management of subarachnoid haemorrhage.Nature communications · 2024Review
- External Ventricular Drain Placement, Critical Care Utilization, Complications, and Clinical Outcomes after Spontaneous Subarachnoid Hemorrhage: A Single-Center Retrospective Cohort Study.Journal of clinical medicine · 2024Article
- Early Mobilization for Critically Ill Patients.Respiratory care · 2023Review
- Mobilization of Children with External Ventricular Drains: A Retrospective Cohort Study.Children (Basel, Switzerland) · 2022Article
- Spontaneous subarachnoid haemorrhage.Lancet (London, England) · 2022Review
- More is less: Effect of ICF-based early progressive mobilization on severe aneurysmal subarachnoid hemorrhage in the NICU.Frontiers in neurology · 2022Article
- Physiological Responses to In-Bed Cycle Ergometry Treatment in Intensive Care Unit Patients with External Ventricular Drainage.Neurocritical care · 2021Article
- Implementation of an Automated Cerebrospinal Fluid Drainage System for Early Mobilization in Neurosurgical Patients.Brain sciences · 2021Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectiveEarly mobilization of critically ill patients has been shown to improve functional outcomes. Neurosurgery patients with an external ventricular drain (EVD) due to increased intracranial pressure often remain on bed rest while EVD remains in place. The prevalence of mobilizing patients with EVD has not been described, and the literature regarding the safety and feasibility of mobilizing patients with EVDs is limited. The aim of our study was to describe the outcomes and adverse events of the first mobilization attempt in neurosurgery patients with EVD who participated in early functional mobilization with physical therapy or occupational therapy.
methodsWe performed a single-site, retrospective chart review of 153 patients who underwent placement of an EVD. Hemodynamically stable patients deemed appropriate for mobilization by physical or occupational therapy were included. Mobilization and activity details were recorded.
resultsThe most common principal diagnoses were subarachnoid hemorrhage (61.4%) and intracerebral hemorrhage (17.0%) requiring EVD for symptomatic hydrocephalus. A total of 117 patients were mobilized (76.5%), and the median time to first mobilization after EVD placement in this group of 117 patients was 38 h. Decreased level of consciousness was the most common reason for lack of mobilization. The highest level of mobility on the patient's first attempt was ambulation (43.6%), followed by sitting on the side of the bed (30.8%), transferring to a bedside chair (17.1%), and standing up from the side of the bed (8.5%). No major safety events, such as EVD dislodgment, occurred in any patient. Transient adverse events with mobilization were infrequent at 6.9% and had no permanent neurological sequelae and were mostly headache, nausea, and transient diastolic blood pressure elevation.
conclusionEarly progressive mobilization of neurosurgical intensive care unit patients with external ventricular drains appears safe and feasible.
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