ArticleJournal of intensive care2019
Determinants of gait independence after mechanical ventilation in the intensive care unit: a Japanese multicenter retrospective exploratory cohort study.
Article in Journal of intensive care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Prognostic value of day 10 mobilization status for ambulation at hospital discharge in critically ill patients: a historical cohort study in Japan.Acute and critical care · 2026Article
- Association between ICU rehabilitation parameters and recovery of activities of daily living in mechanically ventilated patients: A multicenter prospective observational study.Journal of intensive medicine · 2026Article
- Impact of Early Rehabilitation Initiation on Walking Recovery in Critically Ill Patients.Cureus · 2025Article
- Article
- Pre-Admission Predictors of Walking Independence in Critically Ill Patients.Respiratory care · 2024Article
- Association Between Mobilization Level And Activity of Daily Living Independence in Critically Ill Patients.Annals of rehabilitation medicine · 2023Article
- The optimal dose of mobilisation therapy in the ICU: a prospective cohort study.Journal of intensive care · 2023Article
- Reliability and Effectiveness of the Japanese Version of the Mobilization Quantification Score.Cureus · 2023Article
- Impact of Extra-Corporeal Membrane Oxygenation and Blood Purification Therapy on Early Mobilization in the Intensive Care Unit: Retrospective Cohort Study.Annals of rehabilitation medicine · 2023Article
- Article
- Association between the early mobilization of mechanically ventilated patients and independence in activities of daily living at hospital discharge.Scientific reports · 2023Article
- Clustering of critically ill patients using an individualized learning approach enables dose optimization of mobilization in the ICU.Critical care (London, England) · 2023Observational
- Intensive Care Unit- Acquired Weakness and Hospital Functional Mobility Outcomes Following Invasive Mechanical Ventilation in Patients with COVID-19: A Single-Centre Prospective Cohort Study.Journal of intensive care medicine · 2022Article
- Association between Early Mobilization in the ICU and Psychiatric Symptoms after Surviving a Critical Illness: A Multi-Center Prospective Cohort Study.Journal of clinical medicine · 2022Article
- Effects of Mobilization among Critically Ill Patients in the Intensive Care Unit: A Single-center Retrospective Study.Progress in rehabilitation medicine · 2022Article
- Changes in barriers to implementing early mobilization in the intensive care unit: a single center retrospective cohort study.Nagoya journal of medical science · 2021Article
- Risk Factors of Patient-Related Safety Events during Active Mobilization for Intubated Patients in Intensive Care Units-A Multi-Center Retrospective Observational Study.Journal of clinical medicine · 2021Article
- Effects of the Intensity and Activity Time of Early Rehabilitation on Activities of Daily Living Dependence in Mechanically Ventilated Patients.Progress in rehabilitation medicine · 2021Article
- The Functional Trajectory in Frail Compared With Non-frail Critically Ill Patients During the Hospital Stay.Frontiers in medicine · 2021Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeGait independence is one of the most important factors related to returning home from the hospital for patients treated in the intensive care unit (ICU), but the factors affecting gait independence have not been clarified. This study aimed to determine the factors affecting gait independence at hospital discharge using a standardized early mobilization protocol that was shared by participating hospitals. MATERIALS AND
methodsPatients who entered the ICU from January 2017 to March 2018 were screened. The exclusion criteria were mechanical ventilation < 48 hours, age < 18, loss of gait independence before hospitalization, being treated for neurological issues, unrecoverable disease, unavailability of continuous data, and death during ICU stay. Basic attributes, such as age, ICU length of stay, information on early mobilization while in the ICU, Medical Research Council (MRC) sum-score at ICU discharge, incidence of ICU-acquired weakness (ICU-AW) and delirium, and the degree of gait independence at hospital discharge, were collected. Gait independence was determined using a mobility scale of the Barthel Index, and the factors that impaired gait independence at hospital discharge were investigated using a Cox proportional hazard regression analysis.
resultsOne hundred thirty-two patients were analyzed. In the univariate analysis, age, APACHE II score, duration of mechanical ventilation, ICU length of stay, incidence of delirium, and MRC sum-score at ICU discharge were extracted as significant. In the multivariate analysis, age (
conclusionsWe found that age and incidence of ICU-AW and delirium were significantly related to impaired gait independence at hospital discharge.
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