ArticlePediatric quality & safety
Development and Implementation of Pediatric ICU-based Mobility Guidelines: A Quality Improvement Initiative.
Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04989790 (Clinical Effectiveness of the "PICU Up!" Multifaceted Early Mobility Intervention for Critically Ill Children), which is not on this map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Clinical Effectiveness of the "PICU Up!" Multifaceted Early Mobility Intervention for Critically Ill Children: A Pragmatic, Stepped-wedge Trial
Who cites it
6 citing papers in PubMed.
- Consensus statement on the use of standardized early mobilization in pediatric patients admitted to pediatric intensive care units in Italy.European journal of pediatrics · 2026Review
- Multidisciplinary rehabilitation and follow-up for children hospitalized with traumatic brain injury.Journal of pediatric rehabilitation medicine · 2026Article
- PICU Move! Improving Early Mobilization in a Large Pediatric Intensive Care Unit.Pediatric quality & safetyArticle
- Keep Moving: Sustainability of an Early Mobility Protocol in an Academic Pediatric ICU.Pediatric quality & safetyArticle
- AdaptingPediatric quality & safetyArticle
- Implementing Participation-level Goals to Improve Patient-Centeredness in Pediatric Rehabilitation.Pediatric quality & safetyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Critical illness results in physical impairments which may be mitigated by intensive care unit (ICU)-based early mobility. This initiative aimed to develop and implement ICU-based mobility guidelines for critically ill children.
methodsA multidisciplinary team developed and implemented ICU-based mobility guidelines. Guideline implementation success was determined by comparing utilization of physical (PT) and occupational therapies (OT) and changes in functional status scale scores in preimplementation and postimplementation cohorts. The team also assessed barriers and adverse events.
resultsThirty-four patients were identified preimplementation and 55 patients postimplementation. PT/OT consultation by 72 hours occurred in 44 (81.5%) of patients postimplementation compared to 6 (17%) preimplementation (
conclusionsImplementation of ICU-based mobility guidelines resulted in a 4-fold increase in PT/OT consultation. They did not result in increased treatment sessions due to frequent deferrals. Future guidelines should focus on interventions to address identified barriers to treatment in a critically ill pediatric population.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.