Evidence map›Paper›PMID 34199207›Full record

ArticleJournal of clinical medicine2021

Risk Factors of Patient-Related Safety Events during Active Mobilization for Intubated Patients in Intensive Care Units-A Multi-Center Retrospective Observational Study.

Hajime Katsukawa, Kohei Ota, Keibun Liu, Yasunari Morita, Shinichi Watanabe, Kazuhiro Sato, Kenzo Ishii, Daisetsu Yasumura, Yo Takahashi, Takafumi Tani and 4 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Hajime KatsukawaDepartment of Scientific Research, Japanese Society for Early Mobilization, 1-2-12-2F Kudan-kita, Chiyoda-ku, Tokyo 102-0073, Japan.ORCID 0000-0003-2582-4324
Kohei OtaDepartment of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
Keibun LiuCritical Care Research Group, The Prince Charles Hospital, 627 Rode Rd, Chermside, Brisbane, QLD 4032, Australia.ORCID 0000-0002-6867-1420
Yasunari MoritaDepartment of Emergency and Intensive Care Medicine, National Hospital Organization Nagoya Medical Center, 4-1-1 Sannomaru, Naka-ku, Nagoya, Aichi 460-0001, Japan.
Shinichi WatanabeNational Hospital Organization Nagoya Medical Center, Department of Rehabilitation Medicine, 4-1-1 Sannomaru, Naka-ku, Nagoya, Aichi 460-0001, Japan.
Kazuhiro SatoDepartment of Pulmonology, Japanese Red Cross Nagaoka Hospital, Senshu-2 297-1, Nagaoka, Niigata 940-2085, Japan.
Kenzo IshiiIntensive Care Unit, Department of Anesthesiology, Fukuyama City Hospital, 3-8-5 Zao-cho, Fukuyama, Hiroshima 721-8511, Japan.
Daisetsu YasumuraDepartment of Rehabilitation, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan.
Yo TakahashiYuuai Medical Center, Department of Rehabilitation, 50-5 Yone, Tomigusuku, Okinawa 901-0224, Japan.
Takafumi TaniDepartment of Rehabilitation, Japanese Red Cross Ishinomaki Hospital, 71 Nishimichishita, Hebita, Ishinomaki, Miyagi 986-8522, Japan.
Hitoshi OosakiDepartment of Rehabilitation, Japanese Red Cross Maebashi Hospital, 389-1 Asakura-cho, Maebashi Gunma 371-0811, Japan.
Tomoya NanbaDepartment of Rehabilitation, Yao Tokushukai General Hospital, 1-17 Wakakusa-cho, Yao, Osaka 581-0011, Japan.
Ryo KozuDepartment of Rehabilitation Medicine, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8520, Japan.
Toru KotaniDepartment of Intensive Care Medicine, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan.ORCID 0000-0001-9504-0061

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study is to clarify the incidence and risk factors of patient-related safety events (PSE) in situations limited to intubated patients in which active mobilization, such as sitting on the edge of the bed/standing/walking, was carried out. A multi-center retrospective observational study was conducted at nine hospitals between January 2017 and March 2018. The safety profiles and PSE of 87 patients were analyzed. PSE occurred in 10 out of 87 patients (11.5%) and 13 out of 198 sessions (6.6%). The types of PSE that occurred were hypotension (8, 62%), heart rate instability (3, 23%), and desaturation (2, 15%). Circulation-related events occurred in 85% of overall cases. No accidents, such as line/tube removal or falls, were observed. The highest incidence of PSE was observed during the mobilization level of standing (8 out of 39 sessions, 20.5%). The occurrence of PSE correlated with the highest activity level under logistic regression analysis. Close vigilance is required for intubated patients during active mobilization in the standing position with regard to circulatory dynamics.

Indexed as

adverse eventbarriercritical illnessearly mobilizationmechanical ventilationpost-intensive care syndromerehabilitationrisk factorsafetytracheally intubated patient

Identifiers

PMID34199207
PMCPMC8231849

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Registered trials

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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.