ArticleJournal of rehabilitation medicine2024
Early mobilization of patients with subarachnoid haemorrhage: a national survey of french intensive care units.
Article in Journal of rehabilitation medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.
- Early mobilization in patients with aneurysmal subarachnoid haemorrhage may im-prove functional status and reduce cerebral vasospasm rate: a systematic review with meta-analysis.Journal of rehabilitation medicine · 2024Pooled it
- Early mobilization in patients with aneurysmal subarachnoid hemorrhage: a prospective observational study.Physical therapy · 2026Observational
- Early mobilization in the neurotrauma intensive care unit: a service evaluation of current practice and barriers.Frontiers in neurologyArticle
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe French intensive care unit practices regarding the mobilization of patients with subarachnoid haemorrhage.
designA cross-sectional nationwide survey study. SUBJECTS: Intensivists and physiotherapists or nurses from French intensive care units managing patients with subarachnoid haemorrhage.
methodsAn online questionnaire survey was distributed through the Neurocritical Care and Neuro Anesthesiology French Speaking Society.
resultsThe response rate was 89%. Of these, 90% did not have a mobilization protocol for patients with subarachnoid haemorrhage. Sixteen percent of departments prohibited all forms of motor physiotherapy for a predefined period. Nineteen percent systematically prohibited out-of-bed mobilization, regardless of the severity of subarachnoid haemorrhage and in the absence of any complication, for a predefined period. The main factors that would delay or interrupt physiotherapy prescription were intracranial hypertension (79%), currently treated vasospasm (59%), and suspicion of vasospasm (44%). Ninety-one percent of the centres identified at least one complication that could be associated with standing upright. These mainly included decreased cerebral perfusion (71%), dislodged external ventricular or lumbar derivations (68%), and haemodynamic instability (65%).
conclusionMobilization of patients with subarachnoid haemorrhage is heterogeneous among French neuro-intensive care units and several barriers preclude improvement of mobilization practices. Interventional studies assessing mobilization practices, as well as education and training of staff, are crucial to ensure the proper management of patients with subarachnoid haemorrhage and to improve outcomes.
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