Evidence map›Paper›PMID 39449552›Full record

ArticleNursing in critical care2025

The association of early passive mobilization with intracranial pressure in the adult intensive care unit: A prospective, cohort study.

Ahmet Oğuzhan Küçük, Neslihan Hatınoğlu, Umut Apaydin, Turgay Altunalan, Mehtap Pehlivanlar Küçük

Abstract read
In one paragraph

Article in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Observational
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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

5 authors.

Ahmet Oğuzhan KüçükDepartment of Pulmonary Diseases, Division of Intensive Care Medicine, School of Medicine, Karadeniz Technical University, Trabzon, Türkiye.ORCID https://orcid.org/0000-0002-6993-0519
Neslihan HatınoğluDepartment of Anesthesiology and Reanimation, Division of Intensive Care Medicine, School of Medicine, Karadeniz Technical University, Trabzon, Türkiye.ORCID https://orcid.org/0000-0003-3859-6754
Umut ApaydinDepartment of Physical Therapy and Rehabilitation, Health Science Faculty, Karadeniz Technical University, Trabzon, Türkiye.ORCID https://orcid.org/0000-0002-0866-5870
Turgay AltunalanDepartment of Physical Therapy and Rehabilitation, Health Science Faculty, Karadeniz Technical University, Trabzon, Türkiye.ORCID https://orcid.org/0000-0002-6970-0959
Mehtap Pehlivanlar KüçükDepartment of Pulmonary Diseases, Division of Intensive Care Medicine, School of Medicine, Karadeniz Technical University, Trabzon, Türkiye.ORCID https://orcid.org/0000-0003-2247-4074

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly mobilization are key components of the ABCDEF Care Bundle and critical treatments to reduce acquired muscle weakness, delirium and prolonged intensive care unit (ICU) stay.

aimThis study aimed to determine whether routine early mobilization related to intracranial pressure in intensive care patients on mechanical ventilation, using optic nerve sheath diameter measurement (ONSD). STUDY

designThis study was planned as a prospective, cohort study in the third-step adult ICU of a faculty hospital. The study included only patients who were intubated and followed up on a mechanical ventilator and were clinically stable. Passive range of motion (PROM) exercises were performed daily by the physiotherapists as part of routine care from the day of hospitalization. ONSD was assessed before, during and 10 min after PROM exercises.

resultsThe study included 20 eligible patients out of the 142 who were evaluated upon admission to the ICU. The median age of the patients was 65 years, and nine (45%) of them were female. The analyses showed that there was no statistically significant change in ONSD during and at the end of the PROM (ONSD right eye p:.621, Partial η

conclusionThis study suggests that daily extremity physiotherapy exercises can be safely applied without causing increased intracranial pressure or haemodynamic instability in intensive care patients followed up on mechanical ventilation, including patients with vasopressor therapy. RELEVANCE TO CLINICAL PRACTICE: Early mobilization, including PROM, is considered safe in terms of intracranial pressure for intubated patients in the ICU.

Indexed as

Early AmbulationIntracranial PressureAgedCritical CareFemaleHumansIntensive Care UnitsMaleMiddle AgedOptic NerveProspective StudiesRespiration, Artificialearly mobilizationhaemodynamicsintensive care unitintracranial pressuremechanical ventilation

Identifiers

PMID39449552
PMCPMC12093286

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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.