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Critical care medicine · Jun 2024
Randomized Controlled TrialEarly Mobilization Using a Mobile Patient Lift in the ICU: A Randomized Controlled Trial.
- Ginga Suzuki, Hiromi Kanayama, Yoshiaki Arai, Yuji Iwanami, Toshimitsu Kobori, Yuka Masuyama, Saki Yamamoto, Hibiki Serizawa, Yoshimi Nakamichi, Masayuki Watanabe, Mitsuru Honda, and Ikuko Okuni.
- Critical Care Center, Toho University Omori Medical Center, Omori Nishi, Ota-ku, Tokyo, Japan.
- Crit. Care Med. 2024 Jun 1; 52 (6): 920929920-929.
ObjectivesTo ascertain whether a mobile patient lift facilitates early mobilization in ventilated ICU patients.DesignA single-center, open-label, randomized controlled trial.SettingAn academic ICU in Tokyo.PatientsEighty patients were admitted to ICU and expected ventilation for at least 48 hours.InterventionsIn the intervention group, in addition to the rehabilitation protocol received by the control group, patients were assisted in sitting, standing, transfers, and walking using the mobile patient lift.Measurements And Main ResultsThe intervention group predominantly stood faster than the control group (1.0 vs. 3.0 d, p < 0.01). The Intervention group also had significantly higher Functional Status Score-ICU scores at ICU discharge. However, the Medical Research Council score and Barthel index at discharge, length of ICU stay, and number of ventilator-free days did not differ between the two groups.ConclusionsThe use of mobile patient lifts facilitates the earlier standing of patients on ventilators. This may contribute to patients improved physical function in the ICU.Trial RegistrationThe study protocol was registered with the University Hospital Medical Information Network (UMIN) under the registration number UMIN000044965. Registered July 30, 2021.Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine and Wolters Kluwer Health, Inc.
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