Mobilization practices in critically ill children : A European point prevalence study (EU PARK-PICU)

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dc.contributor.authorIsta, Erwin
dc.contributor.authorEU PARK-PICU
dc.contributor.authorBalmaks, Reinis
dc.date.accessioned2021-04-16T10:35:01Z
dc.date.available2021-04-16T10:35:01Z
dc.date.issued2020-06-24
dc.descriptionPublisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.
dc.description.abstractBACKGROUND: Early mobilization of adults receiving intensive care improves health outcomes, yet little is known about mobilization practices in paediatric intensive care units (PICUs). We aimed to determine the prevalence of and factors associated with physical rehabilitation in PICUs across Europe. METHODS: A 2-day, cross-sectional, multicentre point prevalence study was conducted in May and November 2018. The primary outcome was the prevalence of physical therapy (PT)- or occupational therapy (OT)-provided mobility. Clinical data and data on patient mobility, potential mobility safety events, and mobilization barriers were prospectively collected in patients admitted for ≥72 h. RESULTS: Data of 456 children admitted to one of 38 participating PICUs from 15 European countries were collected (456 patient days); 70% were under 3 years of age. The point prevalence of PT- and/or OT-provided mobility activities was 39% (179/456) (95% CI 34.7-43.9%) during the patient days, with significant differences between European regions. Nurses were involved in 72% (924/1283) of the mobility events; in the remaining 28%, PT/OT, physicians, family members, or other professionals were involved. Of the factors studied, family presence was most strongly positively associated with out-of-bed mobilization (aOR 7.83, 95% CI 3.09-19.79). Invasive mechanical ventilation with an endotracheal tube was negatively associated with out-of-bed mobility (aOR 0.28, 95% CI 0.12-0.68). Patients were completely immobile on 25% (115/456) of patient days. Barriers to mobilization were reported on 38% of patient days. The most common reported patient-related barriers were cardiovascular instability (n = 47, 10%), oversedation (n = 39, 9%), and medical contraindication (n = 37, 8%). Potential safety events occurred in 6% of all documented mobilization events. CONCLUSION: Therapists are infrequently consulted for mobilization of critically ill children in European PICUs. This study highlights the need for a systematic and interdisciplinary mobilization approach for critically ill children.en
dc.description.statusPeer reviewed
dc.format.extent769135
dc.identifier.citationIsta, E, EU PARK-PICU & Balmaks, R 2020, 'Mobilization practices in critically ill children : A European point prevalence study (EU PARK-PICU)', Critical Care, vol. 24, no. 1, 368, pp. 368. https://doi.org/10.1186/s13054-020-02988-2
dc.identifier.doi10.1186/s13054-020-02988-2
dc.identifier.issn1364-8535
dc.identifier.otherunpaywall: 10.1186/s13054-020-02988-2
dc.identifier.otherMendeley: acc58ce5-7a85-3557-9970-88e3a6d694b9
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/3822
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85086917859&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofCritical Care
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCritical care
dc.subjectDevelopmental paediatrics
dc.subjectIntensive care units
dc.subjectOccupational therapy
dc.subjectPaediatrics
dc.subjectPhysical therapy
dc.subjectRehabilitation
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectCritical Care and Intensive Care Medicine
dc.titleMobilization practices in critically ill children : A European point prevalence study (EU PARK-PICU)en
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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