Mobilization practices in critically ill children: a European point prevalence study (EU PARK-PICU)
| العنوان: | Mobilization practices in critically ill children: a European point prevalence study (EU PARK-PICU) |
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| المؤلفون: | Ista, Erwin, Scholefield, Barnaby R., Manning, Joseph C., Harth, Irene, Gawronski, Orsola, Bartkowska-Śniatkowska, Alicja, Ramelet, Anne-Sylvie, Kudchadkar, Sapna R., Ritson, Paul C., Nikolaou, Filippia, de Neef, Marjorie, Kneyber, Martin, Penny-Thomas, Kate, Linton, Christina, Balmaks, Reinis, Richter, Matthias, Chiusolo, Fabrizio, Cecchetti, Corrado, Roberti, Marco, di Furia, Michela, Grandjean, Chantal, Nygaard, Bettina, Lopez, Yolanda, Koroglu, Tolga, Besci, Tolga, Mora, Roberta Da Rin Della, Agbeko, Rachel S., Borrows, Emma, Bochaton, Nathalie, Mattsson, Janet, Ksellmann, Anne, Hero, Barbara, Rosada-Kurasinska, Jowita, Świder, Magdalena, Bonaldi, Amabile, Giugni, Cristina, Oruganti, Siva, Gates, Simon, Smith, Hazel, van Zwol, Annelies, Hills, Jenna, Conroy, Johanna, Bebbington, Mark, Neunhoeffer, Felix, Duval, Els |
| المساهمون: | EU PARK-PICU Collaborators, Internal Medicine, Pediatric Surgery, Ritson, P.C., Nikolaou, F., de Neef, M., Kneyber, M., Penny-Thomas, K., Linton, C., Balmaks, R., Richter, M., Chiusolo, F., Cecchetti, C., Roberti, M., Di Furia, M., Grandjean, C., Nygaard, B., Lopez, Y., Koroglu, T., Besci, T., Mora, RDRD, Agbeko, R.S., Borrows, E., Bochaton, N., Mattsson, J., Ksellmann, A., Hero, B., Rosada-Kurasinska, J., Świder, M., Bonaldi, A., Giugni, C., Oruganti, S., Gates, S., Smith, H., van Zwol, A., Hills, J., Conroy, J., Bebbington, M., Neunhoeffer, F., Duval, E., Nursing, Paediatric Intensive Care |
| المصدر: | Critical Care, Vol 24, Iss 1, Pp 1-11 (2020) Critical care Critical Care, 24(1):368. BioMed Central Ltd. Critical Care, vol. 24, no. 1 Critical care (London, England), 24(1):368. Springer Science + Business Media Critical Care |
| بيانات النشر: | BioMed Central Ltd., 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Occupational therapy, medicine.medical_specialty, Time Factors, Critical Illness, medicine.medical_treatment, Developmental paediatrics, Prevalence, Intensive Care Units, Pediatric, Critical Care and Intensive Care Medicine, 03 medical and health sciences, 0302 clinical medicine, Intensive care, Odds Ratio, medicine, Humans, Child, Contraindication, Early Ambulation, Mechanical ventilation, Intensive care units, Rehabilitation, Mobilization, Critically ill, business.industry, Research, Infant, Newborn, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Infant, 030208 emergency & critical care medicine, Paediatrics, lcsh:RC86-88.9, Europe, Critical care, Cross-Sectional Studies, 030228 respiratory system, Child, Preschool, Emergency medicine, Female, Human medicine, business, Physical therapy |
| الوصف: | Background 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. Graphical abstract |
| وصف الملف: | |
| اللغة: | English |
| تدمد: | 1466-609X 1364-8535 1574-4280 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ef5fcb936fc1f302d7fc0195ee265b37Test https://pure.eur.nl/en/publications/c711f906-9bab-4956-88a8-42e7a59c8039Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....ef5fcb936fc1f302d7fc0195ee265b37 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1466609X 13648535 15744280 |
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