In this RCT, critically ill intubated patients were randomized to early exercise and mobilization, or standard care. Independent functional status at the time of hospital discharge occurred in 59% of the early mobilization group, compared to 35% of the control group. The early mobilization group also had fewer delirium days (2 vs 4) and more ventilator-free ICU days (24 vs 21) in 28 day f/u. This confirms our suspicion that earlier mobilization is beneficial, regardless of the severity of the illness, and should be routinely implemented (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.