Association Between Mobilization Level And Activity of Daily Living Independence in Critically Ill Patients

Shinichi Watanabe, PhD; Keibun Liu, PhD; Ryo Kozu, PhD; Daisetsu Yasumura, MS; Kota Yamauchi, MS; Hajime Katsukawa, PhD; Keisuke Suzuki, PhD; Takayasu Koike, MS; Yasunari Morita, MD. DOI: https://doi.org/10.5535/arm.23056

Objective: To examine the association between the mobilization level during intensive care unit (ICU) admission and independence in activity of daily living (ADL), defined as Barthel Index (BI)≥70.

Methods: This was a post-hoc analysis of the EMPICS study involving nine hospitals. Consecutive patients who spend >48 hours in the ICU were eligible for inclusion. Mobilization was performed at each hospital according to the shared protocol and the highest ICU mobility score (IMS) during the ICU stay, baseline characteristics, and BI at hospital discharge. Multiple logistic regression analysis, adjusted for baseline characteristics, was used to deter-mine the association between the highest IMS (using the receiver operating characteristic [ROC]) and ADL.