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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 83(3)

Changes in barriers to implementing early mobilization in the intensive care unit: a single center retrospective cohort study

https://doi.org/10.18999/nagjms.83.3.443
https://doi.org/10.18999/nagjms.83.3.443
63ec2d89-5f76-42b2-9da5-3ee3cd453a91
名前 / ファイル ライセンス アクション
05_Watanabe.pdf 05_Watanabe.pdf (1 MB)
Item type itemtype_ver1(1)
公開日 2021-09-16
タイトル
タイトル Changes in barriers to implementing early mobilization in the intensive care unit: a single center retrospective cohort study
言語 en
著者 Watanabe, Shinichi

× Watanabe, Shinichi

en Watanabe, Shinichi

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Liu, Keibun

× Liu, Keibun

en Liu, Keibun

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Morita, Yasunari

× Morita, Yasunari

en Morita, Yasunari

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Kanaya, Takahiro

× Kanaya, Takahiro

en Kanaya, Takahiro

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Naito, Yuji

× Naito, Yuji

en Naito, Yuji

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Arakawa, Ritsuro

× Arakawa, Ritsuro

en Arakawa, Ritsuro

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Suzuki, Shuichi

× Suzuki, Shuichi

en Suzuki, Shuichi

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Katsukawa, Hajime

× Katsukawa, Hajime

en Katsukawa, Hajime

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Lefor, Alan Kawarai

× Lefor, Alan Kawarai

en Lefor, Alan Kawarai

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Hasegawa, Yoshinori

× Hasegawa, Yoshinori

en Hasegawa, Yoshinori

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Kotani, Toru

× Kotani, Toru

en Kotani, Toru

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
キーワード
主題Scheme Other
主題 mobilization
キーワード
主題Scheme Other
主題 barrier
キーワード
主題Scheme Other
主題 adverse event
キーワード
主題Scheme Other
主題 survival rate
キーワード
主題Scheme Other
主題 walking independence
内容記述
内容記述 This study was undertaken to investigate the rate of mobilization, defined as a rehabilitation level of sitting on the edge of a bed or higher, and its association with changes in barriers in the intensive care unit (ICU). Consecutive patients from January 2016 to March 2019 admitted to the ICU, 18 years old or older, who did not meet exclusion criteria, were eligible. The primary outcome was the rate of mobilization. Barriers, their changes on a daily basis, and clinical outcomes, such as walking independence at hospital discharge, were also investigated. The association between the barriers and mobilization, and walking independence were analyzed by multivariate logistic regression analysis. During the study period, 177 patients were enrolled. Mobilization was achieved by 116 patients (66%) by the 7th ICU day. The barrier to mobilization was circulatory status on days 1 and 2, consciousness level on days 3 to 5, and medical staff factors on days 6 and 7. Multivariate analysis showed that consciousness level (OR: 0.38, p=0.01), and medical staff factors (OR: 0.49, p=0.01) were significantly associated with mobilization. By hospital discharge 125 patients (71%) could walk independently. Consciousness level was associated (OR: 0.52, p=0.04) with walking independence. In this study, over half of patients could achieve mobilization within the first 7 days. Barriers to mobilization in the ICU change over time. Consciousness level is significantly associated with both mobilization and independent walking at discharge.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/).
言語 en
内容記述タイプ Other
出版者
言語 en
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.83.3.443
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/833.html
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0027-7622
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 83, 号 3, p. 443-464, 発行日 2021-08
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