Early mobilization

Challenges

  • Complications associated with long hospital stay (1)
  • Longer length of hospital stay due to immobility (2)
  • Increased costs for the hospital (1)
  • 4 321€ per day in average can cost hospital stay at ICU (3)​

Solutions

LEVEL 0: BED IMMOBILE

Criteria

Clinically stable, but not able to cooperate in care

Solutions

Head of Backrest
Reverse Trendelenburg
Vascular Leg Position

LEVEL 1: BED ACTIVE

Criteria

Able to cooperate in self-care
and bedbound

 

Solutions

Head of Backrest, Reverse Trendelenburg
Vascular Leg Position
Mobi-Grips, Cardiac Chair

LEVEL 2: ABLE TO SIT

Criteria

Strong enough to sit upright and able to move leg against gravity

Solution

Mobi-Grips
Cardiac Chair
Mobi-Pad, Mobi-Lift®

LEVEL 3: ABLE TO STAND

Criteria

Increased strength for standing activities and actively participating in transfers to chair

Solutions

Mobi-Grips
Mobi-Pad
Mobi-Lift®

LEVEL 4: ABLE TO WALK

Criteria

Tolerates walking in the room and independently transfers to chair

Solutions

Mobi-Grips
Mobi-Pad
Mobi-Lift®

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1) Bai AD, Dai C, Srivastava S, et al. Risk factors, costs and complications of delayed hospital discharge: retrospective cohort study. BMC Health Serv Res. 2019;19:935. doi:10.1186/s12913-019-4760-3
2) Cortes OL, Delgado S, Esparza M. In-hospital mobilization for patients admitted for medical treatment: systematic review and meta-analysis of experimental studies. J Adv Nurs. 2019;75(9):1823–1837. doi:10.1111/jan.13958
3) Mastrogianni M, Galanis P, Kaitelidou D, et al. Factors affecting adult ICU costs in OECD countries: systematic review. Intensive Crit Care Nurs. 2021;66:103080. doi:10.1016/j.iccn.2021.103080