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Multidisciplinary Approach to Early Mobility at an Academic Medical Center.

Dimpi A Patel1, Shannon M Stillwell2, Sara E Booth3

  • 1Department of Hospital Medicine, National Jewish Health, Denver, CO.

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|September 19, 2025
PubMed
Summary
This summary is machine-generated.

A multidisciplinary intervention significantly improved daily mobility goal achievement in the ICU, increasing adherence by over 16%. This quality improvement initiative enhanced patient mobility without increasing length of stay or mortality.

Keywords:
academic medical centerscritical illnessearly mobilityintensive care unitsmultidisciplinary communication

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Area of Science:

  • Critical Care Medicine
  • Quality Improvement Science
  • Rehabilitation Medicine

Background:

  • ICU-acquired weakness impacts 50% of critically ill patients, leading to poor functional outcomes.
  • Early mobility programs are proven to improve functional status, reduce ventilation duration, prevent delirium, and shorten hospital stays.
  • Implementing early mobility in the ICU presents significant practical challenges.

Purpose of the Study:

  • To implement and evaluate a multidisciplinary intervention aimed at increasing early mobility in the ICU.
  • To assess the impact of the intervention on the achievement of daily mobility goals.

Main Methods:

  • A randomized, pragmatic quality improvement study was conducted in two ICUs at a large academic medical center.
  • The intervention involved a multidisciplinary initiative focused on education, awareness, and barrier reduction.
  • A difference-in-differences model analyzed mobility goal achievement in 574 patients (271 intervention, 276 control).

Main Results:

  • Daily mobility goal achievement increased from 48.6% to 65.4% in the intervention ICU post-intervention (p < 0.001).
  • The intervention ICU showed significantly higher adherence post-intervention (65.4%) compared to the control ICU (43.0%; p < 0.001).
  • The intervention ICU was 1.96 times more likely to achieve daily mobility goals (p = 0.017), with no significant changes in length of stay or mortality.

Conclusions:

  • A multidisciplinary quality improvement initiative effectively enhanced adherence to daily mobility goals in the ICU.
  • This approach demonstrates the feasibility and success of improving early mobility practices in critically ill patients.