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Revista Portuguesa de Enfermagem de Reabilitação

Print version ISSN 2184-965XOn-line version ISSN 2184-3023

Abstract

MENDES, Roberto et al. Effects of early progressive mobilization programs in critically ill patients: a systematic review of the literature. RPER [online]. 2023, vol.6, n.1, e309.  Epub June 30, 2023. ISSN 2184-965X.  https://doi.org/10.33194/rper.2023.309.

Objective:

To know the effect of early progressive mobilization programs on the critically ill patients’ outcomes.

Methods:

Systematic review using MEDLINE, CINAHL, CENTRAL, PEDro, Clinical Trials.gov, WHO International Clinical Trials Registry Platform and EU Clinical Trials Register databases.

Results:

Of the total 813 publications identified, 18 met the inclusion criteria and were included in this review. These programs were found to be related to: reduced ventilation time, reduced intensive care length of stay, reduced likelihood of readmission and increased functionality at discharge from intensive care. There seems to be a trend towards a reduction of infections and a higher probability of discharge to home. No negative outcomes were found.

Conclusions:

In addition to being safe, early progressive mobilization programs may bring important benefits to critically ill patients, thus reinforcing the importance of intervention in this area.

Keywords : Intensive Care Units; Critical Illness; Rehabilitation; Early Ambulation; Quality Improvement.

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