Abstract 13523: Self-guided Mobilization in the Cardiac ICU During the COVID Era
Notice bibliographique
Résumé
Introduction: Measures instituted to prevent the spread of COVID may have an impact on cardiac ICU care practices, such as early mobility (EM) program delivery. A structured EM program was in place in our cardiac ICU prior to COVID. Restrictions on hallway ambulation and patient-provider interaction due to COID led us to modify our EM program to a nurse-assisted, patient-guided program. To our knowledge, there are no studies evaluating patient-guided mobilization in a critical care setting. Thus, our objective was to assess whether self-guided EM was safe and feasible in the cardiac ICU during the COVID period. Methods: We reviewed consecutive records in a tertiary care cardiac ICU over a 2-month period following initiation of the self-guided EM program. Only patients who were COVID negative or presumed negative were admitted to the cardiac ICU. Nurses assessed patients using the Level of Function Mobility Score (range 0 to 5, with higher scores indicating better mobility) and provided the current functional level to patients. Patients used their own smartphones or supplied tablets to view video modules, which guided performance of level-specific mobility activities. Patients with contraindications to mobilization based on prespecified criteria were not mobilized. There were 2 mobilization opportunities per day and 3 activities per opportunity. Results: There were 52 patients admitted to the CICU during the study period (mean age 67.4 ± 16.0 years; 38.5% female). Ten patients (19.2%) had contraindications to mobilization during unit stay; all of these patients were subsequently mobilized. Two-thirds (66.7%; 208/312) of mobilization opportunities had at least one mobility activity. 72.2% (676/936) of prescribed mobility activities were performed. The adverse event rate was 0.6% (4 events/676 activities); none of these were major or life-threatening. There were no falls or line dislodgements. Conclusions: Patient self-guided mobilization was safe and feasible during a period of limited provider-patient interaction in a cardiac ICU. Self-guided EM programs can be considered during periods of restrictions on usual mobility programs. Further studies are needed to evaluate EM in other settings, such as in COVID hospital wards.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».