Level of mobility and time to first out of bed mobilization in a neurosurgery ICU

The objective of this observational study was to describe the usual practices of mobilization in a neurosurgical ICU during a specific period, through daily mobility level of patients. This retrospective cohort study was conducted in a single ICU, where data from a six-month period from January to June of 2024 were collected from patients’ medical records. For each day of stay in the ICU, the maximum level of mobility was described using the French version of the ICU Mobility Scale (IMS) ^10,11. The primary outcome of the study was the median time between the first day of active mobility in bed, IMS=1, and the first day of Out-Of-Bed mobilization (OOB), considered as IMS>1. Secondary outcomes to describe mobility were frequency of OOB, and maximal IMS reached during the ICU stay. Baseline characteristics were also reported. To conclude, in people who regained active mobility in a neurosurgery ICU, 76% received at least one OOB mobilization during their stay and median time between first in bed active mobility and OOB mobility was 4 (2-7) days.