Robot-assisted early mobilization of intensive care patients: a feasibility study protocol

Abstract

Background Early mobilization positively influences the outcome of critically ill patients, yet in clinical practice, the implementation is sometimes challenging. In this study, an adaptive robotic assistance system will be used for early mobilization in intensive care units. The study aims to evaluate the experience of the mobilizing professionals and the general feasibility of implementing robotic assistance for mobilization in intensive care as well as the effects on patient outcomes as a secondary outcome. Methods The study is single-centric, prospective, and interventional and follows a longitudinal study design. To evaluate the feasibility of robotic-assisted early mobilization, the number of patients included, the number of performed VEM (very early mobilization) sessions, and the number and type of adverse events will be collected. The behavior and experience of mobilizing professionals will be evaluated using standardized observations (n > 90) and episodic interviews (n > 36) before implementation, shortly after, and in routine. Patient outcomes such as duration of mechanical ventilation, loss of muscle mass, and physical activity will be measured and compared with a historical patient population. Approximately 30 patients will be included. Discussion The study will provide information about patient outcomes, feasibility, and the experience of mobilizing professionals. It will show whether robotic systems can increase the early mobilization frequency of critically ill patients. Within ICU structures, early mobilization as therapy could become more of a focus. Effects on the mobilizing professionals such as increased motivation, physical relief, or stress will be evaluated. In addition, this study will focus on whether current structures allow following the recommendation of mobilizing patients twice a day for at least 20 min. Trial registration ClinicalTrials.gov, NCT05071248. Date: 2021/10/21

Effects of functional treatment of V metatarsal bone fracture in athletes – an evaluation of cases

“…Studies have shown that early mobilization is crucial in improving functional outcomes and quality of care in critically ill patients, including those in the ICU. 20 Additionally, the safety and efficacy of early mobilization have been well-documented, emphasizing its role in enhancing patient recovery and reducing the incidence of complications. 20 However, the definition of early mobilization can vary across studies, highlighting the need for standardized protocols to ensure consistency in practice and outcomes.…”

“…20 Additionally, the safety and efficacy of early mobilization have been well-documented, emphasizing its role in enhancing patient recovery and reducing the incidence of complications. 20 However, the definition of early mobilization can vary across studies, highlighting the need for standardized protocols to ensure consistency in practice and outcomes. 21 In the context of specific conditions like hip surgery, early mobilization has been associated with better functional outcomes in the Chinese population, underscoring its positive impact on postoperative recovery.…”

Effects of robotic-assisted early mobilization versus conventional mobilization in intensive care unit patients: prospective interventional cohort study with retrospective control group analysis

“…This project was part of the MobiStaR project (Mobilization of intensive care patients by a new standard in adaptive robotics, NCT05071248), which evaluated robotic-assisted mobilization in the surgical intensive care unit (ICU) and the reception by critical care providers [ 10 ].…”

“…No matching was performed. A full list of inclusion and exclusion criteria was published with the study protocol [ 10 ].…”

Effects of robotic-assisted early mobilization versus conventional mobilization in intensive care unit patients: The MobiStaR trial

“…This project was part of the MobiStaR trial (Mobilization of intensive care patients by a new standard in adaptive robotics, NCT05071248), which evaluated the feasibility of robotic-assisted mobilization in the surgical intensive care unit (ICU) and the reception by critical care providers [21]. We compared ventilation duration, length of ICU stay, muscle parameters, and quality of life after 3 months with those of a conventionally mobilized control group.…”