Risk Factors of Patient-Related Safety Events during Active Mobilization for Intubated Patients in Intensive Care Units—A Multi-Center Retrospective Observational Study
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- Hajime Katsukawa
- Department of Scientific Research, Japanese Society for Early Mobilization, 1-2-12-2F Kudan-kita, Chiyoda-ku, Tokyo 102-0073, Japan
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- Kohei Ota
- Department of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan
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- Keibun Liu
- Critical Care Research Group, The Prince Charles Hospital, 627 Rode Rd, Chermside, Brisbane, QLD 4032, Australia
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- Yasunari Morita
- Department of Emergency and Intensive Care Medicine, National Hospital Organization Nagoya Medical Center, 4-1-1 Sannomaru, Naka-ku, Nagoya, Aichi 460-0001, Japan
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- Shinichi Watanabe
- National Hospital Organization Nagoya Medical Center, Department of Rehabilitation Medicine, 4-1-1 Sannomaru, Naka-ku, Nagoya, Aichi 460-0001, Japan
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- Kazuhiro Sato
- Department of Pulmonology, Japanese Red Cross Nagaoka Hospital, Senshu-2 297-1, Nagaoka, Niigata 940-2085, Japan
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- Kenzo Ishii
- Intensive Care Unit, Department of Anesthesiology, Fukuyama City Hospital, 3-8-5 Zao-cho, Fukuyama, Hiroshima 721-8511, Japan
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- Daisetsu Yasumura
- Department of Rehabilitation, Naha City Hospital, 2-31-1 Furujima, Naha, Okinawa 902-8511, Japan
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- Yo Takahashi
- Yuuai Medical Center, Department of Rehabilitation, 50-5 Yone, Tomigusuku, Okinawa 901-0224, Japan
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- Takafumi Tani
- Department of Rehabilitation, Japanese Red Cross Ishinomaki Hospital, 71 Nishimichishita, Hebita, Ishinomaki, Miyagi 986-8522, Japan
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- Hitoshi Oosaki
- Department of Rehabilitation, Japanese Red Cross Maebashi Hospital, 389-1 Asakura-cho, Maebashi Gunma 371-0811, Japan
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- Tomoya Nanba
- Department of Rehabilitation, Yao Tokushukai General Hospital, 1-17 Wakakusa-cho, Yao, Osaka 581-0011, Japan
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- Ryo Kozu
- Department of Rehabilitation Medicine, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8520, Japan
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- Toru Kotani
- Department of Intensive Care Medicine, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan
説明
<jats:p>The aim of this study is to clarify the incidence and risk factors of patient-related safety events (PSE) in situations limited to intubated patients in which active mobilization, such as sitting on the edge of the bed/standing/walking, was carried out. A multi-center retrospective observational study was conducted at nine hospitals between January 2017 and March 2018. The safety profiles and PSE of 87 patients were analyzed. PSE occurred in 10 out of 87 patients (11.5%) and 13 out of 198 sessions (6.6%). The types of PSE that occurred were hypotension (8, 62%), heart rate instability (3, 23%), and desaturation (2, 15%). Circulation-related events occurred in 85% of overall cases. No accidents, such as line/tube removal or falls, were observed. The highest incidence of PSE was observed during the mobilization level of standing (8 out of 39 sessions, 20.5%). The occurrence of PSE correlated with the highest activity level under logistic regression analysis. Close vigilance is required for intubated patients during active mobilization in the standing position with regard to circulatory dynamics.</jats:p>
収録刊行物
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- Journal of Clinical Medicine
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Journal of Clinical Medicine 10 (12), 2607-, 2021-06-13
MDPI AG