The Impact of Multidisciplinary Team Intervention for Early Mobilization of Patients with Aneurysmal Subarachnoid Hemorrhage in Stroke Care Unit: A Retrospective Cohort Study

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  • OIKE Kenji
    Department of Rehabilitation, Tsuchiura Kyodo General Hospital, Japan
  • ISHIBASHI Osamu
    Department of Rehabilitation, Tsuchiura Kyodo General Hospital, Japan
  • NOSAKA Nobuyuki
    Department of Intensive Care Medicine, Tokyo Medical and Dental University, Japan
  • HIROTA Shin
    Department of Neurosurgery, Tsuchiura Kyodo General Hospital, Japan

Bibliographic Information

Published
2024
DOI
  • 10.1298/ptr.e10297
Publisher
Japanese Society of Physical Therapy

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<p>Objective: To investigate the impact of multidisciplinary team (MDT) intervention for early mobilization (EM) of patients with aneurysmal subarachnoid hemorrhage (aSAH) in the intensive care unit (ICU). Methods: A retrospective uncontrolled before–after observational study was conducted to assess patient outcomes before and after introducing MDT in the stroke care unit (SCU). Participants admitted to the SCU from April 2017 to September 2023 were categorized into conventional (April 2017 to June 2020) and MDT (July 2020 to September 2023) groups. The measured primary outcome was the days until sitting, standing, and walking commenced. Results: A total of 131 patients were screened, with 115 included in the analysis. The MDT group comprised 56 individuals (48.7%), whereas the conventional group consisted of 59 patients (51.3%). The MDT group exhibited a significantly shorter duration until sitting (4 [3–7] vs. 7 [5–17], p <0.001), standing (5 [3–7] vs. 10 [5–17], p <0.001), and walking (7 [5–10] vs. 16 [7–23], p <0.001) commenced. Furthermore, the MDT group showed a significantly higher ICU mobility scale (IMS) (8 [5–8] vs. 5 [3–8], p <0.001) at SCU discharge, shorter length of SCU stay (16 [15–17] vs. 17 [15–24], p = 0.048), and hospital stay (34 [25–48] vs. 48 [33–80], p = 0.006). Conclusion: This study suggests that MDT played a facilitative role in promoting the EM of patients with aSAH. Their involvement streamlined the mobilization process, shortening the days until the initiation of mobilization.</p>

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