Early Mobilization After Pediatric Liver Transplantation

Overview

Journal J Pediatr Intensive Care

Date 2019 May 11

PMID 31073448

Citations 5

Authors

Norihiko Tsuboi

Hitomi Nozaki

Yukihiro Ishida

Ikue Kanazawa

Miku Inamoto

Kenichiro Hayashi

Nao Nishimura

Satoshi Nakagawa

Mureo Kasahara

Takeshi Kamikubo

Affiliations

Soon will be listed here.

Abstract

This study aims to evaluate the impact of early mobilization (EM) after pediatric liver transplantation in the pediatric intensive care unit (PICU). A 14-month prospective before and after study. Multivalent PICU with 20 beds at a tertiary children's hospital. A total of 57 patients aged younger than 16 years who received liver transplantation and were admitted to the PICU after surgery. EM project, a multifaceted framework for successful EM practice in the PICU focusing on a multidisciplinary team approach. Compared with the period before the implementation of the EM project, there was a significant increase in the proportion of patients who received physical therapy in the PICU (43 vs. 97%, < 0.001). Also, there were greater median numbers of physical therapy per eligible patient (0 vs. 3, < 0.001). Moreover, patients achieved higher functional mobility level within a shorter time. Length of intubation, PICU stay, and hospital stay were not significantly different. There were no adverse events or deaths. Using an EM project process, the proportion of patients who received physical therapy after liver transplantation increased. However, there was no difference in the length of PICU or hospital stay. Our findings indicated that EM for pediatric patients who received liver transplantation was well tolerated and safe.

Citing Articles

Implementing early rehabilitation and mobilisation for children in UK paediatric intensive care units: the PERMIT feasibility study.

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Development and Implementation of Pediatric ICU-based Mobility Guidelines: A Quality Improvement Initiative.

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Early mobilization protocols for critically ill pediatric patients: systematic review.

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