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Background <p>Early mobilization of critical ill patients in the intensive care unit (ICU) has a&#xa0;positive effect on outcome. Currently, due to concerns of cerebral vasospasm and rebleeding patients with subarachnoid hemorrhage (SAH) have a&#xa0;prolong bedrest for 12–14&#xa0;days.</p> Objective <p>What effect does early mobilization have on vasospasm, clinical outcome, length of stay and ICU complication rate in patients with SAH compared to standard treatment?</p> Methods <p>A&#xa0;systematic literature search was conducted in MEDLINE via the PubMed® (U.S. National Library of Medicine®, Bethesda, MD, USA) and CINAHL® (EBSCO, Ipswich, MA, USA) databases.</p> Results <p>A total of 14&#xa0;studies were identified. Overall, the studies showed an improved functional outcome and a&#xa0;reduction in the length of hospitalization and ventilation time. Only in one study did vasospasms occur more frequently and the outcome of patients with early mobilization was worse.</p> Conclusion <p>Further research is needed to identify possible positive effects of early mobilization in patients with SAH and to be able to describe the risk–benefit ratio more precisely.</p>

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Frühmobilisation auf der Intensivstation bei Patienten mit einer Subarachnoidalblutung – eine Übersichtsarbeit

  • 期刊论文

  • 发表日期：

    2025年1月12日

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  • Jacqueline Widmaier,
  • Denise Schindele,
  • Karin Lichtinger

摘要

Background

Early mobilization of critical ill patients in the intensive care unit (ICU) has a positive effect on outcome. Currently, due to concerns of cerebral vasospasm and rebleeding patients with subarachnoid hemorrhage (SAH) have a prolong bedrest for 12–14 days.

Objective

What effect does early mobilization have on vasospasm, clinical outcome, length of stay and ICU complication rate in patients with SAH compared to standard treatment?

Methods

A systematic literature search was conducted in MEDLINE via the PubMed® (U.S. National Library of Medicine®, Bethesda, MD, USA) and CINAHL® (EBSCO, Ipswich, MA, USA) databases.

Results

A total of 14 studies were identified. Overall, the studies showed an improved functional outcome and a reduction in the length of hospitalization and ventilation time. Only in one study did vasospasms occur more frequently and the outcome of patients with early mobilization was worse.

Conclusion

Further research is needed to identify possible positive effects of early mobilization in patients with SAH and to be able to describe the risk–benefit ratio more precisely.