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Early Mobilization


  • Risky to move the patient due to their serious condition
  • Longer stay of immobile patient
  • Complications associated with long hospital stay
  • Increased costs for the hospital

Complications associated with long hospital stay

ICU costs & length of stay

$3,184 - $10,794

ICU Daily Average Cost (1)

12 days

Average Length of Stay at ICU (2)



Gradual lateral tilt by 1° at time to gently and precisely position the patient

Interventions for turning and repositioning hemodynamically unstable patients include:

- mini-turns
- weight shifts every 30 minutes
- elevation of heels
- use of „gravitational equilibrium“

Early Mobilization Program

Mobilization brochure

Level 1: Moving Immobile Patient


Moving immobile patient
Hemodynamic instability


Automatic Lateral Therapy

Level 2: Muscle strengthening excercises


Patient‘s trunk and core weakness Hemodynamic and orthostatic training


One-button functions

  • Vascular leg position
  • Full chair position
  • Reverese Trendelenburg

Level 3: Improving patient autonomy and confidence


Patient autonomy
Assessing muscle strength and hemodynamic stability


Mobilization button
Mobi-Lift handle
Siderails concept

Level 4: Helping patient stand up


2-3% loss of muscle mass in first 10 days (4)


Mobi-Lift handle
Siderails concept
Lateral tilt

Typical ICU Costs & Length of Stay

Length of hospital stay
[days] (2)

Ventilator Associated
Pneumonia (VPA) [days] (2)

Hospital associated
infections (HAI) (2)

Results of using a mobility program

28 %

Early mobilization in the ICU could minimize loss of functional abilities and possible shorten hospital stay by 28 % (2)

50 %

Early mobilization program can reduce the incidence of delirium by up to 50 % (3)

(1) Daily cost of an intensive care unit day: the contribution of mechanical ventilation, Daily cost of an intensive care unit day: the contribution of mechanical ventilation - PubMed (
(2) Titsworth WL, et al. The effect of increased mobility on morbidity in the neurointensive care unit. J. Neurosurg. 2012; 116:1379 1388.
(3) Schweickert W, Pohlman M, Pohlman A, Nigos C, Pawlik A, Esbrook C, Spears L, Miller M, Franczyk M, Deprizio D, Schmidt G, Bowman A, Barr R, McCallister K, Hall J, Kress J (2009) Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. Lancet 373:1874–1882.
(4) Davis, K. G., & Kotowski, S. E. (2015). Prevalence of Musculoskeletal Disorders for Nurses in Hospitals, Long-Term Care Facilities, and Home Health Care: A Comprehensive Review. Human Factors, 57(5), 754–792.

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