Point Prevalence Study of Mobilization Practices for Acute Respiratory Failure Patients in the United States.

Objective: Early mobility in mechanically ventilated patients is safe, feasible, and may improve functional outcomes. We sought to determine the prevalence and character of mobility for ICU patients with acute respiratory failure in U.S. ICUs. Design: Two-day cross-sectional point prevalence study. Setting: Forty-two ICUs across 17 Acute Respiratory Distress Syndrome Network hospitals. Patients: Adult patients (>= 18 yr old) with acute respiratory failure requiring mechanical ventilation. Interventions: We defined therapist-provided mobility as the proportion of patient-days with any physical or occupational therapy-provided mobility event. Hierarchical regression models were used to identify predictors of out-of-bed mobility. Measurements and Main Results: Hospitals contributed 770 patient-days of data. Patients received mechanical ventilation on 73% of the patient-days mostly (n = 432; 56%) ventilated via an endotracheal tube. The prevalence of physical therapy/occupational therapy-provided mobility was 32% (247/770), with a significantly higher proportion of nonmechanically ventilated patients receiving physical therapy/occupational therapy (48% vs 26%; p

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