P0049 / #710: EARLY MOBILISATION IN CRITICALLY ILL CHILDREN: DOES ROUTINE PATIENT SCREENING CHANGE PRACTICE?

Abstract

Aims & Objectives: Aims and Objectives: The survival rate in Australasian PICUs has improved and with this improvement there is increased morbidity following critical illness. This demands a shift in PICU care to consider the long-term outcomes for children post critical illness. This study explored whether the routine use of an “Early Mobilisation(EM) Screening Checklist’ by medical staff would reduce patient time to mobilisation. Methods: Methods: A prospective study with historical controls was undertaken in a PICU of a South Australian public hospital. Data on time to mobilisation and patient characteristics was extracted via an unblinded case note audit of patients admitted over 5-months in 2018 for the baseline group (n=36) and over a corresponding period in 2019 for the intervention group (n=36). Time to mobilisation between groups was compared using Survival analysis. Results: Results: The intervention group were 1.3 times more likely to be mobilised, although this was not significant (p=0.33, 95% CI [0.77-2.17], Cox regression). Patients with motor impairment were 38% less likely to be mobilised (P= p=0.11, 95% CI [0.35, 1.12], Cox regression), while those who were mechanically ventilated were 44% less likely to be mobilised (p=0.03, 95% CI 0.33-0.95). Nil adverse events were reported. Conclusions: Conclusions: The absence of significant change between baseline and intervention groups may be due to the small sample size, or the number of lower acuity subjects diluting the sample. The identification of groups less likely to receive mobilisation interventions warrants further exploration. The absence of any adverse events supports that EM in PICU is safe.