Abstract TP140: Very Early Mobilization In Critically Ill Stroke Patients With Primary Intracerebral Hemorrhage

Background: Spontaneous intracerebral hemorrhage (ICH) is associated with a disproportionately high mortality and disability when compared to ischemic stroke. Critically ill patients with ICH represent a specific challenge due to issues of intracranial pressure and hemodynamic instability in the early period post stroke. The aim of this study was to evaluate the effect of a progressive mobility algorithm, a structured tool used to guide mobilization of all patients in the neuroscience critical care unit (NCCU), on the time elapsed to earliest mobility activities in patients with primary ICH. Methods: We used a quasi-experimental design to examine current mobility practices for patients with ICH after rollout of the mobility algorithm in our NCCU. The Johns Hopkins Mobility algorithm was developed by an interdisciplinary mobility team and stratifies NCCU patients to progressive passive or active mobilization programs. Baseline data were collected retrospectively from electronic medical records for two 6 mo...