The surgical intensive care unit optimal mobility score predicts mortality and length of stay*

Kasotakis, George; Schmidt, Ulrich; Perry, Dana K.; Grosse-Sundrup, Martina; Benjamin, John; Ryan, Cheryl; Tully, Susan; Hirschberg, Ronald E.; Waak, Karen; Velmahos, George C.; Bittner, Edward A.; Zafonte, Ross; Cobb, J. Perren; Eikermann, Matthias

doi:10.1097/ccm.0b013e3182376e6d

Cited by 98 publications

(82 citation statements)

References 37 publications

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“…The authors also found that higher SOMS scores, indicating better mobility, were associated with lower mortality and hospital and ICU LOS [13].…”

Section: Introductionmentioning

confidence: 71%

“…SOMS 1 indicates that the patient can receive passive range of motion exercise while in bed and SOMS 2 that the patient can be sitting up in bed. SOMS 3 indicates that the patient is able to stand with or without assistance, and SOMS 4 is assigned to patients able to ambulate [13].…”

Section: Methodsmentioning

confidence: 99%

“…We evaluated if SOMS can predict ICU and hospital LOS hospital and hospital mortality in order to replicate the results of the original SOMS study [13] in our mixed ICU population.…”

Section: Data Presentation and Statistical Analysismentioning

confidence: 99%

“…The Surgical Optimal Mobilization Score (SOMS), a five-point numerical rating scale to guide goal-directed early mobilization therapy, has been demonstrated to be a predictor of mortality as well as ICU and hospital length of stay (LOS) in a surgical ICU population [13]. In their original study, Kasotakis and colleagues studied the reliability of SOMS score in 113 functionally independent surgical ICU patients by comparing SOMS assigned by with those assigned by an expert mobility team, and they found an excellent agreement between the two.…”

Section: Introductionmentioning

confidence: 99%

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The Surgical Optimal Mobility Score predicts mortality and length of stay in an Italian population of medical, surgical, and neurologic intensive care unit patients

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Dora

Minelli

et al. 2015

Journal of Critical Care

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“…The authors also found that higher SOMS scores, indicating better mobility, were associated with lower mortality and hospital and ICU LOS [13].…”

Section: Introductionmentioning

confidence: 71%

Section: Methodsmentioning

confidence: 99%

“…We evaluated if SOMS can predict ICU and hospital LOS hospital and hospital mortality in order to replicate the results of the original SOMS study [13] in our mixed ICU population.…”

Section: Data Presentation and Statistical Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Surgical Optimal Mobility Score predicts mortality and length of stay in an Italian population of medical, surgical, and neurologic intensive care unit patients

Piva

Dora

Minelli

et al. 2015

Journal of Critical Care

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“…When orchestrating early mobilization of patients in the surgical ICU, 25 we need to take into account that traumatic leg amputations increase the body's metabolic demand. A unilateral below-the-knee amputation results in an expenditure of energy that is approximately 25% more than the energy expenditure associated with preamputation ambulation; with unilateral abovethe-knee amputation, the energy expenditure is approximately 60% more than that for preamputation ambulation.…”

Section: Rehabilitationmentioning

confidence: 99%

Case 11-2014

et al. 2014

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case records of the massachusetts general hospitalT h e ne w e ngl a nd jou r na l o f m e dicine n engl j med 370;15 nejm.org april 10, 2014 Pr esentation of C a seDr. John T. Nagurney (Emergency Medicine): A 34-year-old man was brought to the emergency department at this hospital because of multiple traumatic injuries that he sustained when a bomb exploded while he was watching the 2013 Boston Marathon. At the scene, the patient reportedly lost consciousness, had a complete amputation of his right leg directly below the knee, and had copious blood loss. A tourniquet had been applied to the right upper leg. He was placed on a backboard, immobilized, and transported to this hospital by ambulance, arriving at 3:20 p.m., 31 minutes after the explosion. He was brought immediately into a trauma bay in the emergency department. No additional history was known.On examination by Dr. Timothy Fallon (Emergency Medicine Resident) in the emergency department, the patient was covered with ash and smelled of smoke; he was somnolent but arousable to verbal stimuli, and he was oriented to date, self, and place (the hospital). The blood pressure was 98/52 mm Hg, the pulse 128 beats per minute, the respiratory rate 28 unlabored breaths per minute, and the oxygen saturation 100% (oxygen supplementation not recorded). He opened his eyes in response to speech. The Glasgow Coma Scale score was 14 on a scale of 3 (indicating coma) to 15 (indicating normal). There was soot and dirt on the face, and the nasal hairs and eyebrows were singed. The pupils were equal and reactive to light. The mucous membranes were dry. The cervical spine was not tender to palpation. The lungs were clear to auscultation, and there was no tenderness, crepitus, or deformity of the chest wall. The heart sounds were normal. The femoral pulses were 2+. The abdomen was soft, nontender, and nondistended, without guarding. The extremities were pale and cool. There was venous bleeding and a large pool of blood at the site of the amputation of the right leg, as well as an open fracture of the left foot. There were burns involving the face, trunk, and extremities; a puncture wound (3 cm in length) in the posterior aspect of the left thigh with some tissue destruction and no active bleeding; and multiple smaller penetrating wounds. Detailed wound and burn examinations were deferred. The patient moved all extremities and had no gross focal neurologic deficits.

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Superiority of Frailty Over Age in Predicting Outcomes Among Geriatric Trauma Patients

et al. 2014

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The surgical intensive care unit optimal mobility score predicts mortality and length of stay*

Abstract: In surgical critically ill patients presenting without preexisting impairment of functional mobility, the surgical intensive care unit optimal mobility score is a reliable and valid tool to predict mortality and intensive care unit and hospital length of stay.

Cited by 98 publications

References 37 publications

The Surgical Optimal Mobility Score predicts mortality and length of stay in an Italian population of medical, surgical, and neurologic intensive care unit patients

The Surgical Optimal Mobility Score predicts mortality and length of stay in an Italian population of medical, surgical, and neurologic intensive care unit patients

Case 11-2014

Superiority of Frailty Over Age in Predicting Outcomes Among Geriatric Trauma Patients

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