Discordance between early mobility protocol expectations and nurse-led mobilizations of critically ill children: A quality improvement initiative

doi:10.5492/wjccm.122427

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World Journal of Critical Care Medicine

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2220-3141

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Observational Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Crit Care Med. Sep 9, 2026; 15(3): 122427
Published online Sep 9, 2026. doi: 10.5492/wjccm.122427

Table 1 Baseline demographics and clinical characteristics, n (%)

Characteristic
Age
< 2 years	27 (30.7)
3-5 years	12 (13.6)
6-12 years	30 (34.1)
13-18 years	19 (21.6)
Gender
Male	59 (58.4)
Female	42 (41.6)
PICU day (median, IQR)	5 (4-6)
Reason for PICU admission
Surgical	14 (13.9)
Medical	77 (76.2)
Trauma or other	10 (9.9)
PRISM score
Low risk (0-10)	89 (88.1)
Moderate risk or greater (11-30+)	12 (11.9)
Preadmission PCPC score
Good	50 (49.5)
Mild disability	15 (14.9)
Moderate disability	13 (12.9)
Severe disability/coma or vegetative state	23 (22.8)
Respiratory support category
No support or cannula/mask	54 (53.5)
NIPPV/tracheostomy collar	12 (11.9)
Invasive mechanical ventilation	35 (34.7)
Equipment
Airway equipment (endotracheal tube/tracheostomy)	36 (35.6)
Lines (arterial line or central venous line)	54 (53.5)
Drains and catheters	28 (27.7)
Tubes (gastric/nasogastric tube)	67 (66.3)
Any sedation > 30 minutes	35 (34.7)
Any vasoactive within 24 hours	10 (9.9)

PICU: Pediatric intensive care unit; IQR: Interquartile range; PRISM: Pediatric Risk of Mortality Score; PCPC: Pediatric cerebral performance category; NIPPV: Non-invasive positive pressure ventilation.

Full Size Table

Citation: Manikandan D, Lenker H, Mennie C, Morgenstern S, Furniturewala S, Hwang L, Hajnik K, Brown KM, Shilkofski N, Kudchadkar SR, LaRosa JM. Discordance between early mobility protocol expectations and nurse-led mobilizations of critically ill children: A quality improvement initiative. World J Crit Care Med 2026; 15(3): 122427
URL: https://www.wjgnet.com/2220-3141/full/v15/i3/122427.htm
DOI: https://dx.doi.org/10.5492/wjccm.122427

Manikandan D, Lenker H, Mennie C, Morgenstern S, Furniturewala S, Hwang L, Hajnik K, Brown KM, Shilkofski N, Kudchadkar SR, LaRosa JM. Discordance between early mobility protocol expectations and nurse-led mobilizations of critically ill children: A quality improvement initiative. World J Crit Care Med 2026; 15(3): 122427 [DOI: 10.5492/wjccm.122427]

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