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

Table 3 Univariate predictors of discordance between nurse-reported and expected mobility

Characteristics	Discordance in PICU Up! level between expected and RN-report		Discordance in HLM between expected and RN-report
	OR	95%CI	OR	95%CI
Age (vs 0-2 years)
3-5 years	0.91	0.24, 3.43	0.81	0.22, 3.01
6-12 years	1.09	0.39, 3.04	0.71	0.25, 1.98
13-18 years	0.74	0.23, 2.40	2.13	0.62, 7.29
Gender (vs male)
Female	0.78	0.33, 1.72	0.72	0.33, 1.60
PICU day	0.73	0.52, 1.03	0.86	0.62, 1.20
ICU reason (vs surgical)
Medical	0.79	0.26, 2.40	0.81	0.26, 2.54
Trauma or other	1.44	0.30, 6.95	0.84	0.17, 4.13
PRISM score (vs low risk)
≥ Moderate risk	1.67	0.51, 5.40	0.46	0.14, 1.48
PCPC score (versus normal)
Mild disability	1.31	0.41, 4.15	2.36	0.69, 8.01
Moderate disability	1.24	0.37, 4.19	0.80	0.25, 2.62
Severe disability	8.29a	2.56, 26.91	2.49	0.87, 7.15
Respiratory support (vs none or nasal cannula)
NIPPV or trach collar	1.06	0.31, 3.60	2.13	0.48, 9.43
Mechanical ventilation	1.91	0.82, 4.47	0.34b	0.14, 0.82
Equipment
Lines	1.34	0.62, 2.92	0.43b	0.19, 0.97
Drains and catheters	0.68	0.28, 1.62	0.59	0.25, 1.41
Gastric/nasogastric tube	1.97	0.85, 4.55	1.48	0.65, 3.39
No medical equipment	0.57	0.17, 1.91	0.31	0.093, 1.06
Any sedation > 30 minutes	0.95	0.42, 2.15	0.30b	0.13, 0.69
Any vasoactive within 24 hours	1.16	0.33, 4.07	0.66	0.19, 2.30
Delirium within 24 hours	3.24	0.46, 22.95	0.22	0.042, 2.09

^aP < 0.01.

^bP < 0.05.

PICU: Pediatric intensive care unit; HLM: Highest level of mobility achieved; ICU: Intensive care unit; PRISM: Pediatric Risk of Mortality Score; PCPC: Pediatric cerebral performance category; NIPPV: Non-invasive positive pressure ventilation.