Articles Vol. 67 No. 8 28/08/2026

EARLY MOBILITY AND ASSOCIATED FACTORS IN MECHANICALLY VENTILATED NEUROSURGICAL PATIENTS AT AT THE ANESTHESIOLOGY AND INTENSIVE CARE CENTER OF BACH MAI HOSPITAL

Nguyen Kim Hoan1,2, Vu Van Kham1,2, Pham Viet Ha3,4,5,6, Doan Thu Huyen1,2
1 Anesthesia and Resuscitation Center, Bach Mai Hospital
2 Trung tâm Gây mê Hồi sức, Bệnh viện Bạch Mai
3 Thang Long University
4 Hai Phong International General Hospital
5 Trường Đại học Thăng Long
6 Bệnh viện Đa khoa Quốc tế Hải Phòng
DOI: 10.52163/yhc.v67i8.6299
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Keywords
Early mobilization, neurosurgical, mechanical ventilation, Perme Score, ICU Mobility Scale.
Abstract

Objectives: (1) To evaluate the current status and feasibility of early mobilization in mechanically ventilated patients following neurosurgery; (2) To identify factors associated with early mobilization in this patient population. 

Subjects and methods: A cross-sectional study was conducted on 254 mechanically ventilated post-neurosurgical patients at the Anesthesiology and Resuscitation Center, Bach Mai Hospital from February to June 2025. Data were collected using a questionnaire, the Perme Score, and the ICU Mobility Scale (IMS). 

Results: The mean Perme Score improved significantly from 11.69 ± 4.9 at ICU admission to 18.4 ± 6.4 at ICU discharge (p < 0.001). The rate of early mobilization was 98.8%, with breathing exercises achieving good level (70.1%), limb exercises (59.8%), and walking exercises (30.3%). Factors associated with a higher risk of no improvement in mobility included: age ≥ 60 (OR = 3.65; p = 0.002), RASS < -2 (OR = 2.84; p = 0.01), Glasgow score ≤ 8 (OR = 2.5; p = 0.03), unstable hemodynamics (OR = 3.2; p = 0.005), and presence of comorbidities (OR = 4.7; p = 0.02). 

Conclusion: Early mobilization in mechanically ventilated patients after neurosurgery is implemented at a high rate and yields significant improvement. Risk factors should be carefully managed to optimize recovery outcomes.

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