Turkish Neurosurgery
The Interval between External Ventricular Drain (EVD) Implantation and Time to Mobilization in Patients at the Neurosurgery ICU
Kobra Rafiei Badi2, Mohammadreza Hajiesmaeili1, Majid Mokhtari2, Reza Goharani2, Mahdi Amirdosara1, Masood Zangi2
1Shahid Beheshti university of medical sciences , Critical care quality improvement research center,, Tehran,
2Shahid Behehshti University of medical sciences, Tehran,
DOI: 10.5137/1019-5149.JTN.40842-22.2

Aim:Neurosurgerypatients with external ventricular drain (EVD) who are admitted to ICU often remains at rest due to increased intracranial pressure and it leads to prolonged ICU and hospital LOS, mechanical ventilator (MV) duration, and other adverse effects. So, we aim to describe the interval between EVD implantation and time to mobilization in patients with EVD at the neurosurgery ICU.Material and Methods:A retrospective descriptive study was performed on 131 neurosurgery patients with SAH or ICH admitted to the ICU who underwent EVD. Patients who met the inclusion criteria were evaluated for time to mobilization, level of mobilization, ICU and hospital LOS, duration on MV, and some other factors.Results:: Of the 131 patients, 67 survived and 61 started to mobilize in different levels of dangling (26.22%), standing (44.26%), and walking (29.5%). The mean days of time EVD implantation to mobilization was 10.15. Based on the results mean of the days of ICU LOS in patients was 14.56, duration on MV was 7.13, Time to ICU discharge from EVD removal was 7.08, and hospital LOS was 16.98. Also, 7 patients (10.44%) developed DVT and 3 of them (4.47) developed PE.Conclusion:Prolonged immobility of patients with EVD has deleterious consequences such as PE and DVT In addition, leads to an increased duration on MV, ICU LOS, and hospital LOS. Therefore, designing an appropriate and standard mobilization protocol and training nursing staff in order to help patients mobilize safely, can greatly reduce the mentioned complications, reduce postoperative care and empower patients.

Corresponding author : Mohammadreza Hajiesmaeili