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Daily compliance of the ABCDEF liberation bundle for patients in the intensive care unit: A retrospective descriptive study

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Compliance per element of the ABCDEF bundle for six months during 2019.
ElementTotaln (%) or P50 (IQR)(n = 1134)IMVn (%) or P50 (IQR)(n = 391)Without IMVn (%) or P50 (IQR)(n = 743)
Element A
Eligible1134 (100)391 (35)743 (65)
Compliance158 (14)15 (4)143 (19)
≥ 6 evaluations per day1 (0)0 (0)1 (0)
Number of evaluations per day1 (1 to 1)1 (1 to 1)1 (1 to 1)
Element B
Eligible B1 element574 (51)362 (63)212 (37)
Compliance0 (0)0 (0)0 (0)
Eligible Element B2391 (35)391(100)N/A
Compliance41 (11)41 (11)N/A
Element C
Eligible1134 (100)391 (100)743 (100)
Compliance466 (41)358 (92)109 (15)
≥ 6 evaluations per day202 (43)194 (54)8 (7)
Number of evaluations per day5 (2 to 7)6 (4 to 7)7 (6 to 8)
Element D
Eligible1134 (100)391 (100)743 (100)
Compliance274 (24)90 (23)184 (25)
≥ 2 evaluations per day42 (15)12 (13)30 (16)
Number of evaluations per day1 (1 to 1)1 (1 to 2)1 (1 to 1)
Element E
Eligible897 (79)306 (78)591 (80)
Compliance600 (67)149 (49)451 (76)
Number of early mobilization sessions1749 (100)178 (24)571 (76)
Number of early mobilization sessions per day1 (1 to 1)1 (1 to 1)1 (1 to 1)
Element F
Eligible1134 (100)391 (100)743 (100)
Compliance1 (0)1 (0)0 (0)

IMV, Invasive mechanical ventilation; IQR, Interquartile range.N/A, not applicable. P50, Median.

1One patient/day could contain more than one early mobilization record; the total number of sessions recorded in the 600 patient/days was n = 749.

Source: Prepared by the authors from data extracted from electronic clinical records.