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  3. bmcsurg.biomedcentral.com › track › pdfExtended mobility scale (AMEXO) for assessing mobilization ...

    HOpkins Highest Level of mObility (AMEXO) scale. e AMEXO scale was subsequently implemented in rou-tine clinical practice. If the ceiling eects were reduced by extending the JH-HLM into the AMEXO scale, the multidisciplinary team may be better able to assess mobi-lization, set mobilization goals and discuss mobilization

  4. www.ncbi.nlm.nih.gov › pmc › articlesExtended mobility scale (AMEXO) for assessing mobilization ...

    Feb 2, 2022 · Early structured mobilization has become a key element of Enhanced Recovery After Surgery programs to improve patient outcomes and decrease length of hospital stay. With the intention to assess and improve early mobilization levels, the 8-point ordinal John Hopkins Highest Level of Mobility (JH-HLM) scale was implemented at two gastrointestinal ...

    • 10.1186/s12893-021-01445-3
    • 2022
    • BMC Surg. 2022; 22: 38.

  5. bmcsurg.biomedcentral.com › articles › 10Extended mobility scale (AMEXO) for assessing mobilization ...

    • Study Design
    • Study Population
    • Jh-Hlm and Amexo Mobility Scales
    • Ceiling Effect
    • Procedures
    • Data Analysis

    This is an uncontrolled before-after study performed at two surgical wards. First, the JH-HLM scale was implemented at both surgical wards between March and June 2018, after which the JH-HLM scale was used during routine clinical care from July 2018 until January 2019. Second, the JH-HLM was extended into the AMEXO scale where after the AMEXO scale...

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    All adult patients who were admitted to one of the two surgical wards between July and December 2018 (before) or July and December 2019 (after extending the JH-HLM into the AMEXO scale), underwent gastrointestinal and oncological surgery and had a JH-HLM or AMEXO score on the first postoperative day were included. Moreover, every patient was only i...

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    The JH-HLM scale is a 1-item ordinal scale with eight response categories and is used by healthcare professionals to assess mobilization, set mobilization goals and discuss mobilization success during inter-professional meetings . Each category is numbered consecutively from 1 = lying passively in bed to 8 = walking approximately 250 ft or more . I...

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    Based on previous research, a ceiling effect was considered to be present if more than 15% of patients achieved the highest possible score . The presence of a ceiling effect when using the JH-HLM and AMEXO scales to assess mobilization was therefore determined by evaluating the percentage of patients with the highest possible mobility score on the ...

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    Routine care data registration procedures before and after were the same. All mobility scores were based on a patient’s mobilization (i.e., what a patient has actually done) over a fixed observation period (e.g. nurse shifts or physical therapist session) . Nurses were instructed to document the mobilization, at the end of each day and evening shif...

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    All analysis were conducted using IBM-SPSS Statistics version 26 (IBM Corp, Armonk, New York) and R (R core team, Vienna, Austria). A two-tailed p-value of 0.05 was considered statistically significant. Normality of data was evaluated by visually inspecting continuous and ordinal data using Q-Q plots. Patient characteristics were described descript...

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  6. www.researchgate.net › publication › 358283102Extended mobility scale (AMEXO) for assessing mobilization ...

    Feb 2, 2022 · With the intention to assess and improve early mobilization levels, the 8-point ordinal John Hopkins Highest Level of Mobility (JH-HLM) scale was implemented at two gastrointestinal and ...

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