Table 1.

Criteria for Change in Progressive Mobilization Program Stage in HF

(A) The criteria to increase the stage require confirmation that there are none of the following findings during physical therapy:

• Insufficient mobility function required at the next stage

• ≥20-mmHg decrease in SBP and/or ≥10 mmHg in DBP (postural hypotension)

• ≥30-beats/min increase in heart rate

• >4% decrease in SpO2

• Symptoms: angina, palpitations, dizziness, nausea, fatigue, and dyspnea with ≥14 on the Borg Rating of Perceived Exertion Scale (6–20)

(B) The criteria to decrease the stage require 1 major or ≥2 minor criteria.

Major criteria:

• Falling down or related injuries on the ward

• Heart rate at rest <40 beats/min or >130 beats/min

• New onset of arrhythmias

• Any increase in plasma BNP or NT-proBNP compared with the previous value

• Larger cardiothoracic ratio than the last ratio on chest X-ray

• >1.8-kg increase in body weight over the previous 1–3 days

Minor criteria:

• Worsening of fatigue, edema, or dyspnea

• >10-beats/min increase in heart rate over 1–3 days

• Significant decrease in urine output

BNP, brain natriuretic peptide; DBP, diastolic blood pressure; HF, heart failure; NT-proBNP, N-terminal prohormone of brain natriuretic peptide; SBP, systolic blood pressure; SpO₂, oxygen saturation of peripheral artery.