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Fig 1.

Flow chart.

Study flow chart through the systematic review. *Detailed search history can be found in S1 Table in S1 File.

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Table 1.

Characteristics of included randomised clinical trials.

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Fig 2.

Risk of bias assessment: Review authors’ judgements about each risk of bias item for each included study.

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Fig 3.

Risk of bias graph: Review author’s judgements about each risk of bias item presented as percentages across all included studies.

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Fig 4.

Comparison of early mobilisation versus standard care–mortality or poor functional outcome at the end of the intervention.

Fig 4A and 4B. Forest-plots showing the results from the fixed-effect meta-analysis of the primary composite outcome mortality or poor functional outcome at the end of intervention with subgroup divided according to risk of bias (A) or diagnosis (B).

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Fig 5.

Comparison of early mobilisation versus standard care–mortality or poor functional outcome at maximal follow-up.

Fig 5A and 5B. Forest-plots showing the results from the fixed-effect meta-analysis of the primary composite outcome mortality or poor functional outcome at maximal follow-up with subgroup divided according to risk of bias (A) or diagnosis (B).

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Table 2.

Results of trial sequential analysis of early mobilisation versus standard care.

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Fig 6.

Comparison of early mobilisation versus standard care–mortality at the end of the intervention.

Fig 6A and 6B. Forest-plots showing the results from the fixed-effect meta-analysis of the outcome mortality at end of intervention with subgroup divided according to risk of bias (A) or diagnosis (B).

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Fig 7.

Comparison of early mobilisation versus standard care–mortality at maximal follow-up.

Fig 7A and 7B. Forest-plots showing the results from the fixed-effect meta-analysis of the outcome mortality at maximal follow-up with subgroup divided according to risk of bias (A) or diagnosis (B).

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Fig 8.

Comparison of early mobilisation versus standard care–Poor functional outcome among survivors at the end of the intervention.

Fig 8A and 8B. Forest-plots showing the results from the fixed-effect meta-analysis of the outcome poor function at the end of intervention with subgroup divided according to risk of bias (A) or diagnosis (B).

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Fig 9.

Comparison of early mobilisation versus standard care–Poor functional outcome among survivors at maximal follow-up.

Figs 9A and 8B. Forest-plot showing the results from the fixed-effect meta-analysis of the outcome poor functional outcome at the longest follow-up with subgroup divided according to risk of bias (A) or diagnosis (B).

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Fig 10.

Comparison of early mobilisation versus standard care–Quality of life at maximal follow-up.

Fig 10 A. Forest-plot showing the results from the fixed-effect meta-analysis of the outcome quality of life at maximal follow-up with subgroup divided according to risk of bias.

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Fig 11.

Comparison of early mobilisation versus standard care–Serious adverse events at the end of the intervention.

Fig 11 A and B. Forest-plots showing the results from the fixed-effect meta-analysis of the outcome serious adverse events at the end of intervention with subgroup divided according to risk of bias (A) or diagnosis (B).

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Fig 12.

Comparison of early mobilisation versus standard care–Serious adverse events at maximal follow-up.

Fig 12 A. Forest-plot showing the results from the fixed-effect meta-analysis of the outcome serious adverse events at the longest follow-up with subgroup divided according to low risk of bias or risk of bias.

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Fig 13.

Comparison of early mobilisation versus standard care–Coma Recovery Scale-Revised at the end of the intervention.

Fig 13A and 13B. Forest-plot showing the results from the random-effects meta-analysis of the outcome Coma Recovery Scale-Revised at the end of intervention with subgroup divided according to risk of bias (A) or diagnosis (B).

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Fig 14.

Comparison of early mobilisation versus standard care–Coma Recovery Scale-Revised at maximal follow-up.

Fig 14A and 14B. Forest-plot showing the results from the random-effects meta-analysis of the outcome Coma Recovery Scale-Revised at the longest follow-up with subgroup divided according to risk of bias (A) or diagnosis (B).

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Fig 15.

Comparison of early mobilisation versus standard care–Adverse events not considered serious at the end of the intervention.

Fig 15A and 15B. Forest-plot showing the results from the fixed-effect meta-analysis of the outcome adverse events not considered serious at the end of intervention with subgroup divided according to risk of bias (A) or diagnosis (B).

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Fig 16.

Comparison of early mobilisation versus standard care–Adverse events not considered serious at maximal follow-up.

Fig 16A. Forest-plot showing the results from the fixed-effect meta-analysis of the outcome adverse events not considered serious at the maximal follow-up with subgroup divided according to risk of bias.

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Table 3.

Summary of findings for early mobilisation versus delayed mobilisation.

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