Physical rehabilitation interventions in the intensive care unit: a scoping review of 117 studies

Abstract Background Physical rehabilitation (PR) interventions in the intensive care unit (ICU) can improve patients’ functional outcomes, yet systematic reviews identified discordant effects and poor reporting. We conducted a scoping review to determine the extent of ICU PR interventions and how they were reported and measured. Methods We searched five databases from inception to December 2016 for prospective studies evaluating adult ICU PR interventions. Two independent reviewers screened titles, abstracts, and full texts for inclusion. We assessed completeness of reporting using the Consolidated Standards of Reporting Trials, Strengthening the Reporting of Observational Studies in Epidemiology, or Standards for Quality Improvement Reporting Excellence guidelines, as appropriate. For planned PR interventions, we evaluated reporting with the Consensus on Exercise Reporting Template (CERT) and assessed intervention and control groups separately. We calculated completeness of reporting scores for each study; scores represented the proportion of reported items. We compared reporting between groups using Kruskal-Wallis with Bonferroni corrections and t tests, α = 0.05. Results We screened 61,774 unique citations, reviewed 1429 full-text publications, and included 117: 39 randomized trials, 30 case series, 9 two-group comparison, 14 before-after, and 25 cohort. Interventions included neuromuscular electrical stimulation (NMES) (14.5%), passive/active exercises (15.4%), cycling (6.8%), progressive mobility (32.5%), and multicomponent (29.9%). The median (first,third quartiles) study reporting score was 75.9% (62.5, 86.7) with no significant differences between reporting guidelines. Of 87 planned intervention studies, the median CERT score was 55.6%(44.7,75.0); cycling had the highest (85.0%(62.2,93.8)), and NMES and multicomponent the lowest (50.0% (39.5, 70.3) and 50.0% (41.5, 58.8), respectively) scores. Authors reported intervention groups better than controls (p

Tags
Data and Resources
To access the resources you must log in

This item has no data

Identity

Description: The Identity category includes attributes that support the identification of the resource.

Field Value
PID https://www.doi.org/10.6084/m9.figshare.c.4328546.v2
PID https://www.doi.org/10.6084/m9.figshare.c.4328546
PID https://www.doi.org/10.6084/m9.figshare.c.4328546.v1
URL http://dx.doi.org/10.6084/m9.figshare.c.4328546.v2
URL http://dx.doi.org/10.6084/m9.figshare.c.4328546.v1
URL http://dx.doi.org/10.6084/m9.figshare.c.4328546
Access Modality

Description: The Access Modality category includes attributes that report the modality of exploitation of the resource.

Field Value
Access Right not available
Attribution

Description: Authorships and contributors

Field Value
Author Reid, Julie C., 0000-0002-1424-3105
Author Unger, Janelle
Author McCaskell, Devin
Author Childerhose, Laura
Author Zorko, David J.
Author Kho, Michelle E.
Publishing

Description: Attributes about the publishing venue (e.g. journal) and deposit location (e.g. repository)

Field Value
Collected From Datacite
Hosted By figshare
Publication Date 2018-01-01
Publisher figshare
Additional Info
Field Value
Language UNKNOWN
Resource Type Collection
keyword FOS: Sociology
keyword FOS: Biological sciences
keyword FOS: Health sciences
system:type other
Management Info
Field Value
Source https://science-innovation-policy.openaire.eu/search/other?orpId=dedup_wf_001::67f1be57539bed35ffadce866981dc19
Author jsonws_user
Last Updated 19 December 2020, 23:49 (CET)
Created 19 December 2020, 23:49 (CET)