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

摘要: 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 extent of ICU PR how they were reported measured. searched five databases from inception December 2016 for prospective studies evaluating adult interventions. Two independent reviewers screened titles, abstracts, full texts inclusion. assessed completeness reporting using Consolidated Standards Reporting Trials, Strengthening Observational Studies Epidemiology, or Quality Improvement Excellence guidelines, as appropriate. For planned interventions, we evaluated with Consensus on Exercise Template (CERT) intervention control groups separately. calculated scores each study; represented proportion items. compared between Kruskal-Wallis Bonferroni corrections t tests, α = 0.05. 61,774 unique citations, reviewed 1429 full-text publications, included 117: 39 randomized trials, 30 case series, 9 two-group comparison, 14 before-after, 25 cohort. Interventions neuromuscular electrical stimulation (NMES) (14.5%), passive/active exercises (15.4%), cycling (6.8%), progressive mobility (32.5%), multicomponent (29.9%). The median (first,third quartiles) study score was 75.9% (62.5, 86.7) no significant differences guidelines. Of 87 studies, CERT 55.6%(44.7,75.0); had highest (85.0%(62.2,93.8)), NMES lowest (50.0% (39.5, 70.3) 50.0% (41.5, 58.8), respectively) scores. Authors better than controls (p < 0.001). important deficiencies limiting clinical implementation future trial development.