Evidence map›Paper›PMID 22983782›Full record

ArticleBMJ open2012

Early rehabilitation in critical care (eRiCC): functional electrical stimulation with cycling protocol for a randomised controlled trial.

Selina M Parry, Sue Berney, René Koopman, Adam Bryant, Doa El-Ansary, Zudin Puthucheary, Nicholas Hart, Stephen Warrillow, Linda Denehy

4 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02214823 nacompletednot on this map

Functional Electrical Stimulation Assisted Cycling (eStimCycle):A Novel Intervention to Improve Outcomes in the Critically Ill

TypeinterventionalSponsorAssociate Professor Sue Berney PhD, BPTRan2012 to 2018Enrolled162ConditionsIntensive Care Unit Acquired Weakness (ICUAW)ArmsFES-Cycling, Standard Care
NCT02864745 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Functional Electrical Stimulation-assisted Cycle Ergometry in Critically Ill: Linking Deranged Muscle Physiology to Long-term Functional Outcome

TypeinterventionalSponsorCharles University, Czech RepublicRan2016 to 2020Enrolled150ConditionsCritical IllnessArmsfunctional electrical stimulation-assisted cycle ergometry, standard rehabilitation
NCT03021902 phase2completednot on this mapstarted 2017, after this paper: background citation

Nutrition and Exercise in Critical Illness (The NEXIS Trial): A Randomized Trial of Combined Cycle Ergometry and Amino Acids in the ICU

TypeinterventionalSponsorClinical Evaluation Research Unit at Kingston General HospitalRan2017 to 2025Enrolled115ConditionsAcute Respiratory FailureArmsIV amino acids, In-bed cycle ergometry exercise
NCT05053724 nacompletednot on this mapstarted 2018, after this paper: background citation

Efficacy of the "Start to Move" Protocol on Functionality, Delirium and Acquired Weakness in ICU. Randomized Clinical Trial.

TypeinterventionalSponsorHospital Felix BulnesRan2018 to 2019Enrolled69ConditionsIntensive Care Unit Acquired Weakness, Intensive Care Unit Delirium, Intensive Care Neuropathy, Intensive Care Unit SyndromeArmsStar to move Protocol
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Physical rehabilitation for critical illness myopathy and neuropathy.The Cochrane database of systematic reviews · 2015
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Selina M ParryDepartment of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, Australia.
Sue Berney
René Koopman
Adam Bryant
Doa El-Ansary
Zudin Puthucheary
Nicholas Hart
Stephen Warrillow
Linda Denehy
University of Melbourne · AUAustin Health · AUGuy's and St Thomas' NHS Foundation Trust · GBKing's College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntensive care-acquired weakness is a common problem, leads to significant impairment in physical functioning and muscle strength, and is prevalent in individuals with sepsis. Early rehabilitation has been shown to be safe and feasible; however, commencement is often delayed due to a patient's inability to co-operate. An intervention that begins early in an intensive care unit (ICU) admission without the need for patient volition may be beneficial in attenuating muscle wasting. The eRiCC (early rehabilitation in critical care) trial will investigate the effectiveness of functional electrical stimulation-assisted cycling and cycling alone, compared to standard care, in individuals with sepsis. METHODS AND ANALYSIS: This is a single centre randomised controlled trial. Participants (n=80) aged ≥18 years, with a diagnosis of sepsis or severe sepsis, who are expected to be mechanically ventilated for ≥48 h and remain in the intensive care ≥4 days will be randomised within 72 h of admission to (1) standard care or (2) intervention where participants will receive functional electrical muscle stimulation-assisted supine cycling on one leg while the other leg undergoes cycling alone. Primary outcome measures include: muscle mass (quadriceps ultrasonography; bioelectrical impedance spectroscopy); muscle strength (Medical Research Council Scale; hand-held dynamometry) and physical function (Physical Function in Intensive Care Test; Functional Status Score in intensive care; 6 min walk test). Blinded outcome assessors will assess measures at baseline, weekly, at ICU discharge and acute hospital discharge. Secondary measures will be evaluated in a nested subgroup (n=20) and will consist of biochemical/histological analyses of collected muscle, urine and blood samples at baseline and at ICU discharge. ETHICS AND DISSEMINATION: Ethics approval has been obtained from the relevant institution, and results will be published to inform clinical practice in the care of patients with sepsis to optimise rehabilitation and physical function outcomes.

trial registrationAustralian and New Zealand Clinical Trials Registry ACTRN12612000528853.

Identifiers

PMID22983782
PMCPMC3467594
OpenAlexW2159592514

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.