Evidence map›Paper›PMID 25651047›Full record

ArticlePediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2015

Functional recovery following critical illness in children: the "wee-cover" pilot study.

Karen Choong, Samah Al-Harbi, Katie Siu, Katie Wong, Ji Cheng, Burke Baird, David Pogorzelski, Brian Timmons, Jan-Willem Gorter, Lehana Thabane and 2 more

Abstract read
In one paragraph

Article in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.3field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 65 citations in OpenAlex.

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  4. Early Protocolized Versus Usual Care Rehabilitation for Pediatric Neurocritical Care Patients: A Randomized Controlled Trial.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2019
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  5. Long-Term Outcomes after Protocolized Sedation versus Usual Care in Ventilated Pediatric Patients.American journal of respiratory and critical care medicine · 2018
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  18. Multistakeholder Qualitative Research Methods to Impact Culture of Care Practices in the ICU.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2018
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  19. Mortality After Pediatric Critical Illness: Made It Home, Still Vulnerable.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2018
    Article
  20. Body Composition Changes in Severely Burned Children During ICU Hospitalization.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 2 countries.

Karen Choong1Department of Pediatrics, Critical Care, Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada. 2Division of Pediatric Critical Care, Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada. 3Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada. 4Department of Pediatrics, and Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada. 5CanChild Centre for Childhood Disability, McMaster University, Hamilton, Ontario, Canada. 6Department of Occupational Therapy, Colorado State University, Fort Collins, CO.
Samah Al-Harbi
Katie Siu
Katie Wong
Ji Cheng
Burke Baird
David Pogorzelski
Brian Timmons
Jan-Willem Gorter
Lehana Thabane
Mary Khetani
Canadian Critical Care Trials Group
McMaster University · CAColorado State University · US

Funding

MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
NICHD NIH HHS K12 HD055931
6 · The paper itself

Abstract

objectiveTo determine the feasibility of conducting a longitudinal prospective study to evaluate functional recovery and predictors of impaired functional recovery in critically ill children.

designProspective pilot study.

settingSingle-center PICU at McMaster Children's Hospital, Hamilton, Canada. PATIENTS: Children aged 12 months to 17 years, with at least one organ dysfunction, limited mobility or bed rest during the first 48 hours of PICU admission, and a minimum 48-hour PICU length of stay, were eligible. Patients transferred from a neonatal ICU prior to ever being discharged home, already mobilizing well or at baseline functional status at time of screening, with an English language barrier, and prior enrollment into this study, were excluded.

interventionsNone. MEASUREMENTS AND MAIN

resultsThe primary outcome was feasibility, as defined by the ability to screen, enroll eligible patients, and execute the study procedures and measurements on participants. Secondary outcomes included functional status at baseline, 3 and 6 months, PICU morbidity, and mortality. Functional status was measured using the Pediatric Evaluation of Disability Inventory and the Participation and Environment Measure for Children and Youth. Thirty-three patients were enrolled between October 2012 and April 2013. Consent rate was 85%, and follow-up rates were 93% at 3 months and 71% at 6 months. We were able to execute the study procedures and measurements, demonstrating feasibility of conducting a future longitudinal study. Functional status deteriorated following critical illness. Recovery appears to be influenced by baseline health or functional status and severity of illness.

conclusionLongitudinal research is needed to understand how children recover after a critical illness. Our results suggest factors that may influence the recovery trajectory and were used to inform the methodology, outcomes of interest, and appropriate sample size of a larger multicenter study evaluating functional recovery in this population.

Indexed as

Recovery of FunctionAdolescentCanadaChildChild, PreschoolCritical IllnessFemaleFollow-Up StudiesHumansInfantIntensive Care Units, PediatricLength of StayMalePilot ProjectsProspective StudiesRisk Factors

Identifiers

PMID25651047
PMCPMC4499478
OpenAlexW2316639094

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.