SynthesisIntensive care medicine2015
Assessment of impairment and activity limitations in the critically ill: a systematic review of measurement instruments and their clinimetric properties.
Synthesis in Intensive care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 75 papers, 5 of them syntheses that pooled 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.
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.
Can an Actigraph be Used to Predict Physical Function in Intensive Care Patients?
Physical Function in Critical Care (PaciFIC): An Multi-centre Observational Study
Validation of Chelsea Physical Assessment Tool (CPAx) in COVID-19 Patients for Assessing Functional Status After Intensive Care Unit Discharge
Who cites it
75 citing papers in PubMed, 5 syntheses or guidelines pooled it, 185 citations in OpenAlex.
- Rehabilitation in the Intensive Care Unit for Adults with Traumatic Brain Injury: A Systematic Review and Meta-analysis.Neurocritical care · 2026Pooled it
- A Core Set of Outcome Measures to Assess Physical Function for Adults Participating in Physical Therapist Treatment in the Hospital: A Clinical Practice Guideline.Physical therapy · 2025Guideline
- Core outcome measures for clinical effectiveness trials of nutritional and metabolic interventions in critical illness: an international modified Delphi consensus study evaluation (CONCISE).Critical care (London, England) · 2022Pooled it
- Six-Minute Walk Distance After Critical Illness: A Systematic Review and Meta-Analysis.Journal of intensive care medicine · 2021Pooled it
- ICU-acquired weakness.Intensive care medicine · 2020Pooled it
- Trial
- Muscle mass, strength and functional outcomes in critically ill patients after cardiothoracic surgery: does neuromuscular electrical stimulation help? The Catastim 2 randomized controlled trial.Critical care (London, England) · 2016Trial
- A Novel Noninvasive Method for Measuring Fatigability of the Quadriceps Muscle in Noncooperating Healthy Subjects.BioMed research international · 2015Trial
- The Short Physical Performance Battery is a valid tool in survivors of critical illness: international clinimetric secondary analysis.Disability and rehabilitation · 2026Article
- Study Protocol: Protocol of Intensive Care Unit Graded Mobilization (PG-Motion) Study: A Randomized Clinical Trial.Health science reports · 2026Article
- Outcomes after specialized rehabilitation for patients with critical COVID-19 and prolonged intensive care unit stays.European clinical respiratory journal · 2026Article
- Article
- Longitudinal Ultrasound Monitoring of Peripheral Muscle Loss in Neurocritical Patients.Journal of imaging · 2025Article
- Exploring Peripheral and Respiratory Muscle Weakness and Functional Impairments in ICU Patients: Insights From a Resource-Constrained Setting.Critical care explorations · 2025Observational
- Return to work of major trauma survivors from a private level 1 trauma centre in South Africa.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Be-SNAP: the Belgian Sepsis National Action Plan.Frontiers in public health · 2025Article
- Assessing the safety of physical rehabilitation in critically ill patients: a Delphi study.Critical care (London, England) · 2024Article
- Early Mobilization and Rehabilitation of Critically-Ill Patients.Tuberculosis and respiratory diseases · 2024Article
- Continuous monitoring of physiological data using the patient vital status fusion score in septic critical care patients.Scientific reports · 2024Article
- Physical function measures in ICU survivors, where to now? A scoping review.The Southern African journal of critical care : the official journal of the Critical Care Society · 2024Article
15 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo identify measures used to evaluate the broad constructs of functional impairment and limitations in the critically ill across the continuum of recovery, and to evaluate, synthesise and compare the clinimetric properties of the measures identified.
methodsA systematic review of articles was carried out using the databases Medline (1950-2014), CINAHL (1982-2014), EMBASE (1980-2014), Cochrane Library (2014) and Scopus (1960-2014). Additional studies were identified by searching personal files. Eligibility criteria for selection: Search 1: studies which assessed muscle mass, strength or function using objective non-laboratory measures; Search 2: studies which evaluated a clinimetric property (reliability, measurement error, validity or responsiveness) for one of the measures identified in search one. Two independent reviewers assessed articles for inclusion and assessed risk of bias using the consensus-based standards for selection of health status measurement instruments checklist.
resultsThirty-three measures were identified; however, only 20 had established clinimetric properties. Ultrasonography, dynamometry, physical function in intensive care test scored and the Chelsea critical care physical assessment tool performed the strongest for the measurement of impairment of body systems (muscle mass and strength) and activity limitations (physical function), respectively.
conclusionsThere is considerable variability in the type of measures utilized to measure physical impairments and limitations in survivors of critical illness. Future work should identify a core set of standardized measures, which can be utilized across the continuum of critical illness recovery embedded within the International Classification of Functioning framework. This will enable improved comparisons between future studies, which in turn will assist in identifying the most effective treatment strategies to ameliorate the devastating longer-term outcomes of a critical illness.
Indexed as
Identifiers
What OpenQuestion holds
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.