Evidence map›Paper›PMID 27134761›Full record

ArticleJournal of pediatric intensive care2015

Transforming PICU Culture to Facilitate Early Rehabilitation.

Ramona O Hopkins, Karen Choong, Carleen A Zebuhr, Sapna R Kudchadkar

Registry-linked trialAbstract read
In one paragraph

Article in Journal of pediatric intensive care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04989790 (Clinical Effectiveness of the "PICU Up!" Multifaceted Early Mobility Intervention for Critically Ill Children), which is not on this map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% 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.

NCT04989790 narecruitingnot on this mapstarted 2022, after this paper: background citation

Clinical Effectiveness of the "PICU Up!" Multifaceted Early Mobility Intervention for Critically Ill Children: A Pragmatic, Stepped-wedge Trial

TypeinterventionalSponsorJohns Hopkins UniversityRan2022 to 2026Enrolled1,440ConditionsChild, Intensive Care Unit Acquired Weakness, Critical Illness, Hospital Acquired Pressure UlcerArmsPICU Up!
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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
    Trial
  4. Trial
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Promoting Functional Recovery in Critically Ill Children.Pediatric clinics of North America · 2023
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. [Post-intensive care syndrome in pediatrics]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2021
    Article
  17. Review
  18. Article
  19. Article
  20. Review
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

4 authors at 4 institutions in 2 countries.

Ramona O HopkinsDepartment of Psychology and Neuroscience Center, Brigham Young University, Provo, Utah, United States; Division of Pulmonary and Critical Care Medicine, Intermountain Medical Center, Murray, Utah, United States; Center for Humanizing Critical Care, Intermountain Health Care, Murray, Utah, United States.
Karen ChoongDepartment of Pediatrics and Critical Care Medicine, Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
Carleen A ZebuhrDepartment of Pediatrics, Section of Critical Care, Children's Hospital Colorado, Aurora, Colorado, United States.
Sapna R KudchadkarDepartment of Anesthesiology and Critical Care Medicine and Pediatrics, Johns Hopkins University School of Medicine, The Charlotte R. Bloomberg Children's Center, Baltimore, Maryland, United States.
Bloomberg (United States) · USChildren's Hospital Colorado · USIntermountain Medical Center · USMcMaster University · CA

Funding

Institute for Clinical and Translational Research (KL2)KL2RR025006 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$12.9M
NCRR NIH HHS KL2 RR025006
6 · The paper itself

Abstract

Children who survive a critical illness are at risk of developing significant, long-lasting morbidities that may include neuromuscular weakness, cognitive impairments, and new mental health disorders. These morbidities, collectively known as post-intensive care syndrome (PICS), may lead to functional impairments, difficulty in school and social settings, and reduced quality of life. Interventions aimed at rehabilitation such as early mobilization, sedation minimization and prevention of ICU-acquired weakness, delirium, and posttraumatic stress disorder may lead to improved clinical outcomes and functional recovery in critically ill children. Acute rehabilitation is challenging to implement in a pediatric intensive care unit (PICU), and a culture change is needed to effect widespread transformation in this setting. Our objectives in this article are to review the evidence on PICS in children and strategies for affecting culture change to facilitate early rehabilitation in the PICU.

Indexed as

acute rehabilitationcritical illnessculture changeearly mobilitymobilizationpediatricPICUpost-intensive care syndrome

Identifiers

PMID27134761
PMCPMC4849412
OpenAlexW2235793468

What OpenQuestion holds

Textmetadata
LicenceTDM
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.