Evidence map›Paper›PMID 27600938›Full record

ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2017

[Algorithms for early mobilization in intensive care units].

P Nydahl, R Dubb, S Filipovic, C Hermes, F Jüttner, A Kaltwasser, S Klarmann, H Mende, S Nessizius, C Rottensteiner

Abstract read
PubMed Publisher
In one paragraph

Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Guideline
  3. Article
  4. [Core curriculum of intensive care and emergency medicine in internal medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
    Review
  5. Article
  6. [Weaning from invasive mechanical ventilation].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021
    Article
  7. Review
  8. Article
  9. Article
  10. [Customised early mobilisation : How about a little bit more?]Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2017
    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

10 authors.

P NydahlPflegeforschung, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Brunswiker Str. 10, 24105, Kiel, Deutschland. peter.nydahl@uksh.de.
R DubbAkademie der Kreiskliniken Reutlingen, Kreiskliniken Reutlingen GmbH, Reutlingen, Deutschland.
S FilipovicAbteilung Physiotherapie, Universitätsklinikum Marburg, Marburg, Deutschland.
C HermesAnästhesie und Intensivpflege, HELIOS Klinikum Siegburg, Siegburg, Deutschland.
F JüttnerAnästhesie und Intensivpflege, Asklepios Paulinen Klinik Wiesbaden, Wiesbaden, Deutschland.
A KaltwasserAkademie der Kreiskliniken Reutlingen, Kreiskliniken Reutlingen GmbH, Reutlingen, Deutschland.
S KlarmannZentrale Einrichtung Physiotherapie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland.
H MendeKlinik für Neurologie, Neurophysiologie, Frührehabilitation und Schlafmedizin, Christophsbad Göppingen, Göppingen, Deutschland.
S NessiziusInstitut für Physikalische Medizin und Rehabilitation, Bereich Innere Medizin/Intensivstation, LKH-Universitätskliniken Innsbruck, Innsbruck, Österreich.
C RottensteinerUniversitätsklinik für Physikalische Medizin und Rehabilitation Wien, Wien, Österreich.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immobility of patients in intensive care units (ICU) can lead to long-lasting physical and cognitive decline. During the last few years, bundles for rehabilitation were developed, including early mobilization. The German guideline for positioning therapy and mobilization, in general, recommends the development of ICU-specific protocols. The aim of this narrative review is to provide guidance when developing a best practice protocol in one's own field of work. It is recommended to a) implement early mobilization as part of a bundle, including screening and management of patient's awareness, pain, anxiety, stress, delirium and family's presence, b) develop a traffic-light system of specific in- and exclusion criteria in an interprofessional process, c) use checklists to assess risks and preparation of mobilization, d) use the ICU Mobility Scale for targeting and documentation of mobilization, e) use relative safety criteria for hemodynamic and respiratory changes, and Borg Scale for subjective evaluation, f) document and evaluate systematically mobilization levels, barriers, unwanted safety events and other parameters.

Indexed as

AlgorithmsEarly AmbulationIntensive Care UnitsBenchmarkingCombined Modality TherapyDeliriumDocumentationExercise TherapyGuideline AdherenceHumansPhysical Therapy ModalitiesRespiration, ArtificialRisk AssessmentDeliriumExercise therapyPhysical therapy modalitiesRehabilitationRespiration therapy

Identifiers

What OpenQuestion holds

Textmetadata
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.