Evidence map›Paper›PMID 27793165›Full record

ArticleCritical care (London, England)2016

Surviving critical illness: what is next? An expert consensus statement on physical rehabilitation after hospital discharge.

M E Major, R Kwakman, M E Kho, B Connolly, D McWilliams, L Denehy, S Hanekom, S Patman, R Gosselink, C Jones and 4 more

Registry-linked trialAbstract readConsensus Statement
In one paragraph

Article in Critical care (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04375709 (Health-related Quality of Life), which is not on this map. Cited by 60 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 6 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.

NCT04375709 unknown statusnot on this mapstarted 2020, after this paper: background citation

Health-related Quality of Life (HRQOL) and Physical Performance in Individuals After COVID-19 Induced Hospitalisation and the Impact of a Standard Care Follow-up Program: a Longitudinal Observational Cohort Study

TypeobservationalSponsorKantonsspital Winterthur KSWRan2020 to 2021Enrolled60ConditionsCovid-19 (New Coronavirus) InfectionArmsPhysical exercise, Education sessions
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. [S3 guideline on sepsis-prevention, diagnosis, therapy, and follow-up care-update 2025].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
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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

14 authors.

M E MajorACHIEVE-Centre of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.
R KwakmanACHIEVE-Centre of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.
M E KhoMcMaster University, School of Rehabilitation Science, Hamilton, Canada.
B ConnollyGuy's & St Thomas' NHS Foundation Trust and King's College London, Lane Fox Clinical Respiratory Physiology Research Unit, London, UK.
D McWilliamsUniversity Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Therapy Services, Birmingham, UK.
L DenehyThe University of Melbourne, Department of Physiotherapy, Melbourne, Australia.
S HanekomStellenbosch University, Physiotherapy Division, Department of Interdisciplinary Health Sciences, Faculty of Medicine and Health Sciences, Cape Town, South Africa.
S PatmanThe University of Notre Dame Australia, School of Physiotherapy, Fremantle, Australia.
R GosselinkKU Leuven - University of Leuven, Department of Rehabilitation Sciences, Leuven, Belgium.
C JonesUniversity of Liverpool, Musculoskeletal Biology, Institute of Ageing & Chronic Disease, Liverpool, UK.
F NolletAcademic Medical Center, University of Amsterdam, Department of rehabilitation medicine, PO Box 22660, 1100DD, Amsterdam, The Netherlands.
D M NeedhamJohns Hopkins University Baltimore, Outcomes after Critical Illness and Surgery Group, Baltimore, USA.
R H H EngelbertACHIEVE-Centre of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.
M van der SchaafACHIEVE-Centre of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands. m.vanderschaaf@amc.uva.nl.

Funding

Department of Health PDF-2015-08-015
6 · The paper itself

Abstract

backgroundThe study objective was to obtain consensus on physical therapy (PT) in the rehabilitation of critical illness survivors after hospital discharge. Research questions were: what are PT goals, what are recommended measurement tools, and what constitutes an optimal PT intervention for survivors of critical illness?

methodsA Delphi consensus study was conducted. Panelists were included based on relevant fields of expertise, years of clinical experience, and publication record. A literature review determined five themes, forming the basis for Delphi round one, which was aimed at generating ideas. Statements were drafted and ranked on a 5-point Likert scale in two additional rounds with the objective to reach consensus. Results were expressed as median and semi-interquartile range, with the consensus threshold set at ≤0.5.

resultsTen internationally established researchers and clinicians participated in this Delphi panel, with a response rate of 80 %, 100 %, and 100 % across three rounds. Consensus was reached on 88.5 % of the statements, resulting in a framework for PT after hospital discharge. Essential handover information should include information on 15 parameters. A core set of outcomes should test exercise capacity, skeletal muscle strength, function in activities of daily living, mobility, quality of life, and pain. PT interventions should include functional exercises, circuit and endurance training, strengthening exercises for limb and respiratory muscles, education on recovery, and a nutritional component. Screening tools to identify impairments in other health domains and referral to specialists are proposed.

conclusionsA consensus-based framework for optimal PT after hospital discharge is proposed. Future research should focus on feasibility testing of this framework, developing risk stratification tools and validating core outcome measures for ICU survivors.

Indexed as

ConsensusActivities of Daily LivingCritical IllnessDelphi TechniqueHumansPatient DischargePhysical Therapy ModalitiesRehabilitationSurvivorsConsensus statementCritical illnessIntensive carePhysical therapyPost-intensive care syndromeRehabilitation

Identifiers

PMID27793165
PMCPMC5086052

What OpenQuestion holds

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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.