Evidence map›Paper›PMID 28210771›Full record

SynthesisIntensive care medicine2017

Factors influencing physical activity and rehabilitation in survivors of critical illness: a systematic review of quantitative and qualitative studies.

Selina M Parry, Laura D Knight, Bronwen Connolly, Claire Baldwin, Zudin Puthucheary, Peter Morris, Jessica Mortimore, Nicholas Hart, Linda Denehy, Catherine L Granger

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Intensive care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 8 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

69 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  7. ICU-acquired weakness.Intensive care medicine · 2020
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9 more citing papers are in PubMed but not listed here.

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.

Selina M ParryDepartment of Physiotherapy, School of Health Sciences, The University of Melbourne, Level 7 Alan Gilbert Building, Parkville, Melbourne, VIC, 3010, Australia. selina.parry@unimelb.edu.au.
Laura D KnightDepartment of Physiotherapy, Royal Melbourne Hospital, Melbourne, VIC, Australia.
Bronwen ConnollyGuy's and St Thomas' NHS Foundation Trust and King's College London National Institute of Health Research Biomedical Research Centre, London, UK.
Claire BaldwinInternational Centre for Allied Health Evidence (iCAHE) and the Sansom Institute, University of South Australia, Adelaide, SA, Australia.
Zudin PuthuchearyCentre of Human and Aerospace Physiological Sciences, King's College London, London, UK.
Peter MorrisDepartment of Critical Care, University of Kentucky, Lexington, USA.
Jessica MortimoreGuy's and St Thomas' NHS Foundation Trust and King's College London National Institute of Health Research Biomedical Research Centre, London, UK.
Nicholas HartGuy's and St Thomas' NHS Foundation Trust and King's College London National Institute of Health Research Biomedical Research Centre, London, UK.
Linda DenehyDepartment of Physiotherapy, School of Health Sciences, The University of Melbourne, Level 7 Alan Gilbert Building, Parkville, Melbourne, VIC, 3010, Australia.
Catherine L GrangerDepartment of Physiotherapy, School of Health Sciences, The University of Melbourne, Level 7 Alan Gilbert Building, Parkville, Melbourne, VIC, 3010, Australia.

Funding

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

Abstract

purposeTo identify, evaluate and synthesise studies examining the barriers and enablers for survivors of critical illness to participate in physical activity in the ICU and post-ICU settings from the perspective of patients, caregivers and healthcare providers.

methodsSystematic review of articles using five electronic databases: MEDLINE, CINAHL, EMBASE, Cochrane Library, Scopus. Quantitative and qualitative studies that were published in English in a peer-reviewed journal and assessed barriers or enablers for survivors of critical illness to perform physical activity were included. Prospero ID: CRD42016035454.

resultsEighty-nine papers were included. Five major themes and 28 sub-themes were identified, encompassing: (1) patient physical and psychological capability to perform physical activity, including delirium, sedation, illness severity, comorbidities, weakness, anxiety, confidence and motivation; (2) safety influences, including physiological stability and concern for lines, e.g. risk of dislodgement; (3) culture and team influences, including leadership, interprofessional communication, administrative buy-in, clinician expertise and knowledge; (4) motivation and beliefs regarding the benefits/risks; and (5) environmental influences, including funding, access to rehabilitation programs, staffing and equipment.

conclusionsThe main barriers identified were patient physical and psychological capability to perform physical activity, safety concerns, lack of leadership and ICU culture of mobility, lack of interprofessional communication, expertise and knowledge, and lack of staffing/equipment and funding to provide rehabilitation programs. Barriers and enablers are multidimensional and span diverse factors. The majority of these barriers are modifiable and can be targeted in future clinical practice.

Indexed as

ExerciseSurvivorsCritical IllnessFamilyHealth PersonnelHumansIntensive Care UnitsMotivationQualitative ResearchSeverity of Illness IndexBehaviour changeCritical carePhysical activityPhysical therapyRehabilitationReview

Identifiers

PMID28210771

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.