Evidence map›Paper›PMID 28291092›Full record

Observational studyCritical care medicine2017

Measuring Patient Mobility in the ICU Using a Novel Noninvasive Sensor.

Andy J Ma, Nishi Rawat, Austin Reiter, Christine Shrock, Andong Zhan, Alex Stone, Anahita Rabiee, Stephanie Griffin, Dale M Needham, Suchi Saria

Abstract readObservational StudyValidation Study
In one paragraph

Observational study in Critical care medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Application of Artificial Intelligence in Physical Rehabilitation of Patients Admitted to the Intensive Care Unit: A Scoping Review.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. CAI4CAI: The Rise of Contextual Artificial Intelligence in Computer Assisted Interventions.Proceedings of the IEEE. Institute of Electrical and Electronics Engineers · 2020
    Article
  16. Observational
  17. Article
  18. Article
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.

Andy J Ma1Department of Computer Science, Johns Hopkins University, Baltimore, MD.2Department of Anesthesia and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.3Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD.4Johns Hopkins University School of Medicine, Baltimore, MD.5Outcomes after Critical Illness and Surgery Group, John Hopkins University School of Medicine, Baltimore, MD.6Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.7John Hopkins Hospital, Baltimore, MD.8Department of Physical Medicine and Rehabilitation, John Hopkins University School of Medicine, Baltimore, MD.9Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD.
Nishi Rawat
Austin Reiter
Christine Shrock
Andong Zhan
Alex Stone
Anahita Rabiee
Stephanie Griffin
Dale M Needham
Suchi Saria

Funding

An evaluation of sensor technology to monitor and report compliance with an evidence-based intervention to prevent ventilator-associated pneumoniaK23HL125982 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI RAWAT, NISHI · 2015 to 2018
$555k
NHLBI NIH HHS K23 HL125982
6 · The paper itself

Abstract

objectivesTo develop and validate a noninvasive mobility sensor to automatically and continuously detect and measure patient mobility in the ICU.

designProspective, observational study.

settingSurgical ICU at an academic hospital. PATIENTS: Three hundred sixty-two hours of sensor color and depth image data were recorded and curated into 109 segments, each containing 1,000 images, from eight patients.

interventionsNone. MEASUREMENTS AND MAIN

resultsThree Microsoft Kinect sensors (Microsoft, Beijing, China) were deployed in one ICU room to collect continuous patient mobility data. We developed software that automatically analyzes the sensor data to measure mobility and assign the highest level within a time period. To characterize the highest mobility level, a validated 11-point mobility scale was collapsed into four categories: nothing in bed, in-bed activity, out-of-bed activity, and walking. Of the 109 sensor segments, the noninvasive mobility sensor was developed using 26 of these from three ICU patients and validated on 83 remaining segments from five different patients. Three physicians annotated each segment for the highest mobility level. The weighted Kappa (κ) statistic for agreement between automated noninvasive mobility sensor output versus manual physician annotation was 0.86 (95% CI, 0.72-1.00). Disagreement primarily occurred in the "nothing in bed" versus "in-bed activity" categories because "the sensor assessed movement continuously," which was significantly more sensitive to motion than physician annotations using a discrete manual scale.

conclusionsNoninvasive mobility sensor is a novel and feasible method for automating evaluation of ICU patient mobility.

Indexed as

Intensive Care UnitsMovementAgedAlgorithmsFemaleHumansMaleMiddle AgedMonitoring, PhysiologicProspective StudiesVideo RecordingWalking

Identifiers

PMID28291092
PMCPMC5697716

What OpenQuestion holds

Textmetadata
LicenceTDM
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.