Evidence map›Paper›PMID 28297684›Full record

ArticleJournal of critical care2017

Physical and occupational therapy utilization in a pediatric intensive care unit.

Liang R Cui, Megan LaPorte, Matthew Civitello, Meg Stanger, Maxine Orringer, Frank Casey, Bradley A Kuch, Sue R Beers, Cynthia A Valenta, Patrick M Kochanek and 2 more

Abstract read
In one paragraph

Article in Journal of critical care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  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. Article
  5. Review
  6. Article
  7. Article
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  9. Article
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  11. PICU-Based Rehabilitation and Outcomes Assessment: A Survey of Pediatric Critical Care Physicians.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
    Article
  12. Article
  13. Return to Ambulation After Pediatric Liver Transplantation: A First "Step" in Assessing the Impact of Early Mobility.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
    Article
  14. Multistakeholder Qualitative Research Methods to Impact Culture of Care Practices in the ICU.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2018
    Article
  15. Article
  16. 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

12 authors.

Liang R CuiChristiana Care Health System, Wilmington, DE, USA.
Megan LaPorteUniversity of Pittsburgh, School of Health and Rehabilitation Science, Pittsburgh, PA, USA.
Matthew CivitelloNeMours Children's Hospital, Orlando, FL, USA.
Meg StangerPhysical Therapy Department, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA.
Maxine OrringerDepartment of Audiology and Speech Pathology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA.
Frank CaseyDepartment of Pediatrics, West Virginia University School of Medicine, Morgantown, WV, USA.
Bradley A KuchDepartment of Critical Care Medicine, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA.
Sue R BeersDepartment of Psychiatry, Western Psychiatric Institute and Clinic of UPMC, Pittsburgh, PA, USA.
Cynthia A ValentaDepartment of Critical Care Medicine, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA.
Patrick M KochanekDepartment of Critical Care Medicine, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA.
Amy J HoutrowDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, USA.
Ericka L FinkDepartment of Critical Care Medicine, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA. Electronic address: finkel@ccm.upmc.edu.

Funding

Duration of Hypothermia for Neuroprotection after Pediatric Cardiac ArrestK23NS065132 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FINK, ERICKA LINN · 2009 to 2013
$807k
Student Research Training in Integrative, Complementary, and Altenative MedicineT35AT005933 · NCCIH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DICIANNO, BRAD E. · 2010 to 2014
$137k
NCCIH NIH HHS T35 AT005933NINDS NIH HHS K23 NS065132
6 · The paper itself

Abstract

purposeTo characterize the use of physical therapy (PT) and occupational therapy (OT) consultation in our pediatric intensive care unit (PICU). MATERIALS AND

methodsWe studied children aged 1week-18years admitted to a tertiary care PICU for ≥3days. Patient characteristics, details of PT and OT sessions and adverse events were collected. A multivariable logistic regression was performed to determine factors associated with receipt of PT and OT consultation with propensity analysis followed by a regression for factors associated with outcome.

resultsOf 138 children studied, 40 (29%) received PT and OT consultation. Services were initiated 6.9±10.0 (mean±standard deviation) days after PICU admission. Range of motion (83%) was the most common therapy provided and 28% of patients were ambulated. Sixty-four of 297 (21.5%) sessions were deferred and 7 (2.4%) sessions were terminated early due to physiologic instability with no serious adverse events. Children who received PT and OT were older, more likely to require neuromuscular blocking agents, and had lower pre-PICU POPC scores (all p<0.05).

conclusionsData are needed to inform on the efficacy of rehabilitative therapies initiated in the ICU to improve outcome for critically ill children.

Indexed as

Intensive Care Units, PediatricAdolescentChildChild Health ServicesChild, HospitalizedChild, PreschoolCritical IllnessFemaleHumansInfantLogistic ModelsMaleOccupational TherapyPennsylvaniaPhysical ExaminationPhysical Therapy ModalitiesCritical illnessOccupational therapyPediatricPhysical therapyPost-intensive care syndromeRehabilitation

Identifiers

PMID28297684
PMCPMC5563269

What OpenQuestion holds

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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.