Observational studyJournal of intensive care medicine2019
Low Levels of Physical Activity During Critical Illness and Weaning: The Evidence-Reality Gap.
Observational study in Journal of intensive care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03454880 (Measuring Physical Activity Levels in Critical Care), which is not on this map. Cited by 14 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Measuring Physical Activity Levels in Critical Care: A Feasibility Study
Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Summary of the best evidence for early rehabilitation in ICU patients receiving continuous renal replacement therapy.Frontiers in medicine · 2026Pooled it
- A Core Set of Outcome Measures to Assess Physical Function for Adults Participating in Physical Therapist Treatment in the Hospital: A Clinical Practice Guideline.Physical therapy · 2025Guideline
- How much do hospitalized adults move? A systematic review and meta-analysis.Applied nursing research : ANR · 2020Pooled it
- Comparison of exercise intensity during four early rehabilitation techniques in sedated and ventilated patients in ICU: a randomised cross-over trial.Critical care (London, England) · 2018Trial
- Observational
- Codesign of a Quality Improvement Tool for Adults With Prolonged Critical Illness: A Modified Delphi Consensus Study.Critical care explorations · 2024Article
- Article
- Potentials and Challenges of Pervasive Sensing in the Intensive Care Unit.Frontiers in digital health · 2022Review
- Activity Levels in Survivors of the Intensive Care Unit.Physical therapy · 2021Observational
- Optimization and Validation of a Classification Algorithm for Assessment of Physical Activity in Hospitalized Patients.Sensors (Basel, Switzerland) · 2021Article
- Objective and Subjective Investigation of Physical Activity Levels and Its Relation with Socio-Demographic Characteristics among Medical Students.Journal of lifestyle medicine · 2021Article
- Novel approaches to metabolic assessment and structured exercise to promote recovery in ICU survivors.Current opinion in critical care · 2020Review
- Safety, Feasibility, and Efficacy of Early Rehabilitation in Patients Requiring Continuous Renal Replacement: A Quality Improvement Study.Kidney international reports · 2020Article
- Dose of Early Therapeutic Mobility: Does Frequency or Intensity Matter?Biological research for nursing · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundPhysical rehabilitation can benefit critically ill patients during intensive care unit (ICU) admission, but routine clinical practice remains inconsistent nor examined in prolonged mechanical ventilation patients transferred to a specialist ventilator weaning unit (VWU). Behavioral mapping is a sampling approach that allows detailed reporting of physical activity profiles. The objective of this study was to characterize the physical activity profile of critically ill patients in a UK ICU and VWU.
methodsSingle-center, prospective observational study in a university teaching hospital. Patient observations, conducted Monday through Sunday from 08:30 am to 08:00 pm and for 1 minute every 10 minutes, included data points of patient location, people in attendance, and highest level of activity. Descriptive statistics were utilized to analyze and report data.
resultsForty-two ICU and 11 VWU patients were recruited, with 2646 and 693 observations, respectively, recorded. In the ICU, patients spent a median (interquartile range) of 100% (96%-100%) of the day (10.5 [10.0-10.5] hours) located in bed, with minimal/no activity for 99% (96%-100%) of the day (10.4 [9.7-10.5] hours). Nursing staff were most frequently observed in attendance with patients irrespective of ventilation or sedation status, although patients still spent approximately two-thirds of the day alone. Bed-to-chair transfer was the highest activity level observed. In the VWU, patients spent 94% (73%-100%) of the day (9.9 [7.7-10.5] hours) in bed and 56% (43%-60%) of time alone. Physical activity levels were higher and included ambulation. All physical activities occurred during physical rehabilitation sessions.
conclusionsThese profiles of low physical activity behavior across both patients in the ICU and VWU highlight the need for targeted strategies to improve levels beyond therapeutic rehabilitation and support for a culture shift toward providing patients with, and engaging them in, a multidisciplinary, multiprofessional environment that optimizes overall physical activity.
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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.