Evidence map›Paper›PMID 29026932›Full record

ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2018

[PROtocol-based MObilizaTION on intensive care units : Design of a cluster randomized pilot study].

P Nydahl, A Diers, U Günther, B Haastert, S Hesse, C Kerschensteiner, S Klarmann, S Köpke

Abstract readClinical Trial Protocol
PubMed Publisher
In one paragraph

Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Review
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

8 authors.

P NydahlPflegeforschung, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Brunswiker Str. 10, 24105, Kiel, Deutschland. peter.nydahl@uksh.de.
A DiersUniversitätsklinik für Anästhesiologie/Intensivmedizin/Notfallmedizin/Schmerztherapie, Klinikum Oldenburg, Oldenburg, Deutschland.
U GüntherUniversitätsklinik für Anästhesiologie/Intensivmedizin/Notfallmedizin/Schmerztherapie, Klinikum Oldenburg, Oldenburg, Deutschland.
B HaastertmediStatistica, Neuenrade, Deutschland.
S HesseAnästhesie und Intensivmedizin, Städtisches Krankenhaus Kiel, Kiel, Deutschland.
C KerschensteinerKlinik für Anästhesiologie und Intensivmedizin, Klinikum Neumarkt, Neumarkt i.d.OPf., Deutschland.
S KlarmannPhysiotherapie und Physikalische Therapie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland.
S KöpkeInstitut für Sozialmedizin und Epidemiologie, Universität zu Lübeck, Lübeck, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite convincing evidence for early mobilization of patients on intensive care units (ICU), implementation in practice is limited. Protocols for early mobilization, including in- and exclusion criteria, assessments, safety criteria, and step schemes may increase the rate of implementation and mobilization. HYPOTHESIS: Patients (population) on ICUs with a protocol for early mobilization (intervention), compared to patients on ICUs without protocol (control), will be more frequently mobilized (outcome).

methodsA multicenter, stepped-wedge, cluster-randomized pilot study is presented. Five ICUs will receive an adapted, interprofessional protocol for early mobilization in randomized order. Before and after implementation, mobilization of ICU patients will be evaluated by randomized monthly one-day point prevalence surveys. Primary outcome is the percentage of patients mobilized out of bed, operationalized as a score of ≥3 on the ICU Mobility Scale. Secondary outcome parameters will be presence and/or length of mechanical ventilation, delirium, stay on ICU and in hospital, barriers to early mobilization, adverse events, and process parameters as identified barriers, used strategies, and adaptions to local conditions. EXPECTED

resultsExploratory evaluation of study feasibility and estimation of effect sizes as the basis for a future explanatory study.

Indexed as

Early AmbulationIntensive Care UnitsCritical CareHumansPilot ProjectsRandomized Controlled Trials as TopicRespiration, ArtificialClinical protocolClinical trialEarly ambulationIntensive careOutcome assessment

Identifiers

PMID29026932

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.