SynthesisJournal of intensive care medicine2020
Actigraphy to Measure Physical Activity in the Intensive Care Unit: A Systematic Review.
Synthesis in Journal of intensive care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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.
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Who cites it
23 citing papers in PubMed, 47 citations in OpenAlex.
- Actigraphy-based sleep and activity measurements in intensive care unit patients randomized to ramelteon or placebo for delirium prevention.Scientific reports · 2023Trial
- Sleep and Activity Patterns Are Altered During Early Critical Illness in Mechanically Ventilated Adults.Dimensions of critical care nursing : DCCNTrial
- Validation of the Rehabilitation Activity Time Score in Mechanically Ventilated Intensive Care Unit Patients.Cureus · 2026Article
- Proof-of-Concept of IMU-Based Detection of ICU-Relevant Agitation Motion Patterns in Healthy Volunteers.Bioengineering (Basel, Switzerland) · 2026Article
- Sleep Quality, Circadian Rhythm Stability and Changes in Delirium State in Predicting Mortality Risk in Intensive Care Unit Patients: A Prospective Observational Study.Nursing in critical care · 2025Observational
- High Amount of Physical Activity on Work Days Is Associated with More Intense Musculoskeletal Symptoms in Nurses: Seven-Day Observational Study.Nursing reports (Pavia, Italy) · 2025Article
- Early Mobilization Dose Reporting in Randomized Clinical Trials With Patients Who Were Mechanically Ventilated: A Scoping Review.Physical therapy · 2024Article
- Inactivity May Identify Older Intensive Care Unit Survivors at Risk for Post-Intensive Care Syndrome.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2024Article
- Phase I pilot safety and feasibility of a novel restraint device for critically ill patients requiring mechanical ventilation.Journal of the Intensive Care Society · 2024Article
- Wireless monitoring devices in hospitalized children: a scoping review.European journal of pediatrics · 2023Article
- Implementation of Early Rehabilitation in Severe COVID-19 Respiratory Failure: A Scoping Review.Journal of acute care physical therapy · 2023Article
- Identification and Quantification of Activities Common to Intensive Care Patients; Development and Validation of a Dual-Accelerometer-Based Algorithm.Sensors (Basel, Switzerland) · 2023Article
- Delirium detection using wearable sensors and machine learning in patients with intracerebral hemorrhage.Frontiers in neurology · 2023Article
- Potentials and Challenges of Pervasive Sensing in the Intensive Care Unit.Frontiers in digital health · 2022Review
- Observational
- Smart Health-Enhanced Early Mobilisation in Intensive Care Units.Sensors (Basel, Switzerland) · 2021Review
- Standardisation, multi-measure, data quality and trending: A qualitative study on multidisciplinary perspectives to improve intensive care early mobility monitoring.Intensive & critical care nursing · 2021Article
- Family automated voice reorientation (FAVoR) intervention for mechanically ventilated patients in the intensive care unit: Study protocol for a randomized controlled trial.Contemporary clinical trials · 2021Article
- Daytime Activity Is Associated With Discharge to Home in Older Adults Recovering From Critical Illness.Journal of gerontological nursing · 2021Article
- Sleep and Delirium in Older Adults.Current sleep medicine reports · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveIn the intensive care unit (ICU), prolonged inactivity is common, increasing patients' risk for adverse outcomes, including ICU-acquired weakness. Hence, interventions to minimize inactivity are gaining popularity, highlighting actigraphy, a measure of activity involving a wristwatch-like accelerometer, as a method to inform these efforts. Therefore, we performed a systematic review of studies that used actigraphy to measure patient activity in the ICU setting. DATA SOURCES: We searched PubMed, EMBASE, CINAHL, Cochrane Library, and ProQuest from inception until December 2016. STUDY SELECTION: Two reviewers independently screened studies for inclusion. A study was eligible for inclusion if it was published in a peer-reviewed journal and used actigraphy to measure activity in ≥5 ICU patients. DATA EXTRACTION: Two reviewers independently performed data abstraction and risk of bias assessment. Abstracted actigraphy-based activity data included total activity time and activity counts.
resultsOf 16 studies (607 ICU patients) identified, 14 (88%) were observational, 2 (12%) were randomized control trials, and 5 (31%) were published after 2009. Mean patient activity levels per 15 to 60 second epoch ranged from 25 to 37 daytime and 2 to 19 nighttime movements. Actigraphy was evaluated in the context of ICU and post-ICU outcomes in 11 (69%) and 5 (31%) studies, respectively, and demonstrated potential associations between actigraphy-based activity levels and delirium, sedation, pain, anxiety, time to extubation, and length of stay.
conclusionActigraphy has demonstrated that patients are profoundly inactive in the ICU with actigraphy-based activity levels potentially associated with important measures, such as delirium, sedation, and length of stay. Larger and more rigorous studies are needed to further evaluate these associations and the overall utility of actigraphy in the ICU setting.
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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.