Evidence map›Paper›PMID 31410778›Full record

Observational studyAdvances in therapy2019

Exploration of Different Rehabilitation Routes for Sepsis Survivors with Monitoring of Health Status and Quality of Life: RehaSep Trial Protocol.

Barbara Wójcik, Jerzy Superata, H Bryant Nguyen, Zbigniew Szyguła

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in Advances in therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Barbara WójcikUniversity of Physical Education in Krakow, Al. Jana Pawla II 78, 31-571, Kraków, Poland. rehasep@gmail.com.ORCID 0000-0003-0761-581X
Jerzy SuperataUniversity of Physical Education in Krakow, Al. Jana Pawla II 78, 31-571, Kraków, Poland.
H Bryant NguyenLoma Linda University, 11234 Anderson Street, Loma Linda, CA, 92354, USA.
Zbigniew SzygułaUniversity of Physical Education in Krakow, Al. Jana Pawla II 78, 31-571, Kraków, Poland.ORCID 0000-0002-6685-6579

Funding

Narodowe Centrum Nauki 2015/19/B/NZ7/03730
6 · The paper itself

Abstract

introductionThis project addresses the important problem of sepsis sequelae resulting in frequent hospital readmissions and higher mortality rate in the post-discharge period. However, neither specific diagnostic methods nor standards for rehabilitation of sepsis patients have been introduced yet. The aim of this study is to evaluate the effectiveness of two different multiparameter-monitored rehabilitation treatments in order to improve the health status and quality of life of sepsis survivors.

methodsDecades of failed randomized controlled trials involving sepsis patients strongly suggest the need for a paradigm change. Therefore, we designed a prospective, interventional, controlled, pragmatic, patient-centred trial based on the principles of personalized medicine. Sixty post-sepsis patients after hospital discharge will be individually assigned to a control group (without intervention) and two groups with 3-month diagnostically monitored rehabilitation programs based either on the recumbent cycloergometer training or on the experimental hyperbaric oxygen therapy. In all of the patients a wide range of physiological (spirometry, ECG/cycloergometer exercise test), haematological (microscopy) and biochemical (blood tests) parameters will be assessed at hospital discharge and during subsequent 3 months in order to monitor changes of their physical capacity, immunity and degree of post-sepsis organ damage/recovery. For quality of life monitoring a novel tool-"Life After Sepsis Survey"-will be applied. PLANNED OUTCOMES: A set of composite quantitative indices resulting from laboratory measurement data combined with the quality of life questionnaire data will constitute the primary outcomes whereas mortality rate and hospital readmission number will be counted as the secondary outcomes.

conclusionsCritical analysis of past trials prompted us to implement multiple improvements in tools and procedures. The results of this trial will contribute to the development of rehabilitation therapy addressing not only weakness but also organ damage problems of sepsis survivors.

trial registrationANZCTR ( http://www.anzctr.org.au ): ACTRN12618000347268, U1111-1210-6110.

fundingThis research was funded by the National Science Center, Poland.

Indexed as

Health StatusAdultAgedAged, 80 and overBiological MonitoringFemaleHumansMaleMiddle AgedPolandProspective StudiesQuality of LifeRehabilitationSepsisSurveys and QuestionnairesSurvivorsHyperbaric oxygen therapyInfectious diseasesPICSPost-sepsis careQuality of lifeRehabilitationSepsis survivors

Identifiers

PMID31410778
PMCPMC6822832

What OpenQuestion holds

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LicenceCC BY-NC
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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.