Evidence map›Paper›PMID 33163685›Full record

ArticleProgress in rehabilitation medicine2020

Impact of a Rehabilitation Protocol and a Dedicated Therapist in the Intensive Care Unit on Physical Function and Activities of Daily Living.

Ryosuke Matsuki, Noriaki Kojima, Koki Watanabe, Akira Hotta, Yohei Kubori, Keisuke Oura, Tomoyuki Morisawa, Hidehiko Koyama, Toshihiko Ebisu, Takuya Hashino

Abstract read
In one paragraph

Article in Progress in rehabilitation medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. 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

10 authors.

Ryosuke MatsukiDepartment of Rehabilitation Medicine, Kansai Electric Power Hospital, Osaka, Japan.
Noriaki KojimaDepartment of Rehabilitation Medicine, Kansai Electric Power Hospital, Osaka, Japan.
Koki WatanabeDepartment of Rehabilitation Medicine, Kansai Electric Power Hospital, Osaka, Japan.
Akira HottaDepartment of Rehabilitation Medicine, Kansai Electric Power Hospital, Osaka, Japan.
Yohei KuboriDepartment of Rehabilitation Medicine, Kansai Electric Power Hospital, Osaka, Japan.
Keisuke OuraDepartment of Rehabilitation Medicine, Kansai Electric Power Hospital, Osaka, Japan.
Tomoyuki MorisawaFaculty of Health Science, Department of Physical Therapy, Juntendo University, Tokyo, Japan.
Hidehiko KoyamaDivision of Rehabilitation Medicine, Kansai Electric Power Medical Research Institute, Osaka, Japan.
Toshihiko EbisuDepartment of Rehabilitation Medicine, Kansai Electric Power Hospital, Osaka, Japan.
Takuya HashinoDivision of Rehabilitation Medicine, Kansai Electric Power Medical Research Institute, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe goal of this study was to determine the effects of an intensive care unit (ICU) rehabilitation protocol with dedicated therapists on the physical function and activities of daily living (ADL) of patients on discharge from the ICU.

methodsThis retrospective study included patients who started rehabilitation during their ICU stay. Patients were divided into three groups: the Usual Care group (before the introduction of the rehabilitation protocol), the Protocol group (after the introduction of the rehabilitation protocol), and the PT + Protocol group (with a dedicated therapist in addition to the rehabilitation protocol). The standard interventions in the Protocol group and the PT + Protocol group were set according to the protocol based on the level of consciousness and strength of each individual patient. Patients' age, APACHE II score, length of ICU stay, length of hospital stay, and the Functional Status Score for the ICU (FSS-ICU) and Medical Research Council score (MRC score) on discharge from the ICU were compared among the three groups.

resultsThere were no significant differences among the three groups in age and APACHE II score. The MRC and FSS-ICU scores were significantly higher in the PT + Protocol and Protocol groups than in the Usual Care group. Furthermore, the lengths of ICU stay and hospital stay were lower in the PT + Protocol group than in the Usual Care group.

conclusionsIntroduction of the rehabilitation protocol improved the limb strength and ADL of patients. Moreover, the presence of dedicated therapists in addition to the protocol reduced the lengths of ICU and hospital stays.

Indexed as

activities of daily livingdedicated therapist systemintensive care unitphysical functionrehabilitation protocol

Identifiers

PMID33163685
PMCPMC7641868

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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.