Evidence map›Paper›PMID 33763377›Full record

ArticleFrontiers in oncology2021

Beginning Restorative Activities Very Early: Implementation of an Early Mobility Initiative in a Pediatric Onco-Critical Care Unit.

Saad Ghafoor, Kimberly Fan, Sarah Williams, Amanda Brown, Sarah Bowman, Kenneth L Pettit, Shilpa Gorantla, Rebecca Quillivan, Sarah Schwartzberg, Amanda Curry and 22 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04989790 (Clinical Effectiveness of the "PICU Up!" Multifaceted Early Mobility Intervention for Critically Ill Children), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% of its field
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.

NCT04989790 narecruitingnot on this mapstarted 2022, after this paper: background citation

Clinical Effectiveness of the "PICU Up!" Multifaceted Early Mobility Intervention for Critically Ill Children: A Pragmatic, Stepped-wedge Trial

TypeinterventionalSponsorJohns Hopkins UniversityRan2022 to 2026Enrolled1,440ConditionsChild, Intensive Care Unit Acquired Weakness, Critical Illness, Hospital Acquired Pressure UlcerArmsPICU Up!
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
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  4. Review
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  6. Article
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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

32 authors at 4 institutions in 1 country.

Saad GhafoorDivision of Critical Care Medicine, Department of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Kimberly FanDepartment of Pediatric Critical Care, University of Tennessee Health Science Center, Memphis, TN, United States.
Sarah WilliamsDivision of Critical Care Medicine, Department of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Amanda BrownDivision of Critical Care Medicine, Department of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Sarah BowmanDivision of Critical Care Medicine, Department of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Kenneth L PettitOffice of Quality and Patient Care, St. Jude Children's Research Hospital, Memphis, TN, United States.
Shilpa GorantlaOffice of Quality and Patient Care, St. Jude Children's Research Hospital, Memphis, TN, United States.
Rebecca QuillivanOffice of Quality and Patient Care, St. Jude Children's Research Hospital, Memphis, TN, United States.
Sarah SchwartzbergDepartment of Rehabilitation Services, St. Jude Children's Research Hospital, Memphis, TN, United States.
Amanda CurryDepartment of Rehabilitation Services, St. Jude Children's Research Hospital, Memphis, TN, United States.
Lucy ParkhurstDepartment of Rehabilitation Services, St. Jude Children's Research Hospital, Memphis, TN, United States.
Marshay JamesDivision of Critical Care Medicine, Department of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Jennifer SmithDepartment of Child Life, St. Jude Children's Research Hospital, Memphis, TN, United States.
Kristin CanaveraDepartment of Psychology, St. Jude Children's Research Hospital, Memphis, TN, United States.
Andrew ElliottDivision of Psychiatry, Department of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Michael FrettDivision of Anesthesiology, Department of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Deni TroneDepartment of Pharmaceutical Services, St. Jude Children's Research Hospital, Memphis, TN, United States.
Jacqueline Butrum-SullivanDepartment Critical Care/Pulmonary Medicine-Respiratory Therapy, St. Jude Children's Research Hospital, Memphis, TN, United States.
Cynthia BargerDepartment of Inpatient Units-Nursing, St. Jude Children's Research Hospital, Memphis, TN, United States.
Mary LorinoDepartment of Inpatient Units-Nursing, St. Jude Children's Research Hospital, Memphis, TN, United States.
Jennifer MazurDepartment of Nursing Administration- Nursing Education, St. Jude Children's Research Hospital, Memphis, TN, United States.
Mandi DodsonDepartment of Nursing Administration- Nursing Education, St. Jude Children's Research Hospital, Memphis, TN, United States.
Morgan MelanconDepartment of Nursing Administration- Nursing Education, St. Jude Children's Research Hospital, Memphis, TN, United States.
Leigh Anne HallDepartment of Inpatient Units-Nursing, St. Jude Children's Research Hospital, Memphis, TN, United States.
Jason RainsDepartment Critical Care/Pulmonary Medicine-Respiratory Therapy, St. Jude Children's Research Hospital, Memphis, TN, United States.
Yvonne AventDivision of Critical Care Medicine, Department of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Jonathan BurlisonDepartment of Pharmaceutical Sciences- Patient Safety, St. Jude Children's Research Hospital, Memphis, TN, United States.
Fang WangDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, United States.
Haitao PanDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, United States.
Mary Anne LenkDepartment of Quality Improvement Education and Training, Cincinnati Children's Hospital- James M. Anderson Center for Health Systems Excellence, Cincinnati, OH, United States.
R Ray MorrisonDivision of Critical Care Medicine, Department of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Sapna R KudchadkarDepartments of Anesthesiology and Critical Care Medicine, Pediatrics and Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
St. Jude Children's Research Hospital · USCincinnati Children's Hospital Medical Center · USJohns Hopkins Medicine · USUniversity of Tennessee Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChildren with underlying oncologic and hematologic diseases who require critical care services have unique risk factors for developing functional impairments from pediatric post-intensive care syndrome (PICS-p). Early mobilization and rehabilitation programs offer a promising approach for mitigating the effects of PICS-p in oncology patients but have not yet been studied in this high-risk population.

methodsWe describe the development and feasibility of implementing an early mobility quality improvement initiative in a dedicated pediatric onco-critical care unit. Our primary outcomes include the percentage of patients with consults for rehabilitation services within 72 h of admission, the percentage of patients who are mobilized within 72 h of admission, and the percentage of patients with a positive delirium screen after 48 h of admission.

resultsBetween January 2019 and June 2020, we significantly increased the proportion of patients with consults ordered for rehabilitation services within 72 h of admission from 25 to 56% (

conclusionsOur experience supports the safety and feasibility of early mobility initiatives in pediatric onco-critical care. Additional evaluation is needed to determine the effects of early mobilization on patient outcomes.

Indexed as

deliriumearly mobilityoccupational therapypediatric oncologyphysical therapypost-intensive care syndromequality improvement

Identifiers

PMID33763377
PMCPMC7982584
OpenAlexW3135712546

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.