Evidence map›Paper›PMID 35083381›Full record

ArticleProgress in rehabilitation medicine2021

Effects of the Intensity and Activity Time of Early Rehabilitation on Activities of Daily Living Dependence in Mechanically Ventilated Patients.

Shinichi Watanabe, Yasunari Morita, Shuichi Suzuki, Kaito Kochi, Mika Ohno, Keibun Liu, Yuki Iida

Abstract read
In one paragraph

Article in Progress in rehabilitation medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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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

18 citing papers in PubMed.

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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

7 authors.

Shinichi WatanabeDepartment of Rehabilitation Medicine, National Hospital Organization, Nagoya Medical Center, Nagoya, Aichi, Japan.
Yasunari MoritaDepartment of Critical Care Medicine, National Hospital Organization, Nagoya Medical Center, Nagoya, Aichi, Japan.
Shuichi SuzukiDepartment of Critical Care Medicine, National Hospital Organization, Nagoya Medical Center, Nagoya, Aichi, Japan.
Kaito KochiDepartment of Rehabilitation Medicine, National Hospital Organization, Nagoya Medical Center, Nagoya, Aichi, Japan.
Mika OhnoDepartment of Critical Care Medicine, National Hospital Organization, Nagoya Medical Center, Nagoya, Aichi, Japan.
Keibun LiuCritical Care Research Group, The Prince Charles Hospital, Chermside, Australia.
Yuki IidaDepartment of Physical Therapy, School of Health Science, Toyohashi Sozo University, Toyohashi, Aichi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to investigate the association between the Rehabilitation Activity Time score (RATs)-a score based on the level and duration of rehabilitation activities-of ventilated patients in the intensive care unit (ICU) and activities of daily living (ADL) dependence at discharge.

methodsThis retrospective, single-center study evaluated patients aged >18 years who underwent mechanical ventilation in the ICU for at least 48 h. The patients were categorized into the low- and high-dose rehabilitation groups based on the median RATs. The primary outcome was the rate of ADL dependence at discharge, defined as a Barthel index of <70. The association between low or high doses of rehabilitation and the primary outcome was assessed using multiple logistic regression analysis adjusted by baseline factors.

resultsThe rate of ADL dependence at discharge was significantly lower in the high-dose rehabilitation group (low dose 81% vs. high dose 22%, P<0.001). Multivariate analysis showed a significantly lower ADL dependence at discharge among those who received high-dose rehabilitation (P<0.001). Increased RATs during the entire ICU admission period and during ICU admission after meeting the criteria for physiological stability was significantly associated with lower ADL dependence at discharge (P<0.001). Moreover, a higher RATs from low-level activity before meeting the criteria for physiological stability also showed a significant association with lower ADL dependence at discharge (P=0.047).

conclusionsADL dependence was significantly lower among those who underwent high-dose rehabilitation. The RATs was consistently associated with ADL dependence at discharge.

Indexed as

activity daily livingBarthel indexmobilizationprotocol

Identifiers

PMID35083381
PMCPMC8710675

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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.