Evidence map›Paper›PMID 35760523›Full record

SynthesisPerfusion2023

Awake extracorporeal life support and physiotherapy in adult patients: A systematic review of the literature.

Marta Cucchi, Silvia Mariani, Maria E De Piero, Justine M Ravaux, Michal J Kawczynski, Michele Di Mauro, Emma Shkurka, Aparna Hoskote, Roberto Lorusso

Abstract readSystematic Review
In one paragraph

Synthesis in Perfusion, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
  2. Article
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  5. Article
  6. Review
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  10. Review
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  12. Observational
  13. Review
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  15. Article
  16. Extracorporeal Membrane Oxygenation.Respiratory care · 2023
    Review
  17. [Active mobilization during extracorporeal membrane oxygenation-safety first].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2023
    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

9 authors.

Marta CucchiCardio-Thoracic Surgery Department, and Cardiology Department, Heart and Vascular Center, Maastricht University Medical Centre (MUMC+), Maastricht, Netherlands.ORCID 0000-0003-3221-8795
Silvia MarianiCardio-Thoracic Surgery Department, and Cardiology Department, Heart and Vascular Center, Maastricht University Medical Centre (MUMC+), Maastricht, Netherlands.
Maria E De PieroCardio-Thoracic Surgery Department, and Cardiology Department, Heart and Vascular Center, Maastricht University Medical Centre (MUMC+), Maastricht, Netherlands.
Justine M RavauxCardio-Thoracic Surgery Department, and Cardiology Department, Heart and Vascular Center, Maastricht University Medical Centre (MUMC+), Maastricht, Netherlands.
Michal J KawczynskiCardio-Thoracic Surgery Department, and Cardiology Department, Heart and Vascular Center, Maastricht University Medical Centre (MUMC+), Maastricht, Netherlands.
Michele Di MauroCardio-Thoracic Surgery Department, and Cardiology Department, Heart and Vascular Center, Maastricht University Medical Centre (MUMC+), Maastricht, Netherlands.
Emma ShkurkaCardiac Intensive Care Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.ORCID 0000-0001-7344-6925
Aparna HoskoteCardiac Intensive Care Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Roberto LorussoCardio-Thoracic Surgery Department, and Cardiology Department, Heart and Vascular Center, Maastricht University Medical Centre (MUMC+), Maastricht, Netherlands.ORCID 0000-0002-1777-2045

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe Awake Extracorporeal Life Support (ECLS) practice combined with physiotherapy is increasing. However, available evidence for this approach is limited, with unclear indications on timing, management, and protocols. This review summarizes available literature regarding Awake ECLS and physiotherapy application rates, practices, and outcomes in adults, providing indications for future investigations.

methodsFour databases were screened from inception to February 2021, for studies reporting adult Awake ECLS with/without physiotherapy. Primary outcome was hospital discharge survival, followed by Extracorporeal Membrane Oxygenation (ECMO) duration, extubation, Intensive Care Unit stay.

resultsTwenty-nine observational studies and one randomized study were selected, including 1,157 patients (males

conclusionAwake ECLS strategy associated with physiotherapy is performed regardless of cannulation approach. Ambulation, as main objective, is achieved in almost half the population examined. Prospective studies are needed to evaluate safety and efficacy of physiotherapy during Awake ECLS, and suitable patient selection. Guidelines are required to identify appropriate assessment/evaluation tools for Awake ECLS patients monitoring.

Indexed as

Extracorporeal Membrane OxygenationAdultAirway ExtubationFemaleHumansMalePatient DischargePhysical Therapy ModalitiesRetrospective StudiesWakefulnessAwake ECLSExtracorporeal Life Supportmechanical ventilationphysiotherapysystematic review

Identifiers

PMID35760523
PMCPMC10265312

What OpenQuestion holds

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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.