Evidence map›Paper›PMID 36017667›Full record

Observational studyJournal of rehabilitation medicine2023

Feasibility and Safety of Active Physiotherapy in the Intensive Care Unit for Intubated Patients with Malignancy.

N Gautheret, C Bommier, A Mabrouki, V Souppart, A S Bretaud, E Ghrenassia, J Le Roy, J Lambert, E Azoulay, V Lemiale

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of rehabilitation medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

N GautheretC2R Physiotherapy Department, APHP (assistance publique -hopitaux de Paris) Saint Louis, 1 avenue Claude Vellefaux.
C BommierBiostatisctic Department, ECSTRA (Epidemiology and Clinical Statistics for Tumor, Respiratory, and Resuscitation Assessments,) Team, Paris University.
A MabroukiMedical intensive care unit APHP Saint Louis, 1 avenue Claude Vellefaux Paris, France.
V SouppartMedical intensive care unit APHP Saint Louis, 1 avenue Claude Vellefaux Paris, France.
A S BretaudMedical intensive care unit APHP Saint Louis, 1 avenue Claude Vellefaux Paris, France.
E GhrenassiaMedical intensive care unit APHP Saint Louis, 1 avenue Claude Vellefaux Paris, France.
J Le RoyMedical intensive care unit APHP Saint Louis, 1 avenue Claude Vellefaux Paris, France.
J LambertBiostatisctic Department, ECSTRA (Epidemiology and Clinical Statistics for Tumor, Respiratory, and Resuscitation Assessments,) Team, Paris University.
E AzoulayBiostatisctic Department, ECSTRA (Epidemiology and Clinical Statistics for Tumor, Respiratory, and Resuscitation Assessments,) Team, Paris University; Medical intensive care unit APHP Saint Louis, 1 avenue Claude Vellefaux Paris, France.
V LemialeMedical intensive care unit APHP Saint Louis, 1 avenue Claude Vellefaux Paris, France. virginie.lemiale@aphp.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPhysiotherapy leads to improvements in critically ill patients who receive mechanical ventilation. However, cancer patients have not been included in previous studies on this subject. This study explored the feasibility and safety of physiotherapy in the intensive care unit for patients with malignancy.

designObservational prospective single-centre study, comparing cancer and control patients. PATIENTS: All consecutive patients admitted to the intensive care unit who needed invasive mechanical ventilation for more than 2 days with no contraindication to physiotherapy were included in the study.

methodsThe main outcome was the proportion of physiotherapy sessions at the prescribed level in each group.

resultsA total of 60 patients were included within 1 year. A total of 576 days were screened for physiotherapy sessions and 367 physiotherapy-days were analysed (137 days for control patients and 230 days for cancer patients). The ratio of physiotherapy sessions performed/prescribed did not differ between groups: 0.78 (0.47-1) in the control group vs 0.69 (0.6-1) in the cancer group (odds ratio 1.18 (IC95% 0.74-1.89); p = 0.23). A sensitivity analysis including patient effect as random variable confirmed those results (odds ratio 1.16 (0.56-2.38), p = 0.69). Adverse events occurred with the same frequency in cancer patients and non-cancer patients.

conclusionPhysiotherapy in cancer patients who require intubation is feasible and safe. However, only two-thirds of prescribed physiotherapy sessions were performed. Studies are warranted to explore the barriers to physiotherapy in the intensive care unit setting.

Indexed as

Intensive Care UnitsNeoplasmsCritical IllnessFeasibility StudiesHumansPhysical Therapy ModalitiesProspective Studies

Identifiers

PMID36017667
PMCPMC9926923

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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.