Evidence map›Paper›PMID 39547720›Full record

ReviewCritical care clinics2025

Creating a Culture of an Awake and Walking Intensive Care Unit: In-Hospital Strategies to Mitigate Post-Intensive Care Syndrome.

Kali Dayton, Heidi Lindroth, Heidi J Engel, Mikita Fuchita, Phillip Gonzalez, Peter Nydahl, Joanna L Stollings, Leanne M Boehm

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Critical care clinics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Trial
  3. Beyond Survival: Lessons From a Research Journey in Critical Care Recovery Science.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2026
    Article
  4. Article
  5. 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

8 authors.

Kali DaytonDayton ICU Consulting, 13816 East 41st Avenue, Spokane, Washington 99206, USA.
Heidi LindrothDepartment of Nursing, Mayo Clinic, 200 First Street SW, Rochester, MN 55902, USA; Center for Innovation and Implementation Science and the Center for Aging Research, Regenstrief Institute, School of Medicine, Indiana University, 1101 West 10th Street, Indianapolis, IN 46202, USA.
Heidi J EngelUniversity of California San Francisco Medical Center (UCSF), 400 Parnassus Avenue A68, San Francisco, CA 94143, USA. Electronic address: https://twitter.com/HeidiEngel4.
Mikita FuchitaDepartment of Anesthesiology, Division of Critical Care, University of Colorado Anschutz Medical Campus, 12401 East 17th Avenue, 7th Floor, Aurora, CO 80045, USA. Electronic address: https://twitter.com/mikitafuchita.
Phillip GonzalezVitalGo Systems, 3315 Commerce Parkway, Mirimar, FL 33025, USA.
Peter NydahlNursing Research, University Hospital of Schleswig-Holstein, Arnold-Heller-Str 3, 24105 Kiel, Germany; Institute of Nursing Science and Development, Paracelsus Medical University, Strubergasse 21, 5020 Salzburg, Austria.
Joanna L StollingsDepartment of Pharmaceutical Services, Vanderbilt University Medical Center, 1211 Medical Center Drive, Nashville, TN 37232, USA; Vanderbilt University School of Nursing, 461 21st Avenue South, 419 Godchaux Hall, Nashville, TN 37240, USA.
Leanne M BoehmVanderbilt University School of Nursing, 461 21st Avenue South, 419 Godchaux Hall, Nashville, TN 37240, USA; Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center at Vanderbilt, Nashville, TN, USA. Electronic address: leanne.boehm@vanderbilt.edu.

Funding

Telehealth-Enhanced Patient-Oriented Recovery Trajectory After Intensive CareR01AG077644 · NIA · VANDERBILT UNIVERSITY · PI Leanne M Boehm · 2023 to 2026
$3.1M
VoiceLove: An App-Based COMmunication Tool Designed to Address DeliriUm and Improve Family ENgagement and PatIent/Family SatisfaCtion in CriticAlly Ill PaTiEnts (COMMUNICATE)R42AG080891 · NIA · VOICELOVE LLC · PI E Wesley ELY · 2023 to 2026
$3.0M
Anesthesiology Mentored Research TrainingT32GM135169 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI Susan L Ingram, Vesna Jevtovic-Todorovic · 2021 to 2026
$1.0M
Harnessing the Power of Technology to Transform Delirium Severity Measurement in the ICUK23AG076662 · NIA · MAYO CLINIC ROCHESTER · PI Heidi Lindroth · 2022 to 2026
$815k
NIA NIH HHS K23 AG076662NIA NIH HHS R01 AG077644NIA NIH HHS R42 AG080891NIGMS NIH HHS T32 GM135169
6 · The paper itself

Abstract

The ABCDEF bundle and Awake and Walking intensive care unit (ICU) approach aim to prevent the long-term consequences of critical illness (ie, post-intensive care syndrome) by promoting patient wakefulness, cognition, and mobility. Humanizing the ICU experience is the key, preserving patients' function and autonomy. Successful implementation requires cultivating an ICU culture focused on avoiding sedatives and initiating prompt mobilization, addressing organizational barriers through tailored strategies. Overall, these patient-centered, mobility-focused models offer a holistic solution to the complex challenge of preventing post-intensive care syndrome and supporting critical illness survivors.

Indexed as

Critical IllnessIntensive Care UnitsWalkingCritical CareHumansOrganizational CultureWakefulnessABCDEFAwake and walkingBundleCritical careIntensive care unitPost-intensive care syndrome

Identifiers

PMID39547720
PMCPMC11809611

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.