Evidence map›Paper›PMID 39759637›Full record

ReviewCureus2024

Efficacy of Enhanced Rehabilitation Initiated After Hospital Discharge to Improve Quality of Life in Survivors of Critical Care: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Motohiro Shimizu, Shodai Yoshihiro, Shinichi Watanabe, Gen Aikawa, Yoshihisa Fujinami, Yusuke Kawamura, Ayaka Matsuoka, Nobuto Nakanishi, Haruka Shida, Kensuke Sugimoto and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. 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

12 authors.

Motohiro ShimizuDepartment of Intensive Care Medicine, Ryokusen-kai Yonemori Hospital, Kagoshima, JPN.
Shodai YoshihiroDepartment of Pharmacy, Hiroshima University Hospital, Hiroshima, JPN.
Shinichi WatanabeDepartment of Physical Therapy, Gifu University of Health Sciences, Gifu, JPN.
Gen AikawaCollege of Nursing, Kanto Gakuin University, Yokohama, JPN.
Yoshihisa FujinamiDepartment of Emergency Medicine, Kakogawa Central City Hospital, Kakogawa, JPN.
Yusuke KawamuraDepartment of Rehabilitation, Showa General Hospital, Kodaira, JPN.
Ayaka MatsuokaDepartment of Emergency and Critical Care Medicine, Saga University Hospital, Saga, JPN.
Nobuto NakanishiDepartment of Emergency and Critical Care Medicine, Tokushima University Hospital, Tokushima, JPN.
Haruka ShidaDepartment of Data Science, Medical Division, AstraZeneca K.K., Osaka, JPN.
Kensuke SugimotoDepartment of Intensive Care Unit, Gunma University Hospital, Maebashi, JPN.
Shunsuke TaitoDepartment of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, JPN.
Shigeaki InoueDepartment of Emergency and Critical Care Medicine, Wakayama Medical University, Wakayama, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review and meta-analysis evaluated the effects of enhanced rehabilitation initiated after hospital discharge on the quality of life (QOL) in survivors of critical care. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) procedure. MEDLINE, CENTRAL, Ichushi, Embase, PEDro, and Cumulated Index to Nursing and Allied Health Literature (CINAHL) databases and the International Clinical Trials Registry Platform and ClinicalTrials.gov (for ongoing or unpublished trials) were searched till January 2024. We identified randomized controlled trials (RCTs) with intensive care unit (ICU) survivors focusing on the effects of enhanced rehabilitation initiated after hospital discharge. Enhanced rehabilitation encompasses protocolized programs offering more intensive, frequent, or longer sessions than standard care. Primary outcomes were physical and mental components of the summary of the standardized QOL scale (SF-36) and adverse events. We calculated pooled-effect estimates for these components, expressing the mean difference (MD) and 95% confidence interval (CI). Risk of bias was evaluated using the Risk of Bias 2 tool. Certainty of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Nine RCTs (573 patients) were included. Enhanced rehabilitation resulted in no difference in the physical component-summary score (two studies: n=79, MD=3.03, 95% CI: -1.37 to 7.43, I

Indexed as

critical illnessmedical critical carepost-intensive care syndrome (pics)quality of liferehabilitation

Identifiers

PMID39759637
PMCPMC11700221

What OpenQuestion holds

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Registered trials

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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.