Evidence map›Paper›PMID 40085206›Full record

SynthesisMedizinische Klinik, Intensivmedizin und Notfallmedizin2025

Preventive effects of early mobilisation on delirium incidence in critically ill patients: systematic review and meta-analysis.

Li Zhou, Fei Xie, Yangyang Zeng, Xi Xia, Rui Wang, Yongjie Cai, Yu Lei, Fengjiao Xu, Xi Li, Bing Chen

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
  6. Article
  7. 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.

Li ZhouDepartment of Intensive Care, The People's Hospital of Leshan, 614000, Leshan, China.
Fei XieDepartment of Surgery, Mianyang People's Hospital, 621053, Mianyang, China.
Yangyang ZengDepartment of Neurosurgery, The People's Hospital of Leshan, 614000, Leshan, China.
Xi XiaDepartment of Intensive Care, The People's Hospital of Leshan, 614000, Leshan, China.
Rui WangDepartment of Intensive Care, The People's Hospital of Leshan, 614000, Leshan, China.
Yongjie CaiDepartment of Intensive Care, The People's Hospital of Leshan, 614000, Leshan, China.
Yu LeiDepartment of Intensive Care, The People's Hospital of Leshan, 614000, Leshan, China.
Fengjiao XuDepartment of Intensive Care, The People's Hospital of Leshan, 614000, Leshan, China.
Xi LiDepartment of Intensive Care, The People's Hospital of Leshan, 614000, Leshan, China.
Bing ChenDepartment of Nursing, The People's Hospital of Leshan, No. 238 Baita Street, Shizhong District, 614000, Leshan, China. 417883131@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate whether early mobilisation can reduce the incidence of delirium in critically ill patients and to assess the methodological quality of published studies.

methodsThree electronic databases, PubMed, Embase and the Cochrane Library, were searched for relevant studies published up to 2 March 2024. Articles were screened independently by two reviewers, based on inclusion and exclusion criteria, and a meta-analysis was performed using RevMan 5.3 software with a random-effects model.

resultsA total of 18 studies (intervention group: 1794 participants, control group: 2129 participants) were included in the systematic review, with 18 studies included in the meta-analysis. Early mobilisation was found to reduce the risk of delirium in critically ill populations, with a pooled odds ratio of 0.65 (95% confidence interval [CI] 0.49-0.86; P = 0.003; I

conclusionAs a nonpharmacological intervention, early mobilisation may help reduce the risk of delirium and shorten its duration in critically ill patients compared with standard treatment and may potentially become a novel strategy for delirium prevention in future intensive care unit settings.

Indexed as

Critical IllnessDeliriumEarly AmbulationHumansIncidenceDeliriumEarly mobilisationInterventionNon-drug interventionRehabilitation

Identifiers

PMID40085206
PMCPMC12708774

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.