Measurement and reporting of physical rehabilitation interventions in pediatric critical care: a scoping review.
| Autor: | Zorko, David J., Reid, Julie C., Unger, Janelle, McCaskell, Devin, Saddik, Maisa, Choong, Karen, Kho, Michelle E. |
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| Předmět: |
CINAHL database
INTENSIVE care units MEDICAL information storage & retrieval systems MEDICAL databases INFORMATION storage & retrieval systems PHYSICAL therapy CRITICALLY ill SYSTEMATIC reviews PATIENTS PEDIATRICS CRITICAL care medicine RESEARCH funding REHABILITATION LITERATURE reviews MEDLINE REHABILITATION research AMED (Information retrieval system) CHILDREN |
| Zdroj: | Disability & Rehabilitation; 11/15/2021, Vol. 43 Issue 23, p3417-3424, 8p |
| Abstrakt: | Purpose: To describe and evaluate physical rehabilitation research in critically ill children, including physical rehabilitation intervention reporting. Methods: We searched five electronic databases to 31 December 2018 for prospective physical rehabilitation studies conducted in pediatric intensive care units (PICU). Screening was conducted independently in duplicate. Study characteristics, outcomes, and interventions were extracted from included studies. Quality of study reporting was assessed using standardized tools. Completeness of physical rehabilitation intervention reporting was assessed using the Consensus on Exercise Reporting Template (CERT). Results: We included 20 studies enrolling a total of 2644 patients. Median (Q1,Q3) sample size was 57 (44,104). Seven studies (35%) were randomized controlled trials. Eleven studies (55%) evaluated respiratory interventions, most commonly multicomponent chest physiotherapy (73%). Nine studies (45%) evaluated physical activity interventions, most commonly progressive mobility (56%). The majority of stated outcomes (92.5%) were limited to the PICU setting. Median [Q1,Q3] quality of study reporting was good (77.2% [66.7%,87.4%]), and completeness of physical rehabilitation intervention reporting was moderate (61.9% [45.9%,71.5%]). Conclusion: Physical rehabilitation studies in critically ill children were small, and focused on evaluating respiratory-based interventions and short-term PICU-based outcomes. Reporting of physical rehabilitation interventions was suboptimal. Use of CERT may improve design and reporting in future studies. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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