Author (year) Aim of SR | Stage of recovery continuum | Search dates* No. studies included Patients included (range; total) | Population† | Intervention | Comparator | Category of outcome Outcome measure/s (*denotes primary) | Quality appraisal method |
---|---|---|---|---|---|---|---|
Kayambu et al (2013)26 Review the evidence base for exercise in critically ill patients | In ICU | 1980 to January 2012 10 24–140; 790 | Patients receiving physical therapy in the ICU | Physical therapy | No or minimal physical therapy in contrast to the intervention group | Impairment:
| PEDro Revised-AMSTAR |
Hermans et al (2014)25‡ Review the evidence for any intervention to reduce the incidence of CIP or CIM in critically ill individuals | In ICU | 1966 to 4 October 2011 2 104–140; 244 | Adult (≥18 years of age) admitted to a medical, surgical or mixed ICU | Physiotherapy EMS Rehabilitation programme | Placebo, no treatment or a different treatment | Impairment: Incidence of CIP/CIM in ICU*Healthcare utilisation:
| Cochrane Risk of Bias |
Wageck et al (2014)27 Investigate the applications and effects of NMES in critically ill patients in the ICU | In ICU | Up until 26 November 2013 8 16–52; 274 | Adult (≥18 years of age) critically ill patients in the ICU for ≥48 hours | NMES | Not specified | Impairment:
Complications from immobilisation and bed rest | PEDro |
Calvo-Ayala et al (2013)24§ Identify effective interventions that improve long-term PF in ICU survivors | Across all stages | January 1990 to December 2012 7 16–195; 678 | Inclusion Adult (≥18 years of age) patients admitted to an ICUExclusion Acquired brain injury or underlying neuropathy/myopathy Long-term acute-care hospital patients | Exercise/physical therapy | Placebo, no treatment or a different treatment | Activity limitation: Long-term PF or its surrogates* | PEDro |
Connolly et al (2015)13¶ Assess effectiveness of exercise rehabilitation programmes initiated after ICU discharge in adult ICU survivors | Post-ICU discharge | 1966 to 15 May 2014 6 16–195; 483 | Inclusion Adult (≥18 years of age) patients admitted to an ICU or critical care unit; MV ≥24 hours Discharged from ICU at the time of receiving the interventionExclusion Palliative care Patients with targeted rehabilitation pathways | Exercise rehabilitation or training | Any other intervention, control or ‘usual care’ programme | Activity limitation: Functional exercise capacity*Participation restriction: Health-related quality of life*Healthcare utilisation: MortalityAdverse events: Adverse events | Cochrane Risk of Bias |
*Search dates reported as per individual systematic review and may/may not include specific detail.
†Population described as per individual systematic review and may/may not include specific ‘Inclusion’ and ‘Exclusion’ criteria.
‡SR includes any treatment related to decreasing risk of CIP/CIM; data reported relate to physical rehabilitation interventions included.
§SR includes any treatment where long-term PF was an outcome; data reported relate to physical rehabilitation interventions included.
¶NB include ‘Other’ outcomes related to trial intervention, for example, withdrawal rates, adherence and loss to follow-up.
AMSTAR, Assessment of Multiple Systematic Reviews; CIM, critical illness myopathy; CIP, critical illness polyneuropathy; EMS, electrical muscle stimulation; ICU, intensive care unit; LOS, length of stay; MV, mechanical ventilation; NMES, neuromuscular electrical stimulation; PEDro, Physiotherapy Evidence Database; PF, physical function.