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Early mobilization for mechanically ventilated patients in the intensive care unit: a systematic review and meta-analysis Cover

Early mobilization for mechanically ventilated patients in the intensive care unit: a systematic review and meta-analysis

Open Access
|Dec 2018

Figures & Tables

Figure 1

Flow diagram of process for identification of included studies.
Flow diagram of process for identification of included studies.

Figure 2

Forest plot for the effect of EM on duration of MV. Abbreviations: EM, early mobilization; MV, mechanical ventilation.
Forest plot for the effect of EM on duration of MV. Abbreviations: EM, early mobilization; MV, mechanical ventilation.

Figure 3

Subgroup analysis of the effect of EM on duration of MV according to standard intervention.
Abbreviations: EM, early mobilization; MV, mechanical ventilation.
Subgroup analysis of the effect of EM on duration of MV according to standard intervention. Abbreviations: EM, early mobilization; MV, mechanical ventilation.

Figure 4

Forest plot for the effect of EM on mortality rate. Abbreviation: EM, early mobilization.
Forest plot for the effect of EM on mortality rate. Abbreviation: EM, early mobilization.

Figure 5

Forest plot for the effect of EM on length of stay in ICU. Abbreviations: EM, early mobilization; ICU, intensive care unit.
Forest plot for the effect of EM on length of stay in ICU. Abbreviations: EM, early mobilization; ICU, intensive care unit.

Characteristics of included studies_

StudyDesignParticipantsInterventionOutcomes
Dong et al. 201420RCTExp: n=30 (male 70.0%); Age (y) =55.3 (16.1); APACHE II=15.0 (4.2) Con: n=30 (male 66%); Age (y)=55.5 (16.2); APACHE II=16.0 (4.1)Exp: EM Con: no mobilityDuration of MV Mortality ICULOS
Morris et al. 200821CCTExp: n=145 (male 56.4%); Age (y) =54.0 (16.8); APACHE II=23.5 (8.8) Con: n=135 (male 53.3%); Age (y) =55.4 (16.8); APACHE II=23.5 (8.8)Exp: EM Con: no mobilityMortality Duration of MV ICULOS Hospital LOS
Schweickert et al. 200922RCTExp: n=49 (male 41.0%); Age (y) =57.7 (36.3-69.1)*; APACHE II=20 (15.8-24)* Con: n=55 (male 58.0%); Age (y) =54.4 (46.5-66.4)*; APACHE II=19 (13.3-23)*Exp: EM Con: ordered by the primary care teamDuration of MV ICULOS
Patman et al. 200123RCTExp: n=101 (male 80.0 %); Age (y) =62.8 (12.2) Con: n=102 (male 71.0 %); Age (y) =63.3 (14.4)Exp: EM Con: physiotherapyDuration of MV ICULOS Hospital LOS
Caruso et al. 200524RCTExp: n=12 (male 67.0%); Age (y) =67 (10); APACHE II=23 (6) Con: n=13 (male 69.0%); Age (y) =66 (17); APACHE II=24 (7)Exp: EM Con: no inspiratory muscle trainingDuration of MV
Meesen et al. 201025RCTExp: n=7 (male 42.9%); Age (y) =63.5 (16.5) Con: n=12 (male 75.0%); Age (y) =67.2 (13.2)Exp: stimulated by an electro-stimulator Con: no stimulationThigh circumference Cardio-respiratory characteristics
Poulsen et al. 201126RCTExp: n=8 (male 100%); Age (y) =67 (64–72); APACHE II=25 (20-29) Con: patients served as own controlExp: stimulated by a battery-stimulator Con: no stimulationQuadriceps muscle volume
Rodriguez et al. 201227RCTExp: n=14 (male 50%); Age (y) =72 (63-80); APACHE II= 20 (18-27) Con: patients served as own controlCon: patients served as own control Con: no stimulationQuadriceps muscle strength Limb circumference Biceps thickness

PEDro scores for included studies_

StudyRandom allocationConcealed allocationGroups similar at baselineParticipant blindingTherapist blindingAssessor blinding<15% dropoutsIntention to-treat analysisBetween- group difference reportedPoint and variability reported
Dong et al. 201420YNYNNNYNYY
Morris et al. 200821NNYNNNYYYY
Schweickert et al. 200922YYYNNYNYYY
Patman et al. 200123YNYNNNNYYY
Caruso et al. 200524YNYNYNYNYY
Meesen et al. 201025YNYNNNYNYY
Poulsen et al. 201126YNYNNNYNYY
Rodriguez al. 201227 etYYYNNNYNYY
DOI: https://doi.org/10.1515/fon-2018-0039 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 301 - 310
Submitted on: Aug 11, 2017
Accepted on: Mar 26, 2018
Published on: Dec 31, 2018
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year

© 2018 Meng Yue, Zhan-Ying Ma, Meng-Jie Lei, Chu-Yun Cui, Yi Jin, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.