[Summary of the best evidence for early exercise rehabilitation in patients with mechanically ventilated ICU-acquired weakness].

Q3 Medicine
Ruixiang Sun, Haijiao Jiang, Jun Wang, Jintian Yu, Quan Zhou, Ke Fang, Caizhe Ci
{"title":"[Summary of the best evidence for early exercise rehabilitation in patients with mechanically ventilated ICU-acquired weakness].","authors":"Ruixiang Sun, Haijiao Jiang, Jun Wang, Jintian Yu, Quan Zhou, Ke Fang, Caizhe Ci","doi":"10.3760/cma.j.cn121430-20240227-00169","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To integrate the best evidence for early rehabilitation of mechanically ventilated ICU-acquired weakness (ICU-AW) patients using evidence-based methods, providing evidence-based basis for standardized evaluation and intervention of early exercise therapy for mechanically ventilated ICU-AW patients.</p><p><strong>Methods: </strong>A systematic search was conducted on the American Thoracic Society (ATS) Clinical Practice Guidelines, Registered Nurses' Association of Ontario (RNAO), Guidelines International Network (GIN), Canadian Medical Association Clinical Practice Guideline Library (CMACPGL), BMJ Clinical Evidence, UpToDate, Scottish Intercollegiate Guidelines Network (SIGN), PubMed, Cochrane Library, National Guideline Clearinghouse (NGC), Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), UM-library, Physiotherapy Evidence Database (PEDro), National Institute for Health and Care Excellence (NICE), New Zealand Guidelines Group (NZGG), Chinese Medical Pulse Guidelines Website, CNKI and Wanfang data and other Chinese and English databases, professional team websites, and guideline websites for expert consensus, guidelines, randomized collected trial (RCT), systematic reviews and other evidence on early exercise rehabilitation for mechanically ventilated ICU-AW patients. The search time limit was from the establishment of the database to December 31, 2023. Literature search, screening, evaluation, information extraction was independently conducted by two evaluators with cross checking, and quality evaluation of the included literature was conducted.</p><p><strong>Results: </strong>A total of 21 literatures were enrolled, including 5 guidelines, 5 systematic reviews, 4 expert consensuses, and 7 RCT, all of which with high evidence level and all were enrolled. They were summarized into seven aspects with assessment screening, exercise safety standards, precautions, setting of exercise time, exercise intensity, exercise sequence, and recommended exercise content as the core, and 32 best evidences.</p><p><strong>Conclusions: </strong>The evidence summarized can provide evidence-based basis for standardized assessment and intervention of early exercise rehabilitation in mechanically ventilated ICU-AW patients. ICU medical practitioners need to combine the actual clinical environment, individual differences and rehabilitation goals of patients, to provide targeted health guidance and intervention for the prevention of ICU-AW in mechanically ventilated patients.</p>","PeriodicalId":24079,"journal":{"name":"Zhonghua wei zhong bing ji jiu yi xue","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zhonghua wei zhong bing ji jiu yi xue","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/cma.j.cn121430-20240227-00169","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: To integrate the best evidence for early rehabilitation of mechanically ventilated ICU-acquired weakness (ICU-AW) patients using evidence-based methods, providing evidence-based basis for standardized evaluation and intervention of early exercise therapy for mechanically ventilated ICU-AW patients.

Methods: A systematic search was conducted on the American Thoracic Society (ATS) Clinical Practice Guidelines, Registered Nurses' Association of Ontario (RNAO), Guidelines International Network (GIN), Canadian Medical Association Clinical Practice Guideline Library (CMACPGL), BMJ Clinical Evidence, UpToDate, Scottish Intercollegiate Guidelines Network (SIGN), PubMed, Cochrane Library, National Guideline Clearinghouse (NGC), Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), UM-library, Physiotherapy Evidence Database (PEDro), National Institute for Health and Care Excellence (NICE), New Zealand Guidelines Group (NZGG), Chinese Medical Pulse Guidelines Website, CNKI and Wanfang data and other Chinese and English databases, professional team websites, and guideline websites for expert consensus, guidelines, randomized collected trial (RCT), systematic reviews and other evidence on early exercise rehabilitation for mechanically ventilated ICU-AW patients. The search time limit was from the establishment of the database to December 31, 2023. Literature search, screening, evaluation, information extraction was independently conducted by two evaluators with cross checking, and quality evaluation of the included literature was conducted.

Results: A total of 21 literatures were enrolled, including 5 guidelines, 5 systematic reviews, 4 expert consensuses, and 7 RCT, all of which with high evidence level and all were enrolled. They were summarized into seven aspects with assessment screening, exercise safety standards, precautions, setting of exercise time, exercise intensity, exercise sequence, and recommended exercise content as the core, and 32 best evidences.

Conclusions: The evidence summarized can provide evidence-based basis for standardized assessment and intervention of early exercise rehabilitation in mechanically ventilated ICU-AW patients. ICU medical practitioners need to combine the actual clinical environment, individual differences and rehabilitation goals of patients, to provide targeted health guidance and intervention for the prevention of ICU-AW in mechanically ventilated patients.

[机械通气重症监护室获得性虚弱患者早期运动康复最佳证据摘要]。
目的:采用循证方法整合机械通气 ICU 获得性虚弱(ICU-AW)患者早期康复的最佳证据,为机械通气 ICU-AW 患者早期运动疗法的标准化评估和干预提供循证依据:方法:在美国胸科学会(ATS)临床实践指南、安大略省注册护士协会(RNAO)、国际指南网络(GIN)、加拿大医学会临床实践指南图书馆(CMACPGL)、英国医学杂志临床证据、UpToDate、苏格兰校际指南网络(SIGN)、PubMed、Cochrane 图书馆、国家指南交换中心(NGC)、Embase、护理和相关健康文献累积索引(CINAHL)中进行了系统检索、UM-library、物理治疗证据数据库(PEDro)、美国国家健康与护理卓越研究所(NICE)、新西兰指南小组(NZGG)、中国医脉通指南网、CNKI、万方数据等中英文数据库、专业团队网站、指南网站等,检索有关ICU-AW机械通气患者早期运动康复的专家共识、指南、随机收集试验(RCT)、系统综述等证据。检索时限为数据库建立后至 2023 年 12 月 31 日。文献检索、筛选、评价和信息提取由两名评价人员独立完成,并进行交叉核对,同时对纳入的文献进行质量评价:结果:共收录 21 篇文献,其中包括 5 篇指南、5 篇系统综述、4 篇专家共识和 7 篇 RCT,所有文献均具有较高的证据水平,且全部收录。以评估筛查、运动安全标准、注意事项、运动时间设定、运动强度、运动顺序、推荐运动内容为核心,归纳为七个方面,共 32 项最佳证据:总结的证据可为机械通气 ICU-AW 患者早期运动康复的标准化评估和干预提供循证依据。ICU医务工作者需要结合患者的实际临床环境、个体差异和康复目标,为机械通气患者预防ICU-AW提供有针对性的健康指导和干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Zhonghua wei zhong bing ji jiu yi xue
Zhonghua wei zhong bing ji jiu yi xue Medicine-Critical Care and Intensive Care Medicine
CiteScore
1.00
自引率
0.00%
发文量
42
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信