Matthieu Reffienna, Adéla Foudhaïli, Colin Sidre, Damien Vitiello, Jonathan Messika
{"title":"肺移植术后早期活动:一项范围审查方案。","authors":"Matthieu Reffienna, Adéla Foudhaïli, Colin Sidre, Damien Vitiello, Jonathan Messika","doi":"10.1016/j.mex.2025.103404","DOIUrl":null,"url":null,"abstract":"<p><p>After lung transplantation, rehabilitation is part of patients' standard of care, playing a crucial role in enhancing functional capacity and quality of life. Although early rehabilitation in the intensive care unit has been reported in few studies, it is not yet widely standardized in clinical practice. As a result, rehabilitation protocols are often initiated several weeks after surgery, potentially leaving a gap in early postoperative management. While the benefits of early mobilization in critically ill patients are well documented, limited data exist on mobilization strategies initiated immediately in the intensive care unit following lung transplantation. Understanding the feasibility, benefits, and potential barriers to early mobilization in this population would enhance future post-transplant recovery care. Studies evaluating an early mobilization (<7d) protocol initiated in the intensive care unit for adult lung transplant recipients will be included. Studies assessing protocols initiated later (>7d) in the recovery process will be excluded. A comprehensive search will be conducted in MEDLINE (PubMed), Embase, PEDro, Web of Science Core Collection, CINAHL (EBSCOhost), Scopus, Cochrane CENTRAL, and PROSPERO, as well as relevant gray literature sources. No language or date restrictions will be applied. Study selection and data extraction will be performed independently by two reviewers.•The main question is: what evidence exists regarding the feasibility, safety, and clinical outcomes of early mobilization interventions for LTx recipients in critical care settings?</p>","PeriodicalId":18446,"journal":{"name":"MethodsX","volume":"14 ","pages":"103404"},"PeriodicalIF":1.9000,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12173691/pdf/","citationCount":"0","resultStr":"{\"title\":\"Early mobilization after lung transplantation: A scoping review protocol.\",\"authors\":\"Matthieu Reffienna, Adéla Foudhaïli, Colin Sidre, Damien Vitiello, Jonathan Messika\",\"doi\":\"10.1016/j.mex.2025.103404\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>After lung transplantation, rehabilitation is part of patients' standard of care, playing a crucial role in enhancing functional capacity and quality of life. Although early rehabilitation in the intensive care unit has been reported in few studies, it is not yet widely standardized in clinical practice. As a result, rehabilitation protocols are often initiated several weeks after surgery, potentially leaving a gap in early postoperative management. While the benefits of early mobilization in critically ill patients are well documented, limited data exist on mobilization strategies initiated immediately in the intensive care unit following lung transplantation. Understanding the feasibility, benefits, and potential barriers to early mobilization in this population would enhance future post-transplant recovery care. Studies evaluating an early mobilization (<7d) protocol initiated in the intensive care unit for adult lung transplant recipients will be included. Studies assessing protocols initiated later (>7d) in the recovery process will be excluded. A comprehensive search will be conducted in MEDLINE (PubMed), Embase, PEDro, Web of Science Core Collection, CINAHL (EBSCOhost), Scopus, Cochrane CENTRAL, and PROSPERO, as well as relevant gray literature sources. No language or date restrictions will be applied. Study selection and data extraction will be performed independently by two reviewers.•The main question is: what evidence exists regarding the feasibility, safety, and clinical outcomes of early mobilization interventions for LTx recipients in critical care settings?</p>\",\"PeriodicalId\":18446,\"journal\":{\"name\":\"MethodsX\",\"volume\":\"14 \",\"pages\":\"103404\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-05-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12173691/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"MethodsX\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.mex.2025.103404\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"MULTIDISCIPLINARY SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"MethodsX","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.mex.2025.103404","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MULTIDISCIPLINARY SCIENCES","Score":null,"Total":0}
引用次数: 0
摘要
肺移植术后康复是患者护理标准的一部分,对提高功能能力和生活质量起着至关重要的作用。虽然重症监护病房的早期康复研究报道较少,但在临床实践中尚未得到广泛规范。因此,康复方案通常在手术后几周开始,这可能会在术后早期管理中留下空白。虽然危重患者早期动员的好处有很好的文献记载,但关于肺移植后在重症监护病房立即启动的动员策略的数据有限。了解在这一人群中早期动员的可行性、益处和潜在障碍将加强未来的移植后康复护理。在恢复过程中评估早期活动(7d)的研究将被排除在外。综合检索MEDLINE (PubMed)、Embase、PEDro、Web of Science Core Collection、CINAHL (EBSCOhost)、Scopus、Cochrane CENTRAL、PROSPERO以及相关灰色文献来源。没有语言和日期限制。研究选择和数据提取将由两位审稿人独立完成。•主要问题是:在重症监护环境中,LTx接受者早期动员干预的可行性、安全性和临床结果存在哪些证据?
Early mobilization after lung transplantation: A scoping review protocol.
After lung transplantation, rehabilitation is part of patients' standard of care, playing a crucial role in enhancing functional capacity and quality of life. Although early rehabilitation in the intensive care unit has been reported in few studies, it is not yet widely standardized in clinical practice. As a result, rehabilitation protocols are often initiated several weeks after surgery, potentially leaving a gap in early postoperative management. While the benefits of early mobilization in critically ill patients are well documented, limited data exist on mobilization strategies initiated immediately in the intensive care unit following lung transplantation. Understanding the feasibility, benefits, and potential barriers to early mobilization in this population would enhance future post-transplant recovery care. Studies evaluating an early mobilization (<7d) protocol initiated in the intensive care unit for adult lung transplant recipients will be included. Studies assessing protocols initiated later (>7d) in the recovery process will be excluded. A comprehensive search will be conducted in MEDLINE (PubMed), Embase, PEDro, Web of Science Core Collection, CINAHL (EBSCOhost), Scopus, Cochrane CENTRAL, and PROSPERO, as well as relevant gray literature sources. No language or date restrictions will be applied. Study selection and data extraction will be performed independently by two reviewers.•The main question is: what evidence exists regarding the feasibility, safety, and clinical outcomes of early mobilization interventions for LTx recipients in critical care settings?