物理治疗指导下的儿童重症监护病房早期活动的效果：系统回顾和荟萃分析。

IF 1.5 4区医学 Q3 PEDIATRICS

Pediatric Physical Therapy Pub Date : 2025-10-01 Epub Date: 2025-10-02 DOI:10.1097/PEP.0000000000001222

Zoe Herwitz, Mercedes Signorelli Flores, Kathryn C Nesbit, Diane D Allen, Jennifer A Rhodes

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引用次数: 0

摘要

目的：本研究分析了物理治疗导向的早期动员（EM）对医院和儿科重症监护（PICU）住院时间和机械通气天数的影响。方法：检索至2023年1月的PubMed和CINAHL。研究对象包括18岁的非新生儿，他们参加了由物理治疗师领导的EM项目。分析了效应量和风险比。评估研究的证据质量。结果：6项高质量研究符合纳入标准。两组患者住院时间、PICU住院时间和机械通气天数比较，差异均有统计学意义。结论：本系统综述和荟萃分析支持在PICU实施EM以减少住院时间和PICU住院时间以及机械通气天数。这一证据可以告知在picu中更广泛地采用物理治疗导向的EM，以使婴儿受益并提高医疗质量。

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The Effects of Physical Therapy-Directed Early Mobilization in the Pediatric Intensive Care Unit: A Systematic Review and Meta-Analysis.

Purpose: This study analyzed evidence of the impact of physical therapy-directed early mobilization (EM) on hospital and pediatric intensive care (PICU) length of stay, and mechanical ventilation days.

Methods: PubMed and CINAHL were searched through January 2023. Studies included non-neonates through 18 years who participated in an EM program led by a physical therapist. Effect sizes and risk ratios were analyzed. Evidence quality of studies was assessed.

Results: Six high-quality studies met the inclusion criteria. There was a statistically significant effect in the between-group analysis on hospital length of stay, PICU length of stay and mechanical ventilation days.

Conclusions: This systematic review and meta-analysis support implementing EM in PICUs to reduce hospital and PICU length of stay, and mechanical ventilation days. This evidence can inform wider adoption of physical therapy-directed EM in PICUs to benefit infants and improve quality healthcare.

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.