Background: Physical rehabilitation (PR) interventions in the intensive care unit (ICU) can improve patientsâ?? functional\noutcomes, yet systematic reviews identified discordant effects and poor reporting. We conducted a scoping review to\ndetermine the extent of ICU PR interventions and how they were reported and measured.\nMethods: We searched five databases from inception to December 2016 for prospective studies evaluating adult ICU\nPR interventions. Two independent reviewers screened titles, abstracts, and full texts for inclusion. We\nassessed completeness of reporting using the Consolidated Standards of Reporting Trials, Strengthening the\nReporting of Observational Studies in Epidemiology, or Standards for Quality Improvement Reporting Excellence\nguidelines, as appropriate. For planned PR interventions, we evaluated reporting with the Consensus on\nExercise Reporting Template (CERT) and assessed intervention and control groups separately. We calculated\ncompleteness of reporting scores for each study; scores represented the proportion of reported items. We\ncompared reporting between groups using Kruskal-Wallis with Bonferroni corrections and t tests,--- = 0.05.\nResults: We screened 61,774 unique citations, reviewed 1429 full-text publications, and included 117: 39 randomized\ntrials, 30 case series, 9 two-group comparison, 14 before-after, and 25 cohort. Interventions included neuromuscular\nelectrical stimulation (NMES) (14.5%), passive/active exercises (15.4%), cycling (6.8%), progressive mobility (32.5%), and\nmulticomponent (29.9%). The median (first,third quartiles) study reporting score was 75.9% (62.5, 86.7) with no\nsignificant differences between reporting guidelines. Of 87 planned intervention studies, the median CERT score was\n55.6%(44.7,75.0); cycling had the highest (85.0%(62.2,93.8)), and NMES and multicomponent the lowest (50.0% (39.5, 70.\n3) and 50.0% (41.5, 58.8), respectively) scores. Authors reported intervention groups better than controls (p < 0.001).\nConclusions: We identified important reporting deficiencies in ICU PR interventions, limiting clinical implementation\nand future trial development.
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