Pediatric Intensive Care Units
Conditions
Keywords
Pediatric Intensive Care Units, Acute Rehabilitation, Rehabilitation Prevalence, Child, Critical Illness, Intensive Care Unit Acquired Weakness
Brief summary
This study investigates the prevalence of acute rehabilitation practices among children in pediatric intensive care units (PICUs).
Detailed description
This is a prospective observational study conducted across 13 hospitals. Data will be collected at three predefined time points to assess the prevalence of acute rehabilitation practices among children in pediatric intensive care units.
Interventions
OTHERAcute Rehabilitation (Observed Practice)
This study does not assign any interventions. It observes routine clinical practices of acute rehabilitation provided to children in pediatric intensive care units as part of standard care.
Sponsors
Samsung Medical Center
Johns Hopkins University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
0 Days to 18 Years
Inclusion criteria
* Children and adolescents aged 18 years or younger who have been admitted to the pediatric intensive care unit (PICU) for at least 72 hours as of 9:00 AM on the predefined study date at participating hospitals.
Exclusion criteria
* No
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of Participants Who Received Acute Rehabilitation | At three seasonal point-prevalence assessments conducted approximately 6 months apart over an 18-month period | Prevalence is defined as the proportion of eligible children in the pediatric intensive care unit who received at least one session of physical therapy or occupational therapy within the 24 hours preceding each study assessment point. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Acute Rehabilitation Sessions per Participant | At three seasonal point-prevalence assessments conducted approximately 6 months apart over an 18-month period | The number of physical therapy or occupational therapy sessions delivered to eligible children within the 24 hours preceding each assessment point. |
| Number of Participants by Type of Rehabilitation Intervention | At three seasonal point-prevalence assessments conducted approximately 6 months apart over an 18-month period | The types of rehabilitation interventions delivered within the 24 hours preceding each assessment point, including passive exercise, active exercise, positioning, mobility training, and occupational therapy interventions. |
| Proportion of sessions Involving Assistive Devices | At three seasonal point-prevalence assessments conducted approximately 6 months apart over an 18-month period | The proportion of rehabilitation sessions involving assistive devices or equipment during the 24 hours preceding each assessment point. |
| Number of Sessions by Delivery Method | At three seasonal point-prevalence assessments conducted approximately 6 months apart over an 18-month period | The types of rehabilitation delivery methods used within the 24 hours preceding each assessment point, including bedside therapy, in-room mobilization, and therapist-assisted mobility interventions. |
| Odds Ratios for Factors Associated With Absence of Acute Rehabilitation | At three seasonal point-prevalence assessments conducted approximately 6 months apart over an 18-month period | Multivariable logistic regression analysis will be performed to evaluate clinical and organizational factors associated with the absence of acute rehabilitation delivery among eligible children in the pediatric intensive care unit. Predictor variables will include patient demographics, severity of illness, sedation status, mechanical ventilation, restraint use, ICU structure, rehabilitation protocols, and staffing resources. |
Countries
South Korea
Contacts
CONTACTyumi choe
Outcome results
None listed