Evidence map›Paper›PMID 39073582›Full record

GuidelineIntensive care medicine2024

Guideline on positioning and early mobilisation in the critically ill by an expert panel.

Stefan J Schaller, Flora T Scheffenbichler, Thomas Bein, Manfred Blobner, Julius J Grunow, Uwe Hamsen, Carsten Hermes, Arnold Kaltwasser, Heidrun Lewald, Peter Nydahl and 9 more

Abstract readPractice GuidelineSystematic Review
PubMed Publisher
In one paragraph

Guideline in Intensive care medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  19. Cardiac Surgery Management in Patients With Liver Cirrhosis.Reviews in cardiovascular medicine · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Stefan J Schaller *Department of Anaesthesiology and Intensive Care Medicine (CCM/CVK), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany. stefan.schaller@charite.de.ORCID 0000-0002-6683-9584
Flora T ScheffenbichlerDepartment of Anaesthesiology and Intensive Care Medicine, Ulm University, Ulm, Germany.
Thomas BeinUniversität Regensburg, Regensburg, Germany.
Manfred BlobnerDepartment of Anaesthesiology and Intensive Care Medicine, Ulm University, Ulm, Germany.
Julius J GrunowDepartment of Anaesthesiology and Intensive Care Medicine (CCM/CVK), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.
Uwe HamsenRuhr University Bochum, Bochum, Germany.
Carsten HermesHochschule für Angewandte Wissenschaften Hamburg (HAW Hamburg), Hamburg, Germany.
Arnold KaltwasserAcademy of the District Hospitals Reutlingen, Kreiskliniken Reutlingen, Reutlingen, Germany.
Heidrun LewaldDepartment of Anaesthesiology and Intensive Care Medicine, School of Medicine and Health, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.
Peter NydahlUniversity Hospital of Schleswig-Holstein, Kiel, Germany.
Anett ReißhauerDepartment of Rehabilitation Medicine, Charité-Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Leonie RenzewitzDepartment of Physiotherapy, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
Karsten SiemonDepartment of Pneumology, Fachkrankenhaus Kloster Grafschaft, Schmallenberg, Germany.
Thomas StaudingerDepartment of Medicine I, Medical University of Vienna, Vienna, Austria.
Roman UllrichDepartment of Anaesthesia, General Intensive Care and Pain Medicine, Medical University of Vienna, Vienna, Austria.
Steffen Weber-CarstensDepartment of Anaesthesiology and Intensive Care Medicine (CCM/CVK), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.
Hermann WriggeDepartment of Anaesthesiology, Intensive Care and Emergency Medicine, Pain Therapy, Bergmannstrost Hospital, Halle, Germany.
Dominik ZergiebelMünster University Hospital (UKM), Münster, Germany.
Sina M Coldewey *Department of Anaesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany. sina.coldewey@med.uni-jena.de.ORCID 0000-0002-7130-0006

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A scientific panel was created consisting of 23 interdisciplinary and interprofessional experts in intensive care medicine, physiotherapy, nursing care, surgery, rehabilitative medicine, and pneumology delegated from scientific societies together with a patient representative and a delegate from the Association of the Scientific Medical Societies who advised methodological implementation. The guideline was created according to the German Association of the Scientific Medical Societies (AWMF), based on The Appraisal of Guidelines for Research and Evaluation (AGREE) II. The topics of (early) mobilisation, neuromuscular electrical stimulation, assist devices for mobilisation, and positioning, including prone positioning, were identified as areas to be addressed and assigned to specialist expert groups, taking conflicts of interest into account. The panel formulated PICO questions (addressing the population, intervention, comparison or control group as well as the resulting outcomes), conducted a systematic literature review with abstract screening and full-text analysis and created summary tables. This was followed by grading the evidence according to the Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence and a risk of bias assessment. The recommendations were finalized according to GRADE and voted using an online Delphi process followed by a final hybrid consensus conference. The German long version of the guideline was approved by the professional associations. For this English version an update of the systematic review was conducted until April 2024 and recommendation adapted based on new evidence in systematic reviews and randomized controlled trials. In total, 46 recommendations were developed and research gaps addressed.

Indexed as

Critical IllnessEarly AmbulationCritical CareHumansPatient PositioningCritical careCritical illnessEarly mobilisationGuidelinePatient positioningPhysical therapy modalities

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.