ICU sedation, delirium & recovery

Responsiveness of Critically Ill Adults With Multimorbidity to Rehabilitation Interventions: A Patient-Level Meta-Analysis Using Individual Pooled Data From Four Randomized Trials*

Crit Care MedPublished Individual patient data meta-analysis of randomised controlled trials

Authors' conclusion

The identification of a target group with two or more comorbidities who derived benefits from the trial interventions is an important finding and provides direction for future investigations into the effect of rehabilitation.

Study context

Population
Critically ill adults in critical care physical rehabilitation randomized controlled trials (RCTs)
Participants
810 adults · 4 RCTs
Comparison
Physical rehabilitation vs control
  • Interventionn = 403
  • Controln = 407reference
Outcome
Coprimary: HRQoL and objective physical performance, and their modification by patient characteristics (pre-existing comorbidity, age, sex, illness severity)
Methodological detailslinear mixed models, effect modification analysis
  • Linear mixed models
  • Effect modification analysis

Pooled result

As reported in the abstract

Effect modification of HRQoL and physical performance by patient characteristics (subgroups) · 3 and 6 months

≥2 comorbidities: Health-related quality of life (HRQoL) (Physical Component Summary) significantly higher with intervention vs similarly comorbid control, exceeding the minimal important difference

Wald test p = 0.041

Original publication

Responsiveness of Critically Ill Adults With Multimorbidity to Rehabilitation Interventions: A Patient-Level Meta-Analysis Using Individual Pooled Data From Four Randomized Trials*. Crit Care Med. Published 30 May 2023. doi:10.1097/ccm.0000000000005936

Composed by AI from the published abstract and checked against it. How Briefs are made →

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