[Safety criteria for early goal-oriented rehabilition exercise in patients undergoing mechanical ventilation in intensive care unit: a systematic review].
Bibliographic record
Abstract
OBJECTIVE: To determine the safety criteria for early goal-oriented rehabilition exercise in patients undergoing mechanical ventilation in intensive care unit (ICU) by systematic review. METHODS: Randomized controlled trails (RCTs) and cohort studies about early goal-oriented rehabilition exercise in patients undergoing mechanical ventilation in ICU were retrieved in CBM, CNKI, Wanfang Data, PubMed, Cochrane Library and Web of Science from their foundation to March 2018, and other sources as supplement was also retrieved. The intervention program of RCT study was ICU routine nursing in control group, early activity in observation group, and early activity in cohort study without control group. Early activities included active and passive activities on the bed, sitting upright, bed-chair transfer, standing and walking. Literature screening and data extraction were performed independently by two researchers. Variables or parameters related to cardiovascular, respiratory, nervous, orthopedic and other systems were collected for safety criteria. Variables or parameters used in at least three literatures were collected for each system. Cochrane 5.1.0 was used to evaluate the quality of RCT study, and Newcastle-Ottawa scale (NOS) was used to evaluate the quality of cohort study. RESULTS: ) > 0.88 (n = 5). The nervous system included 4 variables, including no neuromuscular disease (n = 7), no increase in intracranial pressure (n = 7), no coma (n = 4), understand and do the right thing (n = 4). The orthopedic system included 2 variables, including no fracture (n = 3), no unstable fracture (n = 8). Other factors included 2 variables, including no open abdomen wound (n = 4), and no palliative care (n = 3). CONCLUSIONS: This study identified safety criteria for early goal-directed rehabilition exercise in patients undergoing mechanical ventilation in ICU included five systems of cardiovascular, respiratory, neurological, orthopedic, and other systems, in which cardiovascular and respiratory systems were the most frequently cited variables or parameters. The consistency of each system security criteria or variables reported by different literatures was high, but the parameters need to be further verified by high-quality study.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.044 | 0.163 |
| Meta-epidemiology (narrow) | 0.002 | 0.001 |
| Meta-epidemiology (broad) | 0.012 | 0.015 |
| Bibliometrics | 0.008 | 0.010 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.004 | 0.004 |
| Open science | 0.003 | 0.003 |
| Research integrity | 0.005 | 0.002 |
| Insufficient payload (model declined to judge) | 0.005 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".