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| Name | Class |
|---|---|
| Johns Hopkins University | OTHER |
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This study investigates the prevalence of acute rehabilitation practices among children in pediatric intensive care units (PICUs).
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Children in Pediatric Intensive Care Units | Children admitted to pediatric intensive care units (PICUs) who are assessed for the prevalence of acute rehabilitation practices during critical care. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Acute Rehabilitation (Observed Practice) | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Participants Who Received Acute Rehabilitation | 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. | At three seasonal point-prevalence assessments conducted approximately 6 months apart over an 18-month period |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Acute Rehabilitation Sessions per Participant | The number of physical therapy or occupational therapy sessions delivered to eligible children within the 24 hours preceding each assessment point. | At three seasonal point-prevalence assessments conducted approximately 6 months apart over an 18-month period |
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Inclusion Criteria:
Exclusion Criteria:
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The study population includes critically ill children and adolescents aged 18 years or younger who are admitted to pediatric intensive care units (PICUs) at participating hospitals in South Korea. Patients who have been hospitalized in the PICU for at least 72 hours as of 9:00 AM on predefined study dates will be included. All eligible patients at each study time point will be included to reflect real-world clinical practice in pediatric critical care.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| yumi choe | Contact | 82-10-3173-2671 | yumi.choe@sbri.co.kr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kyungpook National University Chilgok Hospital | Daegu | Daegu | 41404 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32168030 | Background | Kudchadkar SR, Nelliot A, Awojoodu R, Vaidya D, Traube C, Walker T, Needham DM; Prevalence of Acute Rehabilitation for Kids in the PICU (PARK-PICU) Investigators and the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network. Physical Rehabilitation in Critically Ill Children: A Multicenter Point Prevalence Study in the United States. Crit Care Med. 2020 May;48(5):634-644. doi: 10.1097/CCM.0000000000004291. |
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| Number of Participants by Type of Rehabilitation Intervention |
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. |
| At three seasonal point-prevalence assessments conducted approximately 6 months apart over an 18-month period |
| Proportion of sessions Involving Assistive Devices | The proportion of rehabilitation sessions involving assistive devices or equipment during the 24 hours preceding each assessment point. | At three seasonal point-prevalence assessments conducted approximately 6 months apart over an 18-month period |
| Number of Sessions by Delivery Method | 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. | At three seasonal point-prevalence assessments conducted approximately 6 months apart over an 18-month period |
| Odds Ratios for Factors Associated With Absence of Acute Rehabilitation | 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. | At three seasonal point-prevalence assessments conducted approximately 6 months apart over an 18-month period |
| Chungnam National University Hospital | Daejeon | Daejeon | 35015 | South Korea |
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| Seoul National University Bundang Hospital | Seongnam-si | Gyeonggi-do | 13620 | South Korea |
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| Pusan National University Yangsan Hospital | Yangsan | Gyeongsangnam-do | 50612 | South Korea |
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| Inha University Hospital | Incheon | Incheon | 22332 | South Korea |
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| Jeju National University Hospital | Jeju City | Jeju-do | 63241 | South Korea |
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| Jeonbuk National University Hospital | Jeonju | Jeollabuk-do | 54907 | South Korea |
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| Chonnam National University Hwasun Hospital | Hwasun | Jeollanam-do | 58128 | South Korea |
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| Seoul National University Hospital | Seoul | Seoul | 03080 | South Korea |
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| Severance Hospital | Seoul | Seoul | 03722 | South Korea |
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| Asan Medical Center | Seoul | Seoul | 05505 | South Korea |
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| Samsung Medical Center | Seoul | Seoul | 06351 | South Korea |
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| Seoul St. Mary's Hospital | Seoul | Seoul | 06591 | South Korea |
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| ID | Term |
|---|---|
| D016638 | Critical Illness |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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