Reffienna Matthieu, Foudhaïli Adéla, Sidre Colin, Vitiello Damien, Messika Jonathan
Service de Réanimation polyvalente, Hôpital Foch, Suresnes, France.
Université Paris Cité, Inserm, U1149 CRI, Paris, France.
MethodsX. 2025 May 29;14:103404. doi: 10.1016/j.mex.2025.103404. eCollection 2025 Jun.
After lung transplantation, rehabilitation is part of patients' standard of care, playing a crucial role in enhancing functional capacity and quality of life. Although early rehabilitation in the intensive care unit has been reported in few studies, it is not yet widely standardized in clinical practice. As a result, rehabilitation protocols are often initiated several weeks after surgery, potentially leaving a gap in early postoperative management. While the benefits of early mobilization in critically ill patients are well documented, limited data exist on mobilization strategies initiated immediately in the intensive care unit following lung transplantation. Understanding the feasibility, benefits, and potential barriers to early mobilization in this population would enhance future post-transplant recovery care. Studies evaluating an early mobilization (<7d) protocol initiated in the intensive care unit for adult lung transplant recipients will be included. Studies assessing protocols initiated later (>7d) in the recovery process will be excluded. A comprehensive search will be conducted in MEDLINE (PubMed), Embase, PEDro, Web of Science Core Collection, CINAHL (EBSCOhost), Scopus, Cochrane CENTRAL, and PROSPERO, as well as relevant gray literature sources. No language or date restrictions will be applied. Study selection and data extraction will be performed independently by two reviewers.•The main question is: what evidence exists regarding the feasibility, safety, and clinical outcomes of early mobilization interventions for LTx recipients in critical care settings?
肺移植后,康复是患者标准治疗的一部分,在提高功能能力和生活质量方面发挥着关键作用。尽管少数研究报道了重症监护病房的早期康复情况,但在临床实践中尚未广泛标准化。因此,康复方案通常在术后数周才开始实施,这可能在术后早期管理方面留下空白。虽然危重症患者早期活动的益处已有充分记录,但关于肺移植后在重症监护病房立即启动的活动策略的数据有限。了解该人群早期活动的可行性、益处和潜在障碍将有助于改善未来的移植后康复护理。将纳入评估针对成年肺移植受者在重症监护病房启动的早期活动(<7天)方案的研究。将排除评估在康复过程后期(>7天)启动的方案的研究。将在MEDLINE(PubMed)、Embase、PEDro、科学引文索引核心合集、护理学与健康领域数据库(EBSCOhost)、Scopus、Cochrane中心对照试验注册库和国际系统评价前瞻性注册库以及相关灰色文献来源中进行全面检索。不设语言或日期限制。研究选择和数据提取将由两名评审员独立进行。•主要问题是:关于重症监护环境中肺移植受者早期活动干预的可行性、安全性和临床结果,现有哪些证据?