Exploring the use of physical rehabilitation for sepsis survivors: a scoping review
Objectives To explore the use, parameters, safety and outcomes of physical rehabilitation for adults with sepsis.Design We conducted a scoping review following the Joanna Briggs Institute framework.Participants Studies were eligible for inclusion in the study if they included: (1) adults 18 and olde...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2025-07-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/7/e097125.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849418697757687808 |
|---|---|
| author | Michelle E Kho Bram Rochwerg Jenna Smith-Turchyn Christopher Farley Jordon L Hvizd Anastasia N L Newman Heather O’Grady Sophia Werdens Abram Neeraja Nannapaneni Shannon McKenney |
| author_facet | Michelle E Kho Bram Rochwerg Jenna Smith-Turchyn Christopher Farley Jordon L Hvizd Anastasia N L Newman Heather O’Grady Sophia Werdens Abram Neeraja Nannapaneni Shannon McKenney |
| author_sort | Michelle E Kho |
| collection | DOAJ |
| description | Objectives To explore the use, parameters, safety and outcomes of physical rehabilitation for adults with sepsis.Design We conducted a scoping review following the Joanna Briggs Institute framework.Participants Studies were eligible for inclusion in the study if they included: (1) adults 18 and older, (2) with a previous diagnosis of sepsis, (3) using a physical rehabilitation intervention at any point of sepsis management, (4) published in English or French.Procedure We searched seven databases and screened titles and abstracts, reviewed full texts and performed data extraction independently and in duplicate. We summarised findings narratively using the “population, context, concept” framework and used descriptive statistics where appropriate. End-users reviewed and commented on study findings.Results We included 58 studies, representing 77 434 participants, with the majority (79%) being published in the last decade. A large proportion (36%) of physical rehabilitation interventions included exercise and were overseen by a physical therapist (41%). The parameters of the interventions varied widely. However, all interventions (100%) were hospital based and the interventions implemented appeared safe. Of the 28 studies evaluating effectiveness of the intervention, function improved in most studies (78%) following physical rehabilitation.Conclusion Research addressing physical rehabilitation for patients with sepsis is increasing. Physical rehabilitation appears safe and may improve functional outcomes in those with sepsis. Future research should report details of intervention parameters and evaluate rehabilitation post-hospital discharge to maximise impact on function and quality of life for sepsis survivors.Registration The protocol was registered on Open Science Framework Registries (Registration DOI: https://doi.org/10.17605/OSF.IO/2EPJ6). |
| format | Article |
| id | doaj-art-61644780adb64d9f9d1fd5315d617f99 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-61644780adb64d9f9d1fd5315d617f992025-08-20T03:32:22ZengBMJ Publishing GroupBMJ Open2044-60552025-07-0115710.1136/bmjopen-2024-097125Exploring the use of physical rehabilitation for sepsis survivors: a scoping reviewMichelle E Kho0Bram Rochwerg1Jenna Smith-Turchyn2Christopher Farley3Jordon L Hvizd4Anastasia N L Newman5Heather O’Grady6Sophia Werdens Abram7Neeraja Nannapaneni8Shannon McKenney9School of Rehabilitation Science, McMaster University, Hamilton, Ontario, CanadaMedicine (Critical Care), McMaster University, Hamilton, Ontario, CanadaSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, CanadaSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, CanadaSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, CanadaSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, CanadaSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, CanadaSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, CanadaSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, CanadaMcMaster University, Hamilton, Ontario, CanadaObjectives To explore the use, parameters, safety and outcomes of physical rehabilitation for adults with sepsis.Design We conducted a scoping review following the Joanna Briggs Institute framework.Participants Studies were eligible for inclusion in the study if they included: (1) adults 18 and older, (2) with a previous diagnosis of sepsis, (3) using a physical rehabilitation intervention at any point of sepsis management, (4) published in English or French.Procedure We searched seven databases and screened titles and abstracts, reviewed full texts and performed data extraction independently and in duplicate. We summarised findings narratively using the “population, context, concept” framework and used descriptive statistics where appropriate. End-users reviewed and commented on study findings.Results We included 58 studies, representing 77 434 participants, with the majority (79%) being published in the last decade. A large proportion (36%) of physical rehabilitation interventions included exercise and were overseen by a physical therapist (41%). The parameters of the interventions varied widely. However, all interventions (100%) were hospital based and the interventions implemented appeared safe. Of the 28 studies evaluating effectiveness of the intervention, function improved in most studies (78%) following physical rehabilitation.Conclusion Research addressing physical rehabilitation for patients with sepsis is increasing. Physical rehabilitation appears safe and may improve functional outcomes in those with sepsis. Future research should report details of intervention parameters and evaluate rehabilitation post-hospital discharge to maximise impact on function and quality of life for sepsis survivors.Registration The protocol was registered on Open Science Framework Registries (Registration DOI: https://doi.org/10.17605/OSF.IO/2EPJ6).https://bmjopen.bmj.com/content/15/7/e097125.full |
| spellingShingle | Michelle E Kho Bram Rochwerg Jenna Smith-Turchyn Christopher Farley Jordon L Hvizd Anastasia N L Newman Heather O’Grady Sophia Werdens Abram Neeraja Nannapaneni Shannon McKenney Exploring the use of physical rehabilitation for sepsis survivors: a scoping review BMJ Open |
| title | Exploring the use of physical rehabilitation for sepsis survivors: a scoping review |
| title_full | Exploring the use of physical rehabilitation for sepsis survivors: a scoping review |
| title_fullStr | Exploring the use of physical rehabilitation for sepsis survivors: a scoping review |
| title_full_unstemmed | Exploring the use of physical rehabilitation for sepsis survivors: a scoping review |
| title_short | Exploring the use of physical rehabilitation for sepsis survivors: a scoping review |
| title_sort | exploring the use of physical rehabilitation for sepsis survivors a scoping review |
| url | https://bmjopen.bmj.com/content/15/7/e097125.full |
| work_keys_str_mv | AT michelleekho exploringtheuseofphysicalrehabilitationforsepsissurvivorsascopingreview AT bramrochwerg exploringtheuseofphysicalrehabilitationforsepsissurvivorsascopingreview AT jennasmithturchyn exploringtheuseofphysicalrehabilitationforsepsissurvivorsascopingreview AT christopherfarley exploringtheuseofphysicalrehabilitationforsepsissurvivorsascopingreview AT jordonlhvizd exploringtheuseofphysicalrehabilitationforsepsissurvivorsascopingreview AT anastasianlnewman exploringtheuseofphysicalrehabilitationforsepsissurvivorsascopingreview AT heatherogrady exploringtheuseofphysicalrehabilitationforsepsissurvivorsascopingreview AT sophiawerdensabram exploringtheuseofphysicalrehabilitationforsepsissurvivorsascopingreview AT neerajanannapaneni exploringtheuseofphysicalrehabilitationforsepsissurvivorsascopingreview AT shannonmckenney exploringtheuseofphysicalrehabilitationforsepsissurvivorsascopingreview |