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Interventions in subacute paediatric inpatient neurorehabilitation: an umbrella review
Ivan Robertson1, Denise Taylor2, Jimmy Chong3
1Department of Women's and Children's Health, Waikato Hospital, Te Whatu Ora Waikato, Hamilton, New Zealand. Ivan.Robertson@waikatodhb.health.nz.
Insights
This review found no high-quality evidence on subacute inpatient neurorehabilitation for children after neurological injury. More research is urgently needed to evaluate current pediatric rehabilitation practices.
Area of Science:
- Pediatric Neurorehabilitation
- Evidence-Based Practice
- Neurological Injury Recovery
Background:
- Rehabilitation is crucial for pediatric neurological injury recovery.
- Current practices often lack robust evidence, relying on adult data or expert opinion.
- A gap exists in high-quality evidence for the subacute recovery period.
Purpose of the Study:
- To systematically review and appraise evidence on inpatient neurorehabilitation efficacy.
- Focus on pediatric patients within six months post-neurological injury.
- Identify high-quality systematic reviews on interventions.
Main Methods:
- Comprehensive search of major biomedical databases (PubMed, Embase, Cochrane, etc.) and Google Scholar.
- Systematic literature search for systematic reviews.
- Inclusion criteria focused on inpatient rehabilitation efficacy within six months of injury.
Main Results:
- Initial search yielded 1,250 papers; 52 selected for full-text review.
- No systematic reviews met the inclusion criteria for efficacy.
- Common exclusion reasons included intervention setting and study chronicity.
Conclusions:
- A significant lack of systematically reviewed evidence exists for pediatric subacute neurorehabilitation.
- There is an urgent need to evaluate current rehabilitation interventions for this population.
- Future research should explore alternative methods for evidence synthesis.
Background:
Rehabilitation is vital for optimizing recovery following neurological injuries. However, much of what is done for the paediatric population relies heavily on the adult literature or is based on expert opinion. No previous attempt has been made to collate high-quality evidence pertaining to the subacute period.
Objectives:
To summarize and appraise the evidence from systematic reviews regarding the efficacy of inpatient neurorehabilitation interventions for paediatric patients in the 6 months immediately following neurological injury.
Method:
A systematic search was conducted of PubMed, Ovid Medline, Cumulative Index to Nursing and Allied Health Literature, Embase, and Cochrane databases, as well as using Google Scholar. Selection required an appraisal of efficacy of an inpatient rehabilitation intervention delivered within 6 months of injury.
Results:
1,250 papers were found. Titles and abstracts were compared against the selection criteria, with 52 papers being selected for full-text review. None of these met the selection criteria. Exclusions were often due to setting and chronicity.
Conclusions:
This review reveals a critical lack of systematically reviewed evidence within the scope investigated. There is a pressing need for evaluation of current interventions. In the future, alternative approaches to identifying and appraising different forms of available evidence could be considered.
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