SynthesisHealth and quality of life outcomes2008
A systematic review of mobility instruments and their measurement properties for older acute medical patients.
Synthesis in Health and quality of life outcomes, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04075461 (Is arthroplaSty bEtter Than interNal Fixation in the undiSplaced Femoral nEck Fracture? A National Pragmatical Randomized Controlled Trial - the SENSE Trial), which is not on this map. Cited by 33 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Is arthroplaSty bEtter Than interNal Fixation in the undiSplaced Femoral nEck Fracture? A National Pragmatical Randomized Controlled Trial - the SENSE Trial
Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Interventions for improving mobility after hip fracture surgery in adults.The Cochrane database of systematic reviews · 2022Pooled it
- Early inpatient rehabilitation for acutely hospitalized older patients: a systematic review of outcome measures.BMC geriatrics · 2019Pooled it
- A Systematic Review of Thirty-One Assessment Tests to Evaluate Mobility in Older Adults.BioMed research international · 2019Pooled it
- Reliability of mobility measures in older medical patients with cognitive impairment.BMC geriatrics · 2019Trial
- Functional training and timed nutrition intervention in infectious medical patients.European journal of clinical nutrition · 2016Trial
- Multifactorial predictors of falls in older adults: a decade of data from the National Health and Aging Trends Study.BMC geriatrics · 2025Article
- Validation of the de Morton Mobility Index for measuring mobility related activities in Hungarian institutionalized older adults.Scientific reports · 2025Article
- Assessment of Geriatric Problems and Risk Factors for Delirium in Surgical Medicine: Protocol for Multidisciplinary Prospective Clinical Study.JMIR research protocols · 2025Article
- Theoretical concepts and instruments for measuring hospital discharge readiness: A scoping review.Heliyon · 2024Article
- Development and internal validation of a prediction model to identify older adults at risk of low physical activity levels during hospitalisation: a prospective cohort study.BMC geriatrics · 2022Article
- Barriers and enablers to physical activity behaviour in older adults during hospital stay: a qualitative study guided by the theoretical domains framework.BMC geriatrics · 2022Article
- Extended mobility scale (AMEXO) for assessing mobilization and setting goals after gastrointestinal and oncological surgery: a before-after study.BMC surgery · 2022Article
- Responsiveness and interpretability of commonly used outcome assessments of mobility capacity in older hospital patients with cognitive spectrum disorders.Health and quality of life outcomes · 2021Article
- Optimization and Validation of a Classification Algorithm for Assessment of Physical Activity in Hospitalized Patients.Sensors (Basel, Switzerland) · 2021Article
- Is arthroplaBMJ open · 2020Article
- International Classification of Functioning, Disability, and Health Domains of 60 Physical Functioning Measurement Instruments Used During the Adult Intensive Care Unit Stay: A Scoping Review.Physical therapy · 2019Article
- Decreased Appetite is Associated with Sarcopenia-Related Outcomes in Acute Hospitalized Older Adults.Nutrients · 2019Article
- Muscle strength is longitudinally associated with mobility among older adults after acute hospitalization: The Hospital-ADL study.PloS one · 2019Observational
- Measuring mobility in older hospital patients with cognitive impairment using the de Morton Mobility Index.BMC geriatrics · 2018Article
- Evaluating the impact of a home-based rehabilitation service on older people and their caregivers: a matched-control quasi-experimental study.Clinical interventions in aging · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIndependent mobility is a key factor in determining readiness for discharge for older patients following acute hospitalisation and has also been identified as a predictor of many important outcomes for this patient group. This review aimed to identify a physical performance instrument that is not disease specific that has the properties required to accurately measure and monitor the mobility of older medical patients in the acute hospital setting.
methodsDatabases initially searched were Medline, Cinahl, Embase, Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials without language restriction or limits on year of publication until July 2005. After analysis of this yield, a second step was the systematic search of Medline, Cinahl and Embase until August 2005 for evidence of the clinical utility of each potentially suitable instrument. Reports were included in this review if instruments described had face validity for measuring from bed bound to independent levels of ambulation, the items were suitable for application in an acute hospital setting and the instrument required observation (rather than self-report) of physical performance. Evidence of the clinical utility of each potentially suitable instrument was considered if data on measurement properties were reported.
resultsThree instruments, the Elderly Mobility Scale (EMS), Hierarchical Assessment of Balance and Mobility (HABAM) and the Physical Performance Mobility Examination (PPME) were identified as potentially relevant. Clinimetric evaluation indicated that the HABAM has the most desirable properties of these three instruments. However, the HABAM has the limitation of a ceiling effect in an older acute medical patient population and reliability and minimally clinically important difference (MCID) estimates have not been reported for the Rasch refined HABAM. These limitations support the proposal that a new mobility instrument is required for older acute medical patients.
conclusionNo existing instrument has the properties required to accurately measure and monitor mobility of older acute medical patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.