Evidence map›Paper›PMID 18548178›Full record

Trial reportThe journal of nutrition, health & aging

A randomized controlled trial on early physiotherapy intervention versus usual care in acute care unit for elderly: potential benefits in light of dietary intakes.

C Blanc-Bisson, A Dechamps, G Gouspillou, P Dehail, I Bourdel-Marchasson

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The journal of nutrition, health & aging. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 5 pooled it
0.9field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 5 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Exercise for acutely hospitalised older medical patients.The Cochrane database of systematic reviews · 2022
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  13. Physical Rehabilitation Programs for Bedridden Patients with Prolonged Immobility: A Scoping Review.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

C Blanc-BissonCHU de Bordeaux, Pôle de gérontologie clinique, Hôpital Xavier Arnozan, 33600 Pessac cedex, France.
A Dechamps
G Gouspillou
P Dehail
I Bourdel-Marchasson
Centre Hospitalier Universitaire de Bordeaux · FRCentre National de la Recherche Scientifique · FRHôpital Xavier Arnozan · FRUniversité de Bordeaux · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate effects of early intensive physiotherapy during acute illness on post hospitalization activity daily living autonomy (ADL).

designProspective randomized controlled trial of intensive physiotherapy rehabilitation on day 1 to 2 after admission until clinical stability or usual care.

settingacute care geriatric medicine ward. PATIENTS: A total of 76 acutely ill patients, acutely bedridden or with reduced mobility but who were autonomous for mobility within the previous 3 months. Patients in palliative care or with limiting mobility pathology were excluded. Mean age was 85.4 (SD 6.6) years. MEASUREMENTS: At admission, at clinical stability and one month later: anthropometry, energy and protein intakes, hand grip strength, ADL scores, and baseline inflammatory parameters. An exploratory principal axis analysis was performed on the baseline characteristics and general linear models were used to explore the course of ADL and nutritional variables.

resultsA 4-factor solution was found explaining 71.7% of variance with a factor "nutrition", a factor "function" (18.8% of variance) for ADL, handgrip strength, bedridden state, energy and protein intakes, serum albumin and C-reactive protein concentrations; a factor "strength" and a fourth factor . During follow-up, dietary intakes, handgrip strength, and ADL scores improved but no changes occurred for anthropometric variables. Intervention was associated only with an increase in protein intake. Better improvement in ADL was found in intervention group when model was adjusted on "function" factor items.

conclusionPhysical intervention programs should be proposed according to nutritional intakes with the aim of preventing illness induced disability.

Indexed as

EatingNutritional StatusActivities of Daily LivingAcute DiseaseAged, 80 and overAnthropometryDietDietary ProteinsDietary SupplementsEnergy IntakeFemaleFollow-Up StudiesFrail ElderlyHand StrengthHealth Services for the AgedHospitalizationDietary Proteins

Identifiers

PMID18548178
PMCPMC12892644
OpenAlexW2096551681

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.