Evidence map›Paper›PMID 19093915›Full record

ArticleJournal of the American Geriatrics Society2008

Recovery of activities of daily living in older adults after hospitalization for acute medical illness.

Cynthia M Boyd, C Seth Landefeld, Steven R Counsell, Robert M Palmer, Richard H Fortinsky, Denise Kresevic, Christopher Burant, Kenneth E Covinsky

5 registry-linked trialsOpen access · greenAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 319 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
319citing papers in PubMed, 6 pooled it
6.3field-weighted citation impact, top 4% 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.

NCT04093245 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Supporting the Creation of a LEARNing INteGrated Health System to Mobilize Context-adapted Knowledge With a Wiki Platform to Improve the Transitions of Frail Seniors From From Hospitals and Emergency Departments to the cOMmunity: Phase II

TypeinterventionalSponsorLaval UniversityRan2019 to 2022Enrolled4,000ConditionsTransition, Emergencies, Health Care Utilization, FrailtyArmsGEM nurse, pre- and post-hospitalization medication list reconciliation, systematic discharge summaries, medical follow-up appointment, follow-up phone call
NCT05484063 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Help Optimise and Mobilise Elders (H.O.M.E)

TypeinterventionalSponsorJurongHealthRan2022 to 2023Enrolled90ConditionsMobility Limitation, Functional DisturbanceArmsMulticomponent, mobility-focused intervention
NCT06174701 nacompletednot on this mapstarted 2024, after this paper: background citation

Building Resilience for Surgical Recovery: Feasibility and Acceptability Pilot Study

TypeinterventionalSponsorThe University of Texas Health Science Center, HoustonRan2024 to 2026Enrolled29ConditionsPsychosocial Functioning, Surgery, Older Adults, Physical FunctionArmsProblem Solving Therapy (PST), Enhanced Usual Care
NCT06608589 narecruitingnot on this mapstarted 2023, after this paper: background citation

CONSTELLATIONS Living Lab: Development, Implementation and Evaluation of a Patient-oriented Quality Improvement Program Targeting Care Transitions of Older Adults Living with Major Neurocognitive Disorders and Their Caregivers.

TypeinterventionalSponsorLaval UniversityRan2023 to 2026Enrolled700ConditionsAlzheimer Disease, Dementia, Neurocognitive DeclineArmsCoMPAS+ MNCDs Program - Quality improvement program targeting the care transitions of patients living with a major neurocognitive disorder and their caregivers
NCT06820021 narecruitingnot on this mapstarted 2025, after this paper: background citation

The Effects of a Strength-based Tailored-Exercise Program at Home (STEP@Home) on Health Outcomes of Geriatric Patients at Risk of Hospitalization-associated Functional Decline: A Sequential Mixed-method Study

TypeinterventionalSponsorThe University of Hong KongRan2025 to 2030Enrolled256ConditionsFrailty, GeriatricsArmsStrength-based Tailored-Exercise Program at Home (STEP@Home), Physical activity education
3 · Its place in the literature

Who cites it

319 citing papers in PubMed, 6 syntheses or guidelines pooled it, 754 citations in OpenAlex.

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  3. Effects of unimodal or multimodal prehabilitation on patients undergoing surgery for esophagogastric cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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259 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Cynthia M BoydDepartment of Medicine, Division of Geriatric Medicine, School of Medicine, John Hopkins University, Baltimore, Maryland 21224, USA. cboyd1@jhmi.edu
C Seth Landefeld
Steven R Counsell
Robert M Palmer
Richard H Fortinsky
Denise Kresevic
Christopher Burant
Kenneth E Covinsky
Case Western Reserve University · USJohns Hopkins Medicine · USUniversity of Pittsburgh · US

Funding

Technological Assessment and Solutions Core - RC4P30AG021334 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jeremy D Walston · 2003 to 2026
$33.2M
Midcareer Mentoring Award for Patient-Oriented Research in AgingK24AG029812 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COVINSKY, KENNETH E. · 2007 to 2017
$1.8M
Cytapheresis Of Volunteer Donors (MRI 2003-054)Z01AG000912 · NIA · NATIONAL INSTITUTE ON AGING · PI ERSHLER, WILLIAM · 2001 to 2008
$1.0M
Risk Indices for Disability among Hospitalized Older PersonsR01AG029233 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LANDEFELD, C. SETH · 2006 to 2008
$1.0M
DEVELOPMENT &INTEGRATION OF GERIATRICS RESEARCHK07AG000912 · NIA · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI LANDEFELD, C. SETH · 2000 to 2004
$540k
PREVENTING FUNCTIONAL DECLINE OF HOSPITALIZED OLDER PATIENTSP60AG010418 · NIA · CASE WESTERN RESERVE UNIVERSITY · PI KOWAL, JEROME · 1993 to 1997
–
Intramural NIH HHS Z01 AG000912NIA NIH HHS AG029233NIA NIH HHS AG10418NIA NIH HHS K07 AG000912NIA NIH HHS K24 AG029812NIA NIH HHS K24AG029812NIA NIH HHS P30 AG021334NIA NIH HHS P60 AG010418NIA NIH HHS R01 AG029233
6 · The paper itself

Abstract

objectivesTo compare functional outcomes in the year after discharge for older adults discharged from the hospital after an acute medical illness with a new or additional disability in their basic self-care activities of daily living (ADL) (compared with preadmission baseline 2 weeks before admission) with those of older adults discharged with baseline ADL function and identify predictors of failure to recover to baseline function 1 year after discharge.

designObservational.

settingTertiary care hospital, community teaching hospital.

participantsOlder (aged >or=70) patients nonelectively admitted to general medical services (1993-1998). MEASUREMENTS: Number of ADL disabilities at preadmission baseline and 1, 3, 6, and 12 months after discharge. Outcomes were death, sustained decline in ADL function, and recovery to baseline ADL function at each time point.

resultsBy 12 months after discharge, of those discharged with new or additional ADL disability, 41.3% died, 28.6% were alive but had not recovered to baseline function, and 30.1% were at baseline function. Of those discharged at baseline function, 17.8% died, 15.2% were alive but with worse than baseline function, and 67% were at their baseline function (P<.001). Of those discharged with new or additional ADL disability, the presence or absence of recovery by 1 month was associated with long-term outcomes. Age, cardiovascular disease, dementia, cancer, low albumin, and greater number of dependencies in instrumental ADLs independently predicted failure to recover.

conclusionFor older adults discharged with new or additional disability in ADL after hospitalization for medical illness, prognosis for functional recovery is poor. Rehabilitation interventions of longer duration and timing than current reimbursement allows, caregiver support, and palliative care should be evaluated.

Indexed as

Activities of Daily LivingPatient DischargeRecovery of FunctionAcute DiseaseAgedAged, 80 and overFemaleHumansMaleTime Factors

Identifiers

PMID19093915
PMCPMC2717728
OpenAlexW2103776580

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.