Evidence map›Paper›PMID 19944870›Full record

Trial reportHeart & lung : the journal of critical care

Influence of an early recovery telehealth intervention on physical activity and functioning after coronary artery bypass surgery among older adults with high disease burden.

Susan Barnason, Lani Zimmerman, Paula Schulz, Chunhao Tu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Heart & lung : the journal of critical care. 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
1.7field-weighted citation impact, top 15% 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, 42 citations in OpenAlex.

  1. Pooled it
  2. Patient education in the management of coronary heart disease.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Cardiovascular disease self-care interventions.Nursing research and practice · 2013
    Review
  13. Physical activity interventions among older adults: a literature review.Research and theory for nursing practice · 2013
    Review
  14. Rural Versus Urban Comparison: Physical Activity and Functioning Following Coronary Artery Bypass Surgery.Online journal of rural nursing and health care : the official journal of the Rural Nurse Organization · 2012
    Article
  15. Article
  16. Article
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

4 authors at 1 institution in 1 country.

Susan BarnasonUniversity of Nebraska Medical Center, College of Nursing-Lincoln Division, Lincoln, Nebraska, USA.
Lani Zimmerman
Paula Schulz
Chunhao Tu
University of Nebraska Medical Center · US

Funding

Symptom Management Intervention in Elderly CABG PatientsR01NR007759 · NINR · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI ZIMMERMAN, LANI M · 2002 to 2006
$1.7M
NINR NIH HHS R01 NR007759
6 · The paper itself

Abstract

objectiveOlder adults with poor functioning preoperatively are at risk for delayed recovery and more impaired outcomes after coronary artery bypass surgery (CABS). The study objective was to determine whether a 6-week early recovery telehealth intervention, designed to improve self-efficacy and management related to symptoms after CABS, was effective in improving outcomes (physical activity, physiologic, and psychologic functioning) for older adults (aged > 65 years) with higher disease burden.

methodsA descriptive, repeated-measures experimental design was used. Follow-up data were collected at 3 and 6 weeks and 3 months after CABS. Subjects were drawn from a larger randomized clinical trial. Parent study subjects who had high disease burden preoperatively (physical component score of < 50 on the Medical Outcome Study Short Form-36 and RISKO score of > 6) were included (N = 55), with 23 subjects in the early recovery intervention group and 31 subjects in the usual care group (n = 31). Subjects ranged in age from 65 to 85 years (M = 71.6 + 5.1 years).

resultsThere was a significant main effect by group (F[1,209] = 4.66, P < .05). The intervention group had a least square means of 27.9 kcal/kg/d of energy expenditure compared with the usual care group of 26.6 kcal/kg/d per the RT3 accelerometer (Stayhealthy, Inc, Monrovia, CA). Both groups had significantly improved physical (F[2,171] = 3.26, P < .05) and role-physical (F[2,171] = 6.64, P < .005) functioning over time.

conclusionThe subgroup of subjects undergoing CABS with high disease burden were responsive to an early recovery telehealth intervention. Improving patients' physical activity and functioning can reduce morbidity and mortality associated with poor functioning after cardiac events.

Indexed as

Motor ActivitySelf EfficacyTelenursingAgedAged, 80 and overCoronary Artery BypassCost of IllnessFemaleFollow-Up StudiesHealth Knowledge, Attitudes, PracticeHumansMaleOutcome Assessment, Health CarePsychologyTreatment Outcome

Identifiers

PMID19944870
PMCPMC2841300
OpenAlexW2015391983

What OpenQuestion holds

Textmetadata
LicenceTDM
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.