Evidence map›Paper›PMID 23936887›Full record

ReviewCanadian respiratory journal

Safe and effective prescription of exercise in acute exacerbations of chronic obstructive pulmonary disease: rationale and methods for an integrated knowledge translation study.

Pat Camp, W Darlene Reid, Cristiane Yamabayashi, Dina Brooks, Donna Goodridge, Frank Chung, Darcy D Marciniuk, Andrea Neufeld, Alsion Hoens

Open access · goldAbstract readReview
In one paragraph

Review in Canadian respiratory journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. 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

9 authors at 5 institutions in 1 country.

Pat CampJames Hogg Research Centre, St. Paul's Hospital, University of British Columbia. pat.camp@hli.ubc.ca
W Darlene Reid
Cristiane Yamabayashi
Dina Brooks
Donna Goodridge
Frank Chung
Darcy D Marciniuk
Andrea Neufeld
Alsion Hoens
University of British Columbia · CAUniversity of Saskatchewan · CABurnaby Hospital · CAUniversity of Toronto · CAVancouver Coastal Health Research Institute · CA

Funding

CIHR 46786-1CIHR 87232-1
6 · The paper itself

Abstract

backgroundPatients hospitalized with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD) engage in low levels of activity, putting them at risk for relapse and future readmissions. There is little direction for health care providers regarding the parameters for safe exercise during an AECOPD that is effective for increasing activity tolerance before discharge from hospital, especially for patients with associated comorbid conditions.

objectiveTo report the rationale for and methods of a study to develop evidence-informed care recommendations that guide health care providers in the assessment, prescription, monitoring and progression of exercise for patients hospitalized with AECOPD.

methodsThe present study was a multicomponent knowledge translation project incorporating evidence from systematic reviews of exercise involving populations with chronic obstructive pulmonary disease and⁄or common comorbidities. A Delphi process was then used to obtain expert opinion from clinicians, academics and patients to identify the parameters of safe and effective exercise for patients with AECOPD.

resultsClinical decision-making tool(s) for patients and practitioners supported by a detailed knowledge dissemination, implementation and evaluation framework.

conclusionThe present study addressed an important knowledge gap: the lack of availability of parameters to guide safe and effective exercise prescription for hospitalized patients with AECOPD, with or without comorbid conditions. In the absence of such parameters, health care professionals may adopt an 'activity as tolerated' approach, which may not improve physical activity levels in their patients. The present study synthesizes the best available evidence and expert opinion, and will generate decision-making tools for use by patients and their health care providers.

Indexed as

Disease ProgressionExercise TherapyDecision Support TechniquesDelphi TechniqueEvidence-Based PracticeExercise ToleranceHumansInformation DisseminationInpatientsPulmonary Disease, Chronic ObstructiveTranslational Research, Biomedical

Identifiers

PMID23936887
PMCPMC3956339
OpenAlexW11484849

What OpenQuestion holds

Textmetadata
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.