Evidence map›Paper›PMID 24437990›Full record

ArticleJournal of the American Geriatrics Society2014

Effects of a modified Hospital Elder Life Program on frailty in individuals undergoing major elective abdominal surgery.

Cheryl Chia-Hui Chen, Chiung-Nien Chen, I-Rue Lai, Guan-Hua Huang, Jane S Saczynski, Sharon K Inouye

Open access · greenAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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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

6 authors at 5 institutions in 2 countries.

Cheryl Chia-Hui ChenDepartment of Nursing, National Taiwan University Hospital, Taipei, Taiwan; Department of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
Chiung-Nien Chen
I-Rue Lai
Guan-Hua Huang
Jane S Saczynski
Sharon K Inouye
National Taiwan University Hospital · TWHarvard University · USNational Taiwan University · TWNational Yang Ming Chiao Tung University · TWUniversity of Massachusetts Chan Medical School · US

Funding

TRACE-COREU01HL105268 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIEFE, CATARINA I. · 2010 to 2013
$5.8M
Medical Illness & Cognitive Impairment in Older Adults: Heart Failure as a ModelK01AG033643 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SACZYNSKI, JANE STEELE · 2010 to 2014
$628k
NHLBI NIH HHS U01 HL105268NHLBI NIH HHS U01HL105268NIA NIH HHS K01 AG033643NIA NIH HHS K01AG33643
6 · The paper itself

Abstract

objectivesTo test the effects of a modified Hospital Elder Life Program (mHELP) on frailty.

designMatched and unmatched analyses of data from a before-and-after study.

settingHospital, inpatient.

participantsParticipants aged 65 and older (n = 189) undergoing major elective abdominal surgery at a medical center in Taiwan.

interventionThe mHELP included three nursing interventions: early mobilization, oral and nutritional assistance, and orienting communication. MEASUREMENTS: Frailty rate and transitions between frailty states from hospital discharge to 3 months after discharge using Fried's phenotype criteria categorized as nonfrail (0 or 1 criteria present), prefrail (2 or 3 criteria present), and frail (4 or 5 criteria present).

resultsIn matched pairs, participants who received the mHELP interventions were significantly less likely to be frail at discharge (19.2%) than matched controls (65.4%) (adjusted odds ratio (AOR) = 0.10, 95% CI = 0.02-0.39). Transitions to states of greater frailty during hospitalization were more common for participants in the control group. Three months after discharge, participants who received the mHELP intervention during hospitalization were less likely to be frail (17.3%) than matched controls (23.1%) (AOR = 0.73, 95% CI = 0.21-2.56), although this difference did not achieve statistical significance.

conclusionThe mHELP intervention is effective in reducing frailty by hospital discharge, but the benefit is diminished by 3 months after discharge. Thus, the mHELP provides a useful approach to manage in-hospital frailty for older adults undergoing major abdominal surgery.

Indexed as

Activities of Daily LivingElective Surgical ProceduresAbdomenAgedFemaleFrail ElderlyGeriatric AssessmentHospitalizationHumansMaleOdds RatioPostoperative CarePostoperative ComplicationsTaiwanagedfrailtygeriatric syndromesintervention studiessurgery

Identifiers

PMID24437990
PMCPMC3945439
OpenAlexW2079416744

What OpenQuestion holds

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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.