Evidence map›Paper›PMID 25882485›Full record

ArticlePhysical therapy2015

Clinical Decision-Making Tool for Safe and Effective Prescription of Exercise in Acute Exacerbations of Chronic Obstructive Pulmonary Disease: Results From an Interdisciplinary Delphi Survey and Focus Groups.

Pat G Camp, W Darlene Reid, Frank Chung, Ashley Kirkham, Dina Brooks, Donna Goodridge, Darcy D Marciniuk, Alison M Hoens

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Physical therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. 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

8 authors at 1 institution in 1 country.

Pat G CampP.G. Camp, PT, PhD, University of British Columbia, Centre for Heart Lung Innovation, St Paul's Hospital, Room 166, 1081 Burrard St, Vancouver, British Columbia V6Z 1Y6, Canada; Providence Health Care, Vancouver, British Columbia, Canada; Department of Physical Therapy, University of British Columbia; and University of British Columbia, Institute of Heart and Lung Health. pat.camp@hli.ubc.ca.
W Darlene ReidW.D. Reid, PT, PhD, Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Frank ChungF. Chung, PT, MSc, Department of Physical Therapy, Fraser Health Authority, Burnaby Hospital, Burnaby, British Columbia, Canada.
Ashley KirkhamA. Kirkham, BCR, University of British Columbia, Centre for Heart Lung Innovation, St Paul's Hospital, and Providence Health Care.
Dina BrooksD. Brooks, PT, PhD, Department of Physical Therapy, University of Toronto.
Donna GoodridgeD. Goodridge, RN, PhD, Division of Respirology, Critical Care and Sleep Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada, and Lung Health Institute of Canada, Saskatoon, Saskatchewan, Canada.
Darcy D MarciniukD.D. Marciniuk, MD, FRCPC, Division of Respirology, Critical Care and Sleep Medicine, University of Saskatchewan, and Lung Health Institute of Canada.
Alison M HoensA.M. Hoens, PT, MSc, Providence Health Care, and Department of Physical Therapy, University of British Columbia.
Providence Health Care · CA

Funding

Canadian Institutes of Health Research 226908
6 · The paper itself

Abstract

backgroundExercise is recommended for people with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD), yet there is little information to guide safe and effective mobilization and exercise for these patients.

objectivesThe purpose of this study was to develop a clinical decision-making tool to guide health care professionals in the assessment, prescription, monitoring, and progression of mobilization and therapeutic exercise for patients with AECOPD. DESIGN AND

methodsA 3-round interdisciplinary Delphi panel identified and selected items based on a preselected consensus of 80%. These items were summarized in a paper-based tool titled Mobilization in Acute Exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD-Mob). Focus groups and questionnaires were subsequently used to conduct a sensibility evaluation of the tool.

resultsNine researchers, 13 clinicians, and 7 individuals with COPD identified and approved 110 parameters for safe and effective exercise in AECOPD. These parameters were grouped into 5 categories: (1) "What to Assess Prior to Mobilization," (2) "When to Consider Not Mobilizing or to Discontinue Mobilization," (3) "What to Monitor During Mobilization for Patient Safety," (4) "How to Progress Mobilization to Enhance Effectiveness," and (5) "What to Confirm Prior to Discharge." The tool was evaluated in 4 focus groups of 18 health care professionals, 90% of whom reported the tool was easy to use, was concise, and would guide a health care professional who is new to the acute care setting and working with patients with AECOPD. LIMITATIONS: The tool was developed based on published evidence and expert opinion, so the applicability of the items to patients in all settings cannot be guaranteed. The Delphi panel consisted of health care professionals from Canada, so items may not be generalizable to other jurisdictions.

conclusionsThe AECOPD-Mob provides practical and concise information on safe and effective exercise for the AECOPD population for use by the new graduate or novice acute care practitioner.

Indexed as

Clinical Decision-MakingDecision Support TechniquesExercise TherapyPatient SelectionWalkingAcute DiseaseCanadaDelphi TechniqueDisease ProgressionFemaleFocus GroupsHospitalizationHumansMaleMiddle AgedPulmonary Disease, Chronic Obstructive

Identifiers

PMID25882485
PMCPMC4595812
OpenAlexW2124562571

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.