Evidence map›Paper›PMID 26504117›Full record

ArticleAge and ageing2015

Grip strength among community-dwelling older people predicts hospital admission during the following decade.

Shirley J Simmonds, Holly E Syddall, Leo D Westbury, Richard M Dodds, Cyrus Cooper, Avan Aihie Sayer

Open access · bronzeAbstract read
In one paragraph

Article in Age and ageing, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

28 citing papers in PubMed, 54 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 2 institutions in 1 country.

Shirley J SimmondsMedical Research Council-Lifecourse Epidemiology Unit, Southampton, UK.
Holly E SyddallMedical Research Council-Lifecourse Epidemiology Unit, Southampton, UK.
Leo D WestburyMedical Research Council-Lifecourse Epidemiology Unit, Southampton, UK.
Richard M DoddsMedical Research Council-Lifecourse Epidemiology Unit, Southampton, UK.
Cyrus CooperMedical Research Council-Lifecourse Epidemiology Unit, Southampton, UK University of Southampton-National Institute for Health Research Southampton Biomedical Research Centre, Southampton, UK University of Oxford-National Institute for Health Research Musculoskeletal Biomedical Research Unit, Oxford, UK.
Avan Aihie SayerMedical Research Council-Lifecourse Epidemiology Unit, Southampton, UK University of Southampton-National Institute for Health Research Southampton Biomedical Research Centre, Southampton, UK University of Southampton-Academic Geriatric Medicine, Southampton, UK National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care: Wessex, Southampton, UK.
Medical Research Council · GBMRC Lifecourse Epidemiology Unit · GB

Funding

Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UP_A620_1015Medical Research Council MC_UU_12011/1Medical Research Council MC_UU_12011/2
6 · The paper itself

Abstract

backgroundLower grip strength on admission to hospital is known to be associated with longer stay, but the link between customary grip and risk of future admission is less clear.

objectiveTo compare grip strength with subsequent risk of hospital admission among community-dwelling older people in a U.K. setting.

designCohort study with linked administrative data.

settingHertfordshire, U.K. SUBJECTS: A total of 2,997 community-dwelling men and women aged 59-73 years at baseline.

methodsThe Hertfordshire Cohort Study (HCS) participants completed a baseline assessment between 1998 and 2004, during which grip strength was measured. Hospital Episode Statistics and mortality data to March 2010 were linked with the HCS database. Statistical models were used to investigate the association of grip strength with subsequent elective, emergency and long-stay hospitalisation and readmission.

resultsThere was a statistically significant negative association between grip strength and all classes of admission in women [unadjusted hazard ratio per standard deviation (SD) decrease in grip strength for: any admission/death 1.10 (95% CI: 1.06, 1.14), elective admission/death 1.09 (95% CI: 1.05, 1.13), emergency admission/death 1.21 (95% CI: 1.13, 1.31), long-stay admission/death 1.22 (95% CI: 1.13, 1.32) and unadjusted relative risk per SD decrease in grip strength for 30-day readmission/death 1.30 (95% CI: 1.19, 1.43)]. These associations remained significant after adjustment for potential confounding factors (age, height, weight for height, smoking, alcohol, social class). In men, unadjusted rates for emergency admission/death, long-stay admission/death and readmission/death were significantly associated with grip strength; associations that similarly withstood adjustment.

conclusionThis study provides the first evidence that grip strength among community-dwelling men and women in the U.K. is associated with risk of hospital admission over the following decade.

Indexed as

Hand StrengthAgedFemaleHospitalizationHumansIndependent LivingMaleMiddle AgedPredictive Value of TestsRisk FactorsUnited Kingdomgrip strengthhospital admissionHospital Episode Statisticshospitalisationolder peoplereadmission

Identifiers

PMID26504117
PMCPMC6485460
OpenAlexW1845518635

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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.