Evidence map›Paper›PMID 26893555›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2016

Determinants of change in physical activity during moderate-to-severe COPD exacerbation.

Cristóbal Esteban, José M Quintana, Susana Garcia-Gutierrez, Ane Anton-Ladislao, Nerea Gonzalez, Marisa Baré, Nerea Fernández de Larrea, Francisco Rivas-Ruiz, IRYSS-COPD group

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02434536 (Assessment of the Appropriateness Admission From Emergency Departments in the Exacerbation of COPD. Validity of Explicit Criteria and Study of the Variability Between Different Centers of NHS. Multicenter Study IRYSS-Appropriateness-COPD.), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.3field-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.

NCT02434536 completednot on this map

Assessment of the Appropriateness Admission From Emergency Departments in the Exacerbation of COPD. Validity of Explicit Criteria and Study of the Variability Between Different Centers of NHS. Multicenter Study IRYSS-Appropriateness-COPD.

Typeobservational_patient_registrySponsorHospital Galdakao-UsansoloRan2006 to 2010Enrolled2,487ConditionsCOPD
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. 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 3 institutions in 1 country.

Cristóbal EstebanRespiratory Department, Hospital Galdakao-Usansolo, Bizkaia, Spain; Red de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Galdakao, Spain.
José M QuintanaRed de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Galdakao, Spain; Research Unit, Hospital Galdakao-Usansolo, Bizkaia, Spain.
Susana Garcia-GutierrezRed de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Galdakao, Spain; Research Unit, Hospital Galdakao-Usansolo, Bizkaia, Spain.
Ane Anton-LadislaoResearch Unit, Hospital Galdakao-Usansolo, Bizkaia, Spain.
Nerea GonzalezRed de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Galdakao, Spain; Research Unit, Hospital Galdakao-Usansolo, Bizkaia, Spain.
Marisa BaréRed de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Galdakao, Spain; Unit of Clinical Epidemiology, Corporacio Parc Tauli, Barcelona, Spain.
Nerea Fernández de LarreaRed de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Galdakao, Spain; Health Department, Madrid, Spain.
Francisco Rivas-RuizRed de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Galdakao, Spain; Research Unit, Hospital Costa del Sol, Mabella, Málaga, Spain.
IRYSS-COPD group
Centro de Investigación Biomédica en Red · ESHospital de Galdakao · ESHospital Costa del Sol · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData are scarce on patient physical activity (PA) level during exacerbations of chronic obstructive pulmonary disease (eCOPD). The objective of the study was to evaluate the level and determinants of change in PA during an eCOPD. MATERIALS AND

methodsWe conducted a prospective cohort study with recruitment from emergency departments (EDs) of 16 participating hospitals from June 2008 to September 2010. Data were recorded on socioeconomic characteristics, dyspnea, forced expiratory volume in 1 second (FEV1%), comorbidities, health-related quality of life, factors related to exacerbation, and PA in a stable clinical condition and during the eCOPD episode.

resultsWe evaluated 2,487 patients. Common factors related to the change in PA during hospital admission or 7 days after discharge to home from the ED were lower PA at baseline and during the first 24 hours after the index evaluation. Age, quality of life, living alone, length of hospital stay, and use of anticholinergic or systemic corticosteroids in treating the exacerbation were associated with the change in PA among hospitalized patients. Predictors of change among patients not admitted to hospital were baseline FEV1% and dyspnea at rest on ED arrival.

conclusionAmong the patients evaluated in an ED for an eCOPD, the level and change in PA was markedly variable. Factors associated with exacerbation (PA 24 hours after admission, medication during admission, and length of hospital stay) and variables reflecting patients' stable clinical condition (low level of PA, age, quality of life, FEV1%) are predictors of the change in PA during a moderate-to-severe eCOPD.

Indexed as

Pulmonary Disease, Chronic ObstructiveQuality of LifeAgedCholinergic AntagonistsCohort StudiesDisease ProgressionFemaleGlucocorticoidsHospitalizationHumansMaleMiddle AgedMotor ActivityPrognosisProspective StudiesRisk AssessmentCholinergic AntagonistsGlucocorticoidsCOPD exacerbationsphysical activityprospective cohort study

Identifiers

PMID26893555
PMCPMC4745854
OpenAlexW2265021015

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.