Evidence map›Paper›PMID 27059306›Full record

Trial reportBMC geriatrics2016

A study protocol of a randomised controlled trial to measure the effects of an augmented prescribed exercise programme (APEP) for frail older medical patients in the acute setting.

Ruth McCullagh, Eimear O'Connell, Sarah O'Meara, Ivan Perry, Anthony Fitzgerald, Kieran O'Connor, N Frances Horgan, Suzanne Timmons

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02463864 (A Randomised Controlled Trial to Measure the Effects of Twice-Daily Individual, Targeted, Strengthening, Balance and Endurance Exercise Sessions on Mobility, Quality of Life and Healthcare Utilisation for Frail Older Medical In-patients), which is not on this 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
1.3field-weighted citation impact, top 20% 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.

NCT02463864 nacompletednot on this map

A Randomised Controlled Trial to Measure the Effects of Twice-Daily Individual, Targeted, Strengthening, Balance and Endurance Exercise Sessions on Mobility, Quality of Life and Healthcare Utilisation for Frail Older Medical In-patients

TypeinterventionalSponsorUniversity College CorkRan2015 to 2017Enrolled190ConditionsFrail Older AdultsArmsIntervention exercise, Sham Exercise
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  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 3 institutions in 1 country.

Ruth McCullaghCentre for Gerontology & Rehabilitation, University College Cork, Cork, Ireland. r.mccullagh@ucc.ie.
Eimear O'ConnellPhysiotherapy Department, Mercy University Hospital, Cork, Ireland.
Sarah O'MearaClinical Research Facility, Mercy University Hospital, Cork, Ireland.
Ivan PerryEpidemiology & Public Health, University College Cork, Cork, Ireland.
Anthony FitzgeraldEpidemiology & Public Health, University College Cork, Cork, Ireland.
Kieran O'ConnorDepartment of Geriatric Medicine, Mercy University Hospital, Cork, Ireland.
N Frances HorganSchool of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland.
Suzanne TimmonsCentre for Gerontology & Rehabilitation, University College Cork, Cork, Ireland.
University College Cork · IEMercy University Hospital · IERoyal College of Surgeons in Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder adults experience functional decline in hospital leading to increased healthcare burden and morbidity. The benefits of augmented exercise in hospital remain uncertain. The aim of this trial is to measure the short and longer-term effects of augmented exercise for older medical in-patients on their physical performance, quality of life and health care utilisation. DESIGN &

methodsTwo hundred and twenty older medical patients will be blindly randomly allocated to the intervention or sham groups. Both groups will receive usual care (including routine physiotherapy care) augmented by two daily exercise sessions. The sham group will receive stretching and relaxation exercises while the intervention group will receive tailored strengthening and balance exercises. Differences between groups will be measured at baseline, discharge, and three months. The primary outcome measure will be length of stay. The secondary outcome measures will be healthcare utilisation, activity (accelerometry), physical performance (Short Physical Performance Battery), falls history in hospital and quality of life (EQ-5D-5 L). DISCUSSION: This simple intervention has the potential to transform the outcomes of the older patient in the acute setting.

trial registrationClinicalTrials.gov Identifier: NCT02463864 , registered 26.05.2015.

Indexed as

Frail ElderlyHospitalizationAccidental FallsActivities of Daily LivingAgedAged, 80 and overDisability EvaluationExercise TherapyFemaleHumansIrelandLength of StayMalePatient DischargePilot ProjectsPrescriptionsExerciseFrailInpatientsLength of stayMedicalPhysiotherapy

Identifiers

PMID27059306
PMCPMC4826551
OpenAlexW2317648713

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.