Evidence map›Paper›PMID 27178766›Full record

Trial reportContemporary clinical trials2016

Identifying effective and feasible interventions to accelerate functional recovery from hospitalization in older adults: A randomized controlled pilot trial.

Rachel R Deer, Jared M Dickinson, Steve R Fisher, Hyunsu Ju, Elena Volpi

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02203656 (Feasibility Study of Post-hospitalization Interventions to Improve Physical Function), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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.

NCT02203656 phase1completednot on this map

Feasibility Study of Post-hospitalization Interventions to Improve Physical Function

TypeinterventionalSponsorThe University of Texas Medical Branch, GalvestonRan2013 to 2017Enrolled113ConditionsAgingArmsPlacebo, Nutritional Supplement, In-home exercise, Testosterone
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Dietary Intake Patterns of Community-Dwelling Older Adults After Acute Hospitalization.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Factors That Contribute to Recovery of Community Mobility After Hospitalization Among Community-Dwelling Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020
    Article
  11. Never Too Old for Cardiac Rehabilitation.Clinics in geriatric medicine · 2019
    Review
  12. Review
  13. Review
  14. 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

5 authors at 2 institutions in 1 country.

Rachel R DeerSealy Center on Aging, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555-0177, United States. Electronic address: rrdeer@utmb.edu.
Jared M DickinsonSchool of Nutrition and Health Promotion, Healthy Lifestyles Research Center, Arizona State University, Phoenix, AZ 85004, United States. Electronic address: jared.dickinson@asu.edu.
Steve R FisherSealy Center on Aging, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555-0177, United States; Dept. of Physical Therapy, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, United States. Electronic address: stfisher@utmb.edu.
Hyunsu JuDept. of Preventive Medicine and Community Health, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, United States. Electronic address: hyju@utmb.edu.
Elena VolpiSealy Center on Aging, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555-0177, United States; Dept. of Internal Medicine, Division of Geriatrics, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, United States. Electronic address: evolpi@utmb.edu.
The University of Texas Medical Branch at Galveston · USArizona State University · US

Funding

UTMB Clinical and Translational Science AwardUL1TR001439 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI URBAN, RANDALL J · 2015 to 2024
$40.0M
UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
UTMB Clinical and Translational Science AwardUL1TR000071 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2012 to 2014
$14.4M
NCATS NIH HHS UL1 TR000071NCATS NIH HHS UL1 TR001439NIA NIH HHS P30 AG024832
6 · The paper itself

Abstract

Hospitalization induces functional decline in older adults. Many geriatric patients fail to fully recover physical function after hospitalization, which increases the risk of frailty, disability, dependence, re-hospitalization, and mortality. There is a lack of evidence-based therapies that can be implemented following hospitalization to accelerate functional improvements. The aims of this Phase I clinical trial are to determine 1) the effect size and variability of targeted interventions in accelerating functional recovery from hospitalization and 2) the feasibility of implementing such interventions in community-dwelling older adults. Older patients (≥65years, n=100) will be recruited from a single site during hospitalization for an acute medical condition. Subjects will be randomized to one of five interventions initiated immediately upon discharge: 1. protein supplementation, 2. in-home rehabilitation plus placebo supplementation, 3. in-home rehabilitation plus protein supplementation, 4. single testosterone injection, or 5. isocaloric placebo supplementation. Testing will occur during hospitalization (baseline) and at 1 and 4weeks post-discharge. Each testing session will include measures of muscle strength, physical function/performance, body composition, and psychological function. Physical activity levels will be continuously monitored throughout study participation. Feasibility will be determined through collection of the number of eligible, contacted, and enrolled patients; intervention adherence and compliance; and reasons for declining enrollment and study withdrawal. This research will determine the feasibility of post-hospitalization strategies to improve physical function in older adults. These results will also provide a foundation for performing larger, multi-site clinical trials to improve physical function and reduce readmissions in geriatric patents.

Indexed as

Dietary SupplementsHome Care ServicesHospitalizationRecovery of FunctionActivities of Daily LivingAcute DiseaseAgedAged, 80 and overAndrogensBody CompositionDepressionDietary ProteinsExerciseExercise TherapyFatigueFeasibility StudiesAndrogensDietary ProteinsTestosteroneExerciseGeriatricsHospitalizationPhysical functionProteinTestosterone

Identifiers

PMID27178766
PMCPMC5351552
OpenAlexW2358063469

What OpenQuestion holds

Textmetadata
LicenceTDM
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.