Evidence map›Paper›PMID 29368676›Full record

Trial reportCanadian journal of surgery. Journal canadien de chirurgie2018

Physical performance following acute high-risk abdominal surgery: a prospective cohort study.

Line Rokkedal Jønsson, Lina Holm Ingelsrud, Line Toft Tengberg, Thomas Bandholm, Nicolai Bang Foss, Morten Tange Kristensen

Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Canadian journal of surgery. Journal canadien de chirurgie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06239831 (Postoperative Respiratory and Activity Monitoring), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% 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.

NCT06239831 recruitingnot on this mapstarted 2022, after this paper: background citation

Postoperative Respiratory and Activity Monitoring

TypeobservationalSponsorUniversity of Colorado, DenverRan2022 to 2026Enrolled30ConditionsHypoventilation, Hypoxemia, Postoperative Pulmonary ComplicationsArmsExSpiron and ActivPAL Monitors
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Patterns of patient worry following major emergency abdominal surgery: a 180-day follow-up study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Association between reduced physical performance measures and short-term consequences after major emergency abdominal surgery: a prospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Observational
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

6 authors at 3 institutions in 1 country.

Line Rokkedal JønssonFrom the Physical Medicine & Rehabilitation Research -Copenhagen (PMR-C), Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Hvidovre, Denmark (Jønsson, Bandholm, Kristensen); the Department of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre, Denmark (Ingelsrud, Tange Kristensen); the Gastro Unit Surgical Division, Copenhagen University Hospital, Hvidovre, Denmark, and the Department of Surgery, Zealand University Hospital, Køge, Denmark (Tengberg); the Clinical Research Centre, Copenhagen University Hospital, Hvidovre, Denmark (Bandholm); and the Department of Anesthesiology and Intensive Care Medicine, Copenhagen University Hospital, Hvidovre, Denmark (Foss).
Lina Holm IngelsrudFrom the Physical Medicine & Rehabilitation Research -Copenhagen (PMR-C), Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Hvidovre, Denmark (Jønsson, Bandholm, Kristensen); the Department of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre, Denmark (Ingelsrud, Tange Kristensen); the Gastro Unit Surgical Division, Copenhagen University Hospital, Hvidovre, Denmark, and the Department of Surgery, Zealand University Hospital, Køge, Denmark (Tengberg); the Clinical Research Centre, Copenhagen University Hospital, Hvidovre, Denmark (Bandholm); and the Department of Anesthesiology and Intensive Care Medicine, Copenhagen University Hospital, Hvidovre, Denmark (Foss).
Line Toft TengbergFrom the Physical Medicine & Rehabilitation Research -Copenhagen (PMR-C), Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Hvidovre, Denmark (Jønsson, Bandholm, Kristensen); the Department of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre, Denmark (Ingelsrud, Tange Kristensen); the Gastro Unit Surgical Division, Copenhagen University Hospital, Hvidovre, Denmark, and the Department of Surgery, Zealand University Hospital, Køge, Denmark (Tengberg); the Clinical Research Centre, Copenhagen University Hospital, Hvidovre, Denmark (Bandholm); and the Department of Anesthesiology and Intensive Care Medicine, Copenhagen University Hospital, Hvidovre, Denmark (Foss).
Thomas BandholmFrom the Physical Medicine & Rehabilitation Research -Copenhagen (PMR-C), Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Hvidovre, Denmark (Jønsson, Bandholm, Kristensen); the Department of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre, Denmark (Ingelsrud, Tange Kristensen); the Gastro Unit Surgical Division, Copenhagen University Hospital, Hvidovre, Denmark, and the Department of Surgery, Zealand University Hospital, Køge, Denmark (Tengberg); the Clinical Research Centre, Copenhagen University Hospital, Hvidovre, Denmark (Bandholm); and the Department of Anesthesiology and Intensive Care Medicine, Copenhagen University Hospital, Hvidovre, Denmark (Foss).
Nicolai Bang FossFrom the Physical Medicine & Rehabilitation Research -Copenhagen (PMR-C), Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Hvidovre, Denmark (Jønsson, Bandholm, Kristensen); the Department of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre, Denmark (Ingelsrud, Tange Kristensen); the Gastro Unit Surgical Division, Copenhagen University Hospital, Hvidovre, Denmark, and the Department of Surgery, Zealand University Hospital, Køge, Denmark (Tengberg); the Clinical Research Centre, Copenhagen University Hospital, Hvidovre, Denmark (Bandholm); and the Department of Anesthesiology and Intensive Care Medicine, Copenhagen University Hospital, Hvidovre, Denmark (Foss).
Morten Tange KristensenFrom the Physical Medicine & Rehabilitation Research -Copenhagen (PMR-C), Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Hvidovre, Denmark (Jønsson, Bandholm, Kristensen); the Department of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre, Denmark (Ingelsrud, Tange Kristensen); the Gastro Unit Surgical Division, Copenhagen University Hospital, Hvidovre, Denmark, and the Department of Surgery, Zealand University Hospital, Køge, Denmark (Tengberg); the Clinical Research Centre, Copenhagen University Hospital, Hvidovre, Denmark (Bandholm); and the Department of Anesthesiology and Intensive Care Medicine, Copenhagen University Hospital, Hvidovre, Denmark (Foss).
Zealand University Hospital Køge · DKCopenhagen University Hospital · DKZealand University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute high-risk abdominal (AHA) surgery is associated with high mortality, multiple postoperative complications and prolonged hospital stay. Further development of strategies for enhanced recovery programs following AHA surgery is needed. The aim of this study was to describe physical performance and barriers to independent mobilization among patients who received AHA surgery (postoperative days [POD] 1-7).

methodsPatients undergoing AHA surgery were consecutively enrolled from a university hospital in Denmark. In the first postoperative week, all patients were evaluated daily with regards to physical performance, using the Cumulated Ambulation Score (CAS; 0-6 points) to assess basic mobility and the activPAL monitor to assess the 24-hour physical activity level. We recorded barriers to independent mobilization.

resultsFifty patients undergoing AHA surgery (mean age 61.4 ± 17.2 years) were included. Seven patients died within the first postoperative week, and 15 of 43 (35%) patients were still not independently mobilized (CAS < 6) on POD-7, which was associated with pulmonary complications developing (53% v. 14% in those with CAS = 6,

conclusionPatients who receive AHA surgery have very limited physical performance in the first postoperative week. Barriers to independent mobilization are primarily fatigue and abdominal pain. Further studies investigating strategies for early mobilization and barriers to mobilization in the immediate postoperative period after AHA surgery are needed.

Indexed as

Digestive System Surgical ProceduresMobility LimitationPhysical Functional PerformancePostoperative ComplicationsAbdominal PainAcute DiseaseAdultAgedAged, 80 and overDenmarkFatigueFemaleHospitals, UniversityHumansIntestinal DiseasesMale

Identifiers

PMID29368676
PMCPMC5785288
OpenAlexW2786945174

What OpenQuestion holds

Textmetadata
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.