Evidence map›Paper›PMID 29887923›Full record

ArticleEuropean geriatric medicine2018

Comorbidity and intercurrent diseases in geriatric stroke rehabilitation: a multicentre observational study in skilled nursing facilities.

Anouk D Kabboord, Monica Van Eijk, Bianca I Buijck, Raymond T C M Koopmans, Romke van Balen, Wilco P Achterberg

Registry-linked trialOpen access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in European geriatric medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06017960 (Effects of Dry Needling on Electromyographic Activity and Ultrasonographic Characteristics in Post-Stroke Spasticity), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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.

NCT06017960 narecruitingnot on this mapstarted 2023, after this paper: background citation

Effects of Dry Needling on Electromyographic Activity and Ultrasonographic Characteristics in Post-Stroke Spasticity

TypeinterventionalSponsorUniversidad de ZaragozaRan2023 to 2026Enrolled28ConditionsSpasticity as Sequela of StrokeArmsDry needling + usual care, Sham dry needling + usual care
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. The association of comorbidity measures and mortality in geriatric rehabilitation inpatients by cancer status: RESORT.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  5. Observational
  6. Article
  7. 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 2 institutions in 1 country.

Anouk D KabboordDepartment of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, Postbus 9600, 2300 RC, Leiden, The Netherlands. A.D.Kabboord@lumc.nl.ORCID http://orcid.org/0000-0001-5539-6020
Monica Van EijkDepartment of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, Postbus 9600, 2300 RC, Leiden, The Netherlands.
Bianca I BuijckDepartment of Neurology, Erasmus MC University Medical Center, 's-Gravendijkwal 230, Rotterdam, The Netherlands.
Raymond T C M KoopmansDepartment of Primary and Community Care, Centre for Family Medicine, Geriatric Care and Public Health, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Romke van BalenDepartment of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, Postbus 9600, 2300 RC, Leiden, The Netherlands.
Wilco P AchterbergDepartment of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, Postbus 9600, 2300 RC, Leiden, The Netherlands.
Leiden University Medical Center · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder patients often have multiple comorbidities and are susceptible to develop intercurrent diseases during rehabilitation. This study investigates intercurrent diseases and associated factors in patients undergoing geriatric stroke rehabilitation, focussing on pre-existing comorbid conditions, overall comorbidity and baseline functional status. MATERIALS AND

methodsThis multicentre prospective cohort study included 15 skilled nursing facilities. Data were collected at baseline and at discharge. The primary outcome measures were presence and number of intercurrent diseases. Furthermore, their impact on change in rehabilitation goals or length of stay was examined. Comorbidity was assessed with the Charlson index, and functional status with the Barthel index (BI).

resultsOf the 175 included patients, 51% developed an intercurrent disease. A lower baseline BI, a higher Charlson index, presence of diabetes mellitus (DM) and kidney disease were related to the occurrence of an intercurrent disease (

conclusionsOn admission, functional impairments and comorbidity, particularly diabetes, independently contribute to developing intercurrent diseases during geriatric stroke rehabilitation. Therefore, routine evaluation of comorbidity integrated with functional status at the start of rehabilitation is essential to identify patients at risk. Finally, particular attention should be paid to patients with DM to prevent intercurrent diseases and support optimal functional recovery .

Indexed as

ComorbidityFunctional impairmentsGeriatric rehabilitationIntercurrent diseasesStroke

Identifiers

PMID29887923
PMCPMC5972181
OpenAlexW2789746645

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.