Evidence map›Paper›PMID 29942346›Full record

ArticleWorld journal of emergency surgery : WJES2018

Development of a reconditioning program for elderly abdominal surgery patients: the Elder-friendly Approaches to the Surgical Environment-BEdside reconditioning for Functional ImprovemenTs (EASE-BE FIT) pilot study.

Alyssa McComb, Lindsey M Warkentin, Margaret L McNeely, Rachel G Khadaroo

2 registry-linked trialsAbstract read
In one paragraph

Article in World journal of emergency surgery : WJES, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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.

NCT02233153 completednot on this map

Elder-friendly Approaches to the Surgical Environment - Implementation of an Elder Friendly Surgical Unit

TypeobservationalSponsorUniversity of AlbertaRan2014 to 2017Enrolled723ConditionsGeneral SurgeryArmsElder-Friendly Surgical Unit
NCT05338528 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

Implementation and Assessment of the Elder-friendly BEdside Reconditioning for Functional ImprovemenTs (BE-FIT) Following Surgery Study

TypeinterventionalSponsorUniversity of AlbertaRan2021 to 2026Enrolled2,180ConditionsPostoperative Complications, Mobility, SurgeryArmsBE-FIT exercise program
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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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

4 authors.

Alyssa McComb1Faculty of Rehabilitation Medicine, University of Alberta, 1-38 Corbett Hall, 8205-114 St NW Edmonton, Edmonton, Alberta T6G 2G4 Canada.ORCID 0000-0002-5572-2487
Lindsey M Warkentin2Department of Surgery, University of Alberta, Edmonton, Alberta Canada.
Margaret L McNeely1Faculty of Rehabilitation Medicine, University of Alberta, 1-38 Corbett Hall, 8205-114 St NW Edmonton, Edmonton, Alberta T6G 2G4 Canada.
Rachel G Khadaroo2Department of Surgery, University of Alberta, Edmonton, Alberta Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Elderly individuals who are hospitalized due to emergency abdominal surgery spend over 80% of their recovery time in bed, resulting in early and rapid muscle loss. As these elderly individuals have a lower physiological reserve, the impact of muscle wasting on function may be profound. The objectives of this study are to (1) create an independently led post-surgical reconditioning program and (2) pilot its implementation, while assessing the feasibility and safety of the program. Methods: The BE FIT program was generated with hospital rehabilitation staff to target lower limb strength, balance, and endurance. This pilot study was assessed using a sequential before and after trial, with a cohort of patients aged ≥ 65 years enrolled in the Elder-friendly Approaches to the Surgical Environment (EASE) study. Change in 30-s sit-to-stand performance between postoperative day 2 and discharge was compared between Usual Care pre- and post-BE FIT participants. Results: A total of 66 patients participated in the sub-study, 33 Usual Care and 33 BE FIT. Mean (SD) age was 76.2 (8.78); 44 (67%) were female, with 11 (17%) reporting mild/moderate frailty on the CHSA Clinical Frailty Scale. BE FIT participants had a median of three rehab days and self-reported completing an average of 83% of the exercises. The adjusted between group difference showed that the BE FIT patients were able to complete more stands than the Usual Care (1.9 stands (0.94), Conclusion: The reconditioning program was shown to be safe and feasible within the hospital setting for the elderly emergency abdominal surgery patients. More rigorous assessment is needed to confirm this effectiveness and to better assess patient adherence to self-directed exercise. Trial registration: Registration #NCT02233153 through ClinicalTrials.gov. Registered September 8, 2014.

Indexed as

AbdomenAgedAged, 80 and overCohort StudiesDigestive System Surgical ProceduresExercise TherapyFemaleHumansMalePilot ProjectsSedentary BehaviorStatistics, NonparametricAbdominalBed restElderlyEmergencyPhysiotherapyReconditioningRehabilitationSurgery

Identifiers

PMID29942346
PMCPMC5963094

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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.