Evidence map›Paper›PMID 30091317›Full record

Trial reportYonsei medical journal2018

Effects of Early Exercise Rehabilitation on Functional Recovery in Patients with Severe Sepsis.

Jin Young Ahn, Je Eun Song, Hea Won Ann, Yongduk Jeon, Mi Young Ahn, In Young Jung, Moo Hyun Kim, Wooyoung Jeong, Su Jin Jeong, Nam Su Ku and 4 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Yonsei medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Exercise for acutely hospitalised older medical patients.The Cochrane database of systematic reviews · 2022
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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

14 authors at 2 institutions in 1 country.

Jin Young AhnDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Je Eun SongDepartment of Internal Medicine, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, Korea.
Hea Won AnnDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Yongduk JeonDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Mi Young AhnDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
In Young JungDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Moo Hyun KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Wooyoung JeongDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Su Jin JeongDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Nam Su KuDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
June Myung KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Sungwon NaDepartment of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
Sung Rae ChoDepartment of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea.
Jun Yong ChoiDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-2775-3315
Yonsei University · KRInje University Ilsan Paik Hospital · KR

Funding

Ministry of Health and Welfare HI14C1324Ministry of Science, ICT and Future Planning H-GUARD_2013M3A6B2078953
6 · The paper itself

Abstract

purposeSevere sepsis is associated with functional disability among patients surviving an acute phase of infection. Efforts to improve functional impairment are important. We assessed the effects of early exercise rehabilitation on functional outcomes in patients with severe sepsis. MATERIALS AND

methodsA prospective, single-center, case-control study was conducted between January 2013 and May 2014 at a tertiary care center in Korea. Patients with severe sepsis and septic shock were enrolled and randomized to receive standard sepsis treatment or intervention. Intervention involved early targeted physical rehabilitation with sepsis treatment during hospitalization. Participants were assessed at enrollment, hospital discharge, and 6 months after enrollment. Functional recovery was measured using the Modified Barthel Index (MBI), Functional Independence Measure (FIM), and Instrumental Activities of Daily Living (IADL).

resultsForty participants (21 intervention patients) were included in an intention-to-treat analysis. There were no significant differences in baseline MBI, FIM, and IADL between groups. Intervention yielded greater improvement of MBI, FIM, and IADL in the intervention group at hospital discharge, but not significantly. Subgroup analysis of patients with APACHE II scores ≥10 showed significantly greater improvement of physical function at hospital discharge (MBI and FIM) in the intervention group, compared to the control group (55.13 vs. 31.75, p=0.048; 52.40 vs. 31.25, p=0.045). Intervention was significantly associated with improvement of MBI in multiple linear regression analysis (standardized coefficient 0.358, p=0.048).

conclusionEarly physical rehabilitation may improve functional recovery at hospital discharge, especially in patients with high initial severity scores.

Indexed as

Exercise TherapyOutcome Assessment, Health CareRecovery of FunctionActivities of Daily LivingAdultAgedCase-Control StudiesFemaleHumansMiddle AgedPatient DischargeProspective StudiesRegression AnalysisRepublic of KoreaSepsisShock, Septicexercise rehabilitationfunctional outcomefunctional recoverySepsisseptic shock

Identifiers

PMID30091317
PMCPMC6082977
OpenAlexW2886068135

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.