Evidence map›Paper›PMID 30953475›Full record

ArticleBMC geriatrics2019

Can the effects of the mobilization of vulnerable elders in Ontario (MOVE ON) implementation be replicated in new settings: an interrupted time series design.

Julia E Moore, Barbara Liu, Sobia Khan, Charmalee Harris, Joycelyne E Ewusie, Jemila S Hamid, Sharon E Straus, MOVE ON Collaboration

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Research progress in the hospitalization-associated disability among elderly patients.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  3. Article
  4. Review
  5. 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

8 authors at 5 institutions in 1 country.

Julia E MooreLi Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Barbara LiuDepartment of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Sobia KhanLi Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Charmalee HarrisLi Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Joycelyne E EwusieDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Jemila S HamidDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Sharon E StrausLi Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada. sharon.straus@utoronto.ca.
MOVE ON Collaboration
St. Michael's Hospital · CAChildren's Hospital of Eastern Ontario · CAHealth Sciences Centre · CAMcMaster University · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBed rest for older hospitalized patients places them at risk for hospital-acquired morbidity. We previously evaluated an early mobilization intervention and found it to be effective at improving mobilization rates and decreasing length of stay on internal medicine units. The aim of this study was to conduct a replication study evaluating the impact of the evidence-informed mobilization intervention on surgery, psychiatry, medicine, and cardiology inpatient units.

methodsA multi-component early mobilization intervention was tailored to the local context at seven hospitals in Ontario, Canada. The primary outcome was patient mobilization measured by conducting visual audits twice a week, three times a day. Secondary outcomes were hospital length of stay and discharge destination, which were obtained from hospital decision support data. The study population was patients aged 65 years and older who were admitted to surgery, psychiatry, medicine, and cardiology inpatient units between March and August 2014. Using an interrupted time series design, the intervention was evaluated over three time periods-pre-intervention, during, and post-intervention.

resultsA total of 3098 patients [mean age 78.46 years (SD 8.38)] were included in the overall analysis. There was a significant increase in mobility immediately after the intervention period compared to pre-intervention with a slope change of 1.91 (95% confidence interval [CI] 0.74-3.08, P-value = 0.0014). A decreasing trend in median length of stay was observed in the majority of the participating sites. Overall, a median length of stay of 26.24 days (95% CI 23.67-28.80) was observed pre-intervention compared to 23.81 days (95% CI 20.13-27.49) during the intervention and 24.69 days (95% CI 22.43-26.95) post-intervention. The overall decrease in median length of stay was associated with the increase in mobility across the sites.

conclusionsMOVE increased mobilization and these results were replicated across surgery, psychiatry, medicine, and cardiology inpatient units.

Indexed as

Frail ElderlyAgedAged, 80 and overEarly AmbulationFemaleHospitalizationHumansInternal MedicineInterrupted Time Series AnalysisLength of StayMaleOntarioPatient DischargeMobilityMobilizationMOVEOlder adults

Identifiers

PMID30953475
PMCPMC6451288
OpenAlexW2947934226

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.