Evidence map›Paper›PMID 32370681›Full record

ArticleEuropean journal of cardiovascular nursing2020

Subjective reports of physical activity levels and sedentary time prior to hospital admission can predict utilization of hospital care and all-cause mortality among patients with cardiovascular disease.

Amanda Ek, Lena V Kallings, Mattias Ekström, Mats Börjesson, Örjan Ekblom

Open access · hybridAbstract read
In one paragraph

Article in European journal of cardiovascular nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.6field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

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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

5 authors at 4 institutions in 1 country.

Amanda EkThe Åstrand Laboratory of Work Physiology, The Swedish School of Sport and Health Sciences, Sweden.
Lena V KallingsThe Åstrand Laboratory of Work Physiology, The Swedish School of Sport and Health Sciences, Sweden.
Mattias EkströmDepartment of Clinical Sciences, Danderyd Hospital, Division of Cardiovascular Medicine, Sweden.
Mats BörjessonDepartment of Neuroscience and Physiology, Sahlgrenska Academy & Sahlgrenska University Hospital/Ostra, Sweden.
Örjan EkblomThe Åstrand Laboratory of Work Physiology, The Swedish School of Sport and Health Sciences, Sweden.
Swedish School of Sport and Health Sciences · SEKarolinska Institutet · SEKarolinska University Hospital · SEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn prevention, sedentary behaviour and physical activity have been associated with risk of cardiovascular disease and mortality. Less is known about associations with utilization of hospital care.

aimTo investigate whether physical activity level and sedentary behaviour prior to cardiac ward admission can predict utilization of hospital care and mortality among patients with cardiovascular disease.

methodsLongitudinal observational study including 1148 patients admitted and treated in cardiac wards in two hospitals. Subjective reports of physical activity levels and sedentary time prior to admission were collected during inpatient care and categorized as low, medium or high. The associations between physical activity level and sedentary time with hospital stay, readmission and mortality were analysed using linear, logistic and Cox regressions.

resultsMedian hospital stay was 2.1 days. One higher step in the physical activity level, or lower sedentary time, was related to an approximately 0.9 days shorter hospital stay. Sixty per cent of patients were readmitted to hospital. The risk of being readmitted was lower for individuals reporting high physical activity and low sedentary time (odds ratios ranging between 0.44 and 0.91). A total of 200 deaths occurred during the study. Mortality was lower among those with high and medium physical activity levels and low sedentary time (hazard ratios ranging between 0.36 and 0.90).

conclusionBoth physical activity level and sedentary time during the period preceding hospitalization for cardiac events were predictors of hospital utilization and mortality. This highlights the prognostic value of assessing patients' physical activity and sedentary behaviour.

Indexed as

Sedentary BehaviorAgedCardiovascular DiseasesExerciseFemaleHospitalizationHumansMaleMiddle AgedPatient Acceptance of Health CareProportional Hazards ModelsHospitalizationphysical exercisesedentary behavioursurvival

Identifiers

PMID32370681
PMCPMC7817990
OpenAlexW3021773379

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.