Evidence map›Paper›PMID 33150261›Full record

ArticleJMA journal2020

Insufficient Postoperative Rehabilitation in Patients with Both Proximal Femoral Fracture and Antecedent Mental Illness.

Mitsuhiko Takahashi, Joji Iwase, Mitsunobu Abe, Naoko Hashimoto, Hirofumi Kosaka, Hiroshi Egawa

Open access · diamondAbstract read
In one paragraph

Article in JMA journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 77% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 1 institution in 1 country.

Mitsuhiko TakahashiDepartment of Orthopedic Surgery, Tokushima Prefectural Central Hospital, Kuramoto, Japan.
Joji IwaseDepartment of Orthopedic Surgery, Tokushima Prefectural Central Hospital, Kuramoto, Japan.
Mitsunobu AbeDepartment of Orthopedic Surgery, Tokushima Prefectural Central Hospital, Kuramoto, Japan.
Naoko HashimotoDepartment of Psychiatry, Tokushima Prefectural Central Hospital, Kuramoto, Japan.
Hirofumi KosakaDepartment of Orthopedic Surgery, Tokushima Prefectural Central Hospital, Kuramoto, Japan.
Hiroshi EgawaDepartment of Orthopedic Surgery, Tokushima Prefectural Central Hospital, Kuramoto, Japan.
Tokushima Prefectural Central Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThough a combination of proximal femoral fracture and mental illness is likely, the management of this combination is not well established. The aim of this study was to clarify the current disposition of acute care and rehabilitation for patients with this combination of conditions at our institution.

methodsWe retrospectively analyzed the records of 192 patients hospitalized in the psychiatric ward who present with a proximal femoral fracture and an antecedent mental illness. We investigated walking ability prior to injury and after surgery, at discharge from our institution, using the Functional Independence Measure (FIM) score.

resultsAlthough patients in the psychiatric ward demonstrated postoperative hospital stays approximately 10 days longer than those in the orthopedic ward, more than half of the patients in the psychiatric ward were discharged from our institution with a functional level of complete dependence for walking ability. In addition, nearly 90% of the patients studied were transferred to a psychiatric hospital where no physical therapy or rehabilitation was provided to the inpatients.

conclusionsAt our institution, patients with proximal femoral fracture and antecedent mental illness tended to be discharged with complete dependence in walking ability, often to a psychiatric hospital without physical therapy or rehabilitation. We hope this paper will draw attention to the need for rehabilitation in these patients.

Indexed as

Functional Independence Measuremental illnessproximal femoral fracturepsychiatric wardrehabilitation

Identifiers

PMID33150261
PMCPMC7590385
OpenAlexW3095813358

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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.