Evidence map›Paper›PMID 33155976›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Predictors of farther mobilization on day of surgery and shorter length of stay after total joint arthroplasty.

Sylvia Gautreau, Regan Haley, Odette N Gould, Donaldo D Canales, Tara Mann, Michael E Forsythe

Abstract read
PubMed Full text at PMC
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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.

Sylvia GautreauThe Moncton Hospital, Horizon Health Network, Moncton, N.B. (Gautreau, Haley, Gould, Mann, Forsythe); Mount Allison University , Sackville, N.B. (Gould); Research Services, Horizon Health Network, Moncton, N.B. (Canales).
Regan HaleyThe Moncton Hospital, Horizon Health Network, Moncton, N.B. (Gautreau, Haley, Gould, Mann, Forsythe); Mount Allison University , Sackville, N.B. (Gould); Research Services, Horizon Health Network, Moncton, N.B. (Canales).
Odette N GouldThe Moncton Hospital, Horizon Health Network, Moncton, N.B. (Gautreau, Haley, Gould, Mann, Forsythe); Mount Allison University , Sackville, N.B. (Gould); Research Services, Horizon Health Network, Moncton, N.B. (Canales).
Donaldo D CanalesThe Moncton Hospital, Horizon Health Network, Moncton, N.B. (Gautreau, Haley, Gould, Mann, Forsythe); Mount Allison University , Sackville, N.B. (Gould); Research Services, Horizon Health Network, Moncton, N.B. (Canales).
Tara MannThe Moncton Hospital, Horizon Health Network, Moncton, N.B. (Gautreau, Haley, Gould, Mann, Forsythe); Mount Allison University , Sackville, N.B. (Gould); Research Services, Horizon Health Network, Moncton, N.B. (Canales).
Michael E ForsytheThe Moncton Hospital, Horizon Health Network, Moncton, N.B. (Gautreau, Haley, Gould, Mann, Forsythe); Mount Allison University , Sackville, N.B. (Gould); Research Services, Horizon Health Network, Moncton, N.B. (Canales).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMobilization on the day of total joint arthroplasty (TJA) is associated with shorter length of stay. The question of whether incrementally farther mobilization on the day of surgery (POD0) contributes to shorter length of stay has not been widely studied. The purpose of this study was to determine if farther mobilization on POD0 led to shorter length of stay and to identify the predictors of farther mobilization and length of stay.

methodsA retrospective chart review was undertaken using data for patients who had a primary TJA and mobilized on POD0. Patients were categorized into the following 4 mobilization groups: sat on the bedside (Sat), stood by the bed or walked in place (Stood), walked in the room (Room) and walked in the hall (Hall). The primary outcome was length of stay. Predictors of farther mobilization on POD0 and length of stay were identified using regression analyses.

resultsThe sample comprised 283 patients. The Hall group had significantly shorter length of stay than all other groups. There were sex differences across the mobilization groups. Simultaneous regression analysis showed that farther mobilization was predicted by younger age, male sex, lower body mass index, spinal anesthesia and fewer symptoms limiting mobilization. Hierarchical regression showed that shorter length of stay was predicted by male sex, lower body mass index, lower American Society of Anaesthesiologists physical status classification score, less pain/stiffness and farther mobilization on POD0.

conclusionUnderstanding the modifiable and nonmodifiable predictors of mobilization after TJA and length of stay can help identify patients more likely to mobilize farther on the day of surgery, which would contribute to better resource allocation and discharge planning. Focusing on symptom management could increase opportunities for farther mobilization on POD0 and thereby decrease length of stay.

Indexed as

AgedAge FactorsArthritis, RheumatoidArthroplasty, Replacement, HipArthroplasty, Replacement, KneeEarly AmbulationFemaleHumansLength of StayMaleMiddle AgedOsteoarthritis, HipOsteoarthritis, KneePostoperative PeriodRetrospective StudiesSex Factors

Identifiers

PMID33155976
PMCPMC7747848

What OpenQuestion holds

Textmetadata
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.