Evidence map›Paper›PMID 33235675›Full record

ArticleJournal of community hospital internal medicine perspectives2020

A novel early mobility bundle improves length of stay and rates of readmission among hospitalized general medicine patients.

Emily Anne Smith Bergbower, Cole Herbst, Nan Cheng, Alexander Aversano, Katherine Pasqualini, Cierra Hartline, Devorah Hamby-Finkelstein, Colin Brewer, Stephen Benko, Joseph Fuscaldo

Abstract read
In one paragraph

Article in Journal of community hospital internal medicine perspectives, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Review
  9. Article
  10. Review
  11. Measurement of Physical Activity Among Hospitalized Older Adults Living With Dementia.Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses
    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

10 authors.

Emily Anne Smith BergbowerDepartment of Internal Medicine, Greater Baltimore Medical Center, Baltimore, USA.ORCID https://orcid.org/0000-0002-7937-2661
Cole HerbstDivision of Data Science, Enterprise Business Intelligence, Greater Baltimore Medical Center, Baltimore, USA.
Nan ChengDepartment of Internal Medicine, Greater Baltimore Medical Center, Baltimore, USA.ORCID https://orcid.org/0000-0003-2858-1639
Alexander AversanoDepartment of Internal Medicine, Greater Baltimore Medical Center, Baltimore, USA.
Katherine PasqualiniDivision of Nursing, Greater Baltimore Medical Center, Baltimore, USA.
Cierra HartlineDivision of Nursing, Greater Baltimore Medical Center, Baltimore, USA.
Devorah Hamby-FinkelsteinDivision of Nursing, Greater Baltimore Medical Center, Baltimore, USA.
Colin BrewerDivision of Nursing, Greater Baltimore Medical Center, Baltimore, USA.
Stephen BenkoDivision of Nursing, Greater Baltimore Medical Center, Baltimore, USA.
Joseph FuscaldoDepartment of Internal Medicine, Greater Baltimore Medical Center, Baltimore, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inpatient early mobility initiatives are effective therapeutic interventions for improving patient outcomes and decreasing use of hospital resources among adult ICU and general medicine patients. To establish and demonstrate guidelines for early patient ambulation, we developed and implemented a novel multidisciplinary mobility bundle utilizing the JH-HLM (Johns Hopkins Highest Level of Mobility) scale for mobility classification, on a single adult general medicine unit of a community hospital. Our results show that patients admitted to the unit after implementation of the mobility bundle had improved mobility scores, reduced rates of 30-day hospital readmission, and a shortened length of hospital stay. This study emphasizes the importance of measuring mobility using a systematic method, easing workflow among unit practitioners, and allowing mobility initiatives to be jointly driven by nursing, physical therapy, and physicians.

Indexed as

general medicinelength of hospital stayMobilityreadmissionrehabilitation

Identifiers

PMID33235675
PMCPMC7671722

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Registered trials

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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.