Evidence map›Paper›PMID 33782756›Full record

Observational studySurgical endoscopy2022

Wearable technology and the association of perioperative activity level with 30-day readmission among patients undergoing major colorectal surgery.

William J Kane, Taryn E Hassinger, Emma L Myers, David L Chu, Ashley N Charles, Sook C Hoang, Charles M Friel, Robert H Thiele, Traci L Hedrick

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
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  7. Article
  8. Article
  9. Review
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  11. Article
  12. Review
  13. Predicting Hospital Readmission among Patients with Sepsis Using Clinical and Wearable Data.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2023
    Article
  14. Review
  15. Review
  16. Article
  17. Consumer Wearables for Patient Monitoring in Otolaryngology: A State of the Art Review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2022
    Review
  18. Article
  19. Review
  20. 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

9 authors at 2 institutions in 1 country.

William J KaneDepartment of Surgery, University of Virginia Health System, P.O. Box 800709, Charlottesville, VA, 22908, USA.ORCID 0000-0002-6051-8210
Taryn E HassingerDepartment of Surgery, University of Virginia Health System, P.O. Box 800709, Charlottesville, VA, 22908, USA.
Emma L MyersThe College of Arts and Sciences, University of Virginia, Charlottesville, VA, USA.
David L ChuSchool of Medicine, University of Virginia, Charlottesville, VA, USA.
Ashley N CharlesDepartment of Surgery, University of Virginia Health System, P.O. Box 800709, Charlottesville, VA, 22908, USA.
Sook C HoangDepartment of Surgery, University of Virginia Health System, P.O. Box 800709, Charlottesville, VA, 22908, USA.
Charles M FrielDepartment of Surgery, University of Virginia Health System, P.O. Box 800709, Charlottesville, VA, 22908, USA.
Robert H ThieleDepartment of Anesthesiology, University of Virginia Health System, Charlottesville, VA, USA.
Traci L HedrickDepartment of Surgery, University of Virginia Health System, P.O. Box 800709, Charlottesville, VA, 22908, USA. th8q@hscmail.mcc.virginia.edu.
University of Virginia Health System · USUniversity of Virginia · US

Funding

Foundation for the National Institutes of Health T32CA163177
6 · The paper itself

Abstract

backgroundThe proliferation of wearable technology presents a novel opportunity for perioperative activity monitoring; however, the association between perioperative activity level and readmission remains underexplored. This study sought to determine whether physical activity data captured by wearable technology before and after colorectal surgery can be used to predict 30-day readmission.

methodsIn this prospective observational cohort study of adults undergoing elective major colorectal surgery (January 2018 to February 2019) at a single institution, participants wore an activity monitor 30 days before and after surgery. The primary outcome was return to baseline percentage, defined as step count on the day before discharge as a percentage of mean preoperative daily step count, among readmitted and non-readmitted patients.

results94 patients had sufficient data available for analysis, of which 16 patients (17.0%) were readmitted within 30 days following discharge. Readmitted patients achieved a lower return to baseline percentage compared to patients who were not readmitted (median 15.1% vs. 31.8%; P = 0.004). On multivariable analysis adjusting for readmission risk and hospital length of stay, an absolute increase of 10% in return to baseline percentage was associated with a 40% decreased risk of 30-day readmission (odds ratio 0.60; P = 0.02). Analysis of the receiver operating characteristic curve identified 28.9% as an optimal return to baseline percent threshold for predicting readmission.

conclusionsAchieving a higher percentage of an individual's preoperative baseline activity level on the day prior to discharge after major colorectal surgery is associated with decreased risk of 30-day hospital readmission.

Indexed as

Colorectal SurgeryWearable Electronic DevicesAdultHumansLength of StayPatient ReadmissionPostoperative ComplicationsProspective StudiesRetrospective StudiesRisk FactorsPerioperative activityPostoperative monitoringReadmissionWearable technology

Identifiers

PMID33782756
OpenAlexW3147417611

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.