Evidence map›Paper›PMID 34748023›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2022

The impact of the frequency, duration and type of physiotherapy on discharge after hip fracture surgery: a secondary analysis of UK national linked audit data.

A Goubar, S Ayis, L Beaupre, I D Cameron, R Milton-Cole, C L Gregson, A Johansen, M T Kristensen, J Magaziner, F C Martin and 5 more

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Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 4 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

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3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

15 authors.

A GoubarDepartment of Population Health Sciences, School of Population and Environmental Sciences, King's College London, London, UK.
S AyisDepartment of Population Health Sciences, School of Population and Environmental Sciences, King's College London, London, UK.
L BeaupreDepartment of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada.
I D CameronJohn Walsh Centre for Rehabilitation Research, Kolling Institute, Northern Sydney Local Health District and Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
R Milton-ColeDepartment of Population Health Sciences, School of Population and Environmental Sciences, King's College London, London, UK.
C L GregsonMusculoskeletal Research Unit, Translation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
A JohansenCardiff Trauma Unit, University Hospital of Wales, Cardiff, UK.
M T KristensenDepartment of Physical & Occupational Therapy, Copenhagen University Hospital - Bispebjerg and Frederiksberg, and Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
J MagazinerDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.
F C MartinDepartment of Population Health Sciences, School of Population and Environmental Sciences, King's College London, London, UK.
C SackleyDepartment of Population Health Sciences, School of Population and Environmental Sciences, King's College London, London, UK.
E SadlerFaculty of Environmental and Life Sciences, School of Health Sciences, University of Southampton, Southampton, UK.
T O SmithFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
B SobolevSchool of Population and Public Health, University of British Columbia, Vancouver, Canada.
K J SheehanDepartment of Population Health Sciences, School of Population and Environmental Sciences, King's College London, London, UK. Katie.sheehan@kcl.ac.uk.ORCID http://orcid.org/0000-0002-5325-7454

Funding

chartered society of physiotherapy charitable trust PRF/18/A24Versus Arthritis 22086
6 · The paper itself

Abstract

Additional physiotherapy in the first postoperative week was associated with fewer days to discharge after hip fracture surgery. A 7-day physiotherapy service in the first postoperative week should be considered as a new key performance indicator in evaluating the quality of care for patients admitted with a hip fracture.

introductionTo examine the association between physiotherapy in the first week after hip fracture surgery and discharge from acute hospital.

methodsWe linked data from the UK Physiotherapy Hip Fracture Sprint Audit to hospital records for 5395 patients with hip fracture in May and June 2017. We estimated the association between the number of days patients received physiotherapy in the first postoperative week; its overall duration (< 2 h, ≥ 2 h; 30-min increment) and type (mobilisation alone, mobilisation and exercise) and the cumulative probability of discharge from acute hospital over 30 days, using proportional odds regression adjusted for confounders and the competing risk of death.

resultsThe crude and adjusted odds ratios of discharge were 1.24 (95% CI 1.19-1.30) and 1.26 (95% CI 1.19-1.33) for an additional day of physiotherapy, 1.34 (95% CI 1.18-1.52) and 1.33 (95% CI 1.12-1.57) for ≥ 2 versus < 2 h physiotherapy, and 1.11 (95% CI 1.08-1.15) and 1.10 (95% CI 1.05-1.15) for an additional 30-min of physiotherapy. Physiotherapy type was not associated with discharge.

conclusionWe report an association between physiotherapy and discharge after hip fracture. An average UK hospital admitting 375 patients annually may save 456 bed-days if current provision increased so all patients with hip fracture received physiotherapy on 6-7 days in the first postoperative week. A 7-day physiotherapy service totalling at least 2 h in the first postoperative week may be considered a key performance indicator of acute care quality after hip fracture.

Indexed as

Hip FracturesPatient DischargeHumansPhysical Therapy ModalitiesSemantic WebUnited KingdomAuditHip fractureNational Hip Fracture DatabaseNeck of femurRecoveryRehabilitation

Identifiers

PMID34748023
PMCPMC8930962

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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.