Evidence map›Paper›PMID 36233789›Full record

ArticleJournal of clinical medicine2022

Physical Inactivity and Sedentarism during and after Admission with Community-Acquired Pneumonia and the Risk of Readmission and Mortality: A Prospective Cohort Study.

Camilla Koch Ryrsø, Arnold Matovu Dungu, Maria Hein Hegelund, Daniel Faurholt-Jepsen, Bente Klarlund Pedersen, Christian Ritz, Birgitte Lindegaard, Rikke Krogh-Madsen

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Trial
  2. Effect of Exercise Training on Prognosis in Community-acquired Pneumonia: A Randomized Controlled Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Trial
  3. Article
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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

8 authors.

Camilla Koch RyrsøDepartment of Pulmonary and Infectious Diseases, Copenhagen University Hospital-North Zealand, 3400 Hillerød, Denmark.ORCID 0000-0002-8059-7331
Arnold Matovu DunguDepartment of Pulmonary and Infectious Diseases, Copenhagen University Hospital-North Zealand, 3400 Hillerød, Denmark.
Maria Hein HegelundDepartment of Pulmonary and Infectious Diseases, Copenhagen University Hospital-North Zealand, 3400 Hillerød, Denmark.ORCID 0000-0001-6287-1619
Daniel Faurholt-JepsenDepartment of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, 2100 Copenhagen, Denmark.ORCID 0000-0001-8561-0155
Bente Klarlund PedersenCentre for Physical Activity Research, Copenhagen University Hospital-Rigshospitalet, 2100 Copenhagen, Denmark.
Christian RitzNational Institute of Public Health, University of Southern Denmark, 1455 Copenhagen, Denmark.ORCID 0000-0002-5095-0624
Birgitte LindegaardDepartment of Pulmonary and Infectious Diseases, Copenhagen University Hospital-North Zealand, 3400 Hillerød, Denmark.
Rikke Krogh-MadsenCentre for Physical Activity Research, Copenhagen University Hospital-Rigshospitalet, 2100 Copenhagen, Denmark.

Funding

Grosserer L. F. Foght Foundation nonResearch Council at Copenhagen University Hospital - North Zealand noneTrygFonden ID 101390TrygFonden ID 125132TrygFonden ID 20045
6 · The paper itself

Abstract

backgroundBed rest with limited physical activity is common during admission. The aim was to determine the association between daily step count and physical activity levels during and after admission with community-acquired pneumonia (CAP) and the risk of readmission and mortality.

methodsA prospective cohort study of 166 patients admitted with CAP. Step count and physical activity were assessed with accelerometers during and after admission and were categorised as sedentary, light, or moderate-vigorous physical activity. Linear regression was used to assess the association between step count and length of stay. Logistic regression was used to assess the association between step count, physical activity level, and risk of readmission and mortality.

resultsPatients admitted with CAP were sedentary, light physically active, and moderate-to-vigorous physically active 96.4%, 2.6%, and 0.9% of their time, respectively, with 1356 steps/d. For every 500-step increase in daily step count on day 1, the length of stay was reduced by 6.6%. For every 500-step increase in daily step count during admission, in-hospital and 30-day mortality was reduced. Increased light and moderate-to-vigorous physical activity during admission were associated with reduced risk of in-hospital and 30-day mortality. After discharge, patients increased their daily step count to 2654 steps/d and spent more time performing light and moderate-to-vigorous physical activity. For every 500-step increase in daily step count after discharge, the risk of readmission was reduced. Higher moderate-to-vigorous physical activity after discharge was associated with a reduced risk of readmission.

conclusionsIncreased physical activity during admission was associated with a reduced length of stay and risk of mortality, whereas increased physical activity after discharge was associated with a reduced risk of readmission in patients with CAP. Interventions focusing on increasing physical activity levels should be prioritised to improve the prognosis of patients admitted with CAP.

Indexed as

community-acquired pneumoniahospital admissionlength of staymortalityphysical activityreadmission

Identifiers

PMID36233789
PMCPMC9571502

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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.