Evidence map›Paper›PMID 36362554›Full record

ArticleJournal of clinical medicine2022

Association between Barthel Index, Grip Strength, and Physical Activity Level at Admission and Prognosis in Community-Acquired Pneumonia: A Prospective Cohort Study.

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

Registry-linked trialOpen access · goldAbstract 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. It is linked to trial NCT03795662 (Surviving Pneumonia), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 18% 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.

NCT03795662 recruitingnot on this map

Surviving Pneumonia

TypeobservationalSponsorNordsjaellands HospitalRan2019 to 2038Enrolled2,500ConditionsCommunity-acquired PneumoniaArmsNo intervention
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. 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
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Geriatric nutritional risk index as the prognostic factor in older patients with fragility hip fractures.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    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

8 authors at 3 institutions in 1 country.

Camilla Koch RyrsøDepartment of Pulmonary and Infectious Diseases, Copenhagen University Hospital-North Zealand, 3400 Hillerød, Denmark.ORCID 0000-0002-8059-7331
Maria Hein HegelundDepartment of Pulmonary and Infectious Diseases, Copenhagen University Hospital-North Zealand, 3400 Hillerød, Denmark.ORCID 0000-0001-6287-1619
Arnold Matovu DunguDepartment of Pulmonary and Infectious Diseases, Copenhagen University Hospital-North Zealand, 3400 Hillerød, Denmark.
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
Rikke Krogh-MadsenCentre for Physical Activity Research, Copenhagen University Hospital-Rigshospitalet, 2100 Copenhagen, Denmark.ORCID 0000-0003-4914-2715
Birgitte LindegaardDepartment of Pulmonary and Infectious Diseases, Copenhagen University Hospital-North Zealand, 3400 Hillerød, Denmark.
Copenhagen University Hospital · DKUniversity of Copenhagen · DKUniversity of Southern Denmark · DK

Funding

Grosserer L. F. Foghts Foundation noneResearch Council at Copenhagen University Hospital - North Zealand, Hillerød, Denmark noneTrygFonden ID 101390, ID 20045, and ID 125132
6 · The paper itself

Abstract

Background: Impaired functional status is a risk factor for hospitalization in patients with community-acquired pneumonia (CAP). The aim was to determine the influence of functional status and physical activity level on severe outcomes, including length of stay, admission to the intensive care unit (ICU), readmission, and mortality in patients with CAP. Methods: A prospective cohort study among patients hospitalized with CAP. Functional status was assessed with the Barthel index and grip strength, and physical activity level was assessed using the international physical activity questionnaire. Linear regression was used to assess the association with length of stay, and logistic regression was used to assess the risk of severe outcomes. Results: Among 355 patients admitted with CAP, 18% had a low Barthel index (<80), 45% had a low grip strength, and 75% had a low physical activity level. Low Barthel index was associated with increased risk of ICU admission (OR 3.6, 95% CI 1.2−10.9), longer length of stay (27.9%, 95% CI 2.3−59.7%), readmission within 30, 90, and 180 days (OR 2.1−2.4, p < 0.05), and mortality within 90 and 180 days (OR 4.2−5.0, p < 0.05). Low grip strength was associated with increased risk of 90 days readmission (OR 1.6, 95% CI 1.0−2.6, p < 0.05) and mortality within 30, 90, and 180 days (OR 2.6−3.2, p < 0.05). Low physical activity level was associated with increased risk of readmission within 90 and 180 days (OR 1.8−2.1, p < 0.05) and mortality within 30, 90, and 180 days (OR 3.3−5.5, p < 0.05). Conclusions: Impaired functional status and low physical activity level were associated with a longer length of stay and increased risk of ICU admission, readmission, and mortality in patients hospitalized with CAP. Routine assessment of functional status and physical activity level in clinical care could enable early identification of individuals with excess risk for a poor prognosis. Trial registration: ClinicalTrials.gov, NCT03795662.

Indexed as

Barthel indexcommunity-acquired pneumoniagrip strengthintensive care unitlength of staymortalityphysical activityreadmission

Identifiers

PMID36362554
PMCPMC9653820
OpenAlexW4307633598

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.