Evidence map›Paper›PMID 37328743›Full record

Observational studyBMC geriatrics2023

Patterns of physical activity over time in older patients rehabilitating after hip fracture surgery: a preliminary observational study.

Dieuwke van Dartel, Ying Wang, Johannes H Hegeman, Marloes Vermeer, Miriam M R Vollenbroek-Hutten, Up&Go after a hip fracture group

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC geriatrics, 2023. 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
3.2field-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

8 citing papers in PubMed, 10 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Dieuwke van DartelBiomedical Signals and Systems Group, University of Twente, Drienerlolaan 5, 7500 AE, Enschede, the Netherlands. d.vandartel@utwente.nl.
Ying WangBiomedical Signals and Systems Group, University of Twente, Drienerlolaan 5, 7500 AE, Enschede, the Netherlands.
Johannes H HegemanBiomedical Signals and Systems Group, University of Twente, Drienerlolaan 5, 7500 AE, Enschede, the Netherlands.
Marloes VermeerZGT Academy, Ziekenhuisgroep Twente, Almelo, The Netherlands.
Miriam M R Vollenbroek-HuttenBiomedical Signals and Systems Group, University of Twente, Drienerlolaan 5, 7500 AE, Enschede, the Netherlands.
Up&Go after a hip fracture group
Medisch Spectrum Twente · NLZiekenhuis Groep Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate patterns of continuously monitored physical activity in older patients rehabilitating after hip fracture surgery and the association with patient characteristics.

methodsPhysical activity of surgically treated hip fracture patients aged 70 years or older, who were rehabilitating at a skilled nursing home, was continuously monitored using a tri-axial accelerometer. The intensity of physical activity per day was calculated from the accelerometer signals to describe the daily physical activity levels of the enrolled patients. The patterns of three different aspects of physical activity were investigated: overall physical activity, overall variability, and day-to-day variability. Two experts in the geriatric rehabilitation field helped identifying unique physical activity patterns for each aspect based on visual analysis. Eighteen healthcare professionals independently classified each patient in one of the predefined patterns for each aspect. Differences between physical activity patterns and patient characteristics were assessed using a Kruskal-Wallis or Fisher's Exact Test.

resultsPhysical activity data from 66 older patients were used in this preliminary study. A total of six unique patterns were identified for overall physical activity and overall variability, and five unique patterns for the day-to-day variability. The most common pattern found for the overall physical activity and day-to-day variability had a S-shape, which first slowly increased, then steeply increased, and subsequently flattened (n = 23, 34.8%). A N-shape pattern was found the most common pattern for overall variability, which first slowly increased, then steeply increased, then decreased and lastly increased (n = 14, 21.2%). The functionality at admission to rehabilitation, measured with the Barthel Index, and the duration of rehabilitation stay differed between the patterns of physical activity.

conclusionsMultiple patterns of physical activity among older patients during hip fracture rehabilitation were found in this preliminary study. The functionality at admission to rehabilitation and the duration of rehabilitation stay were associated with the different patterns found in this study. Results of this study highlight the importance of personalized hip fracture treatment.

Indexed as

Hip FracturesAgedExerciseHospitalizationHumansLength of StayTreatment OutcomeContinuous monitoringHip fracture rehabilitationOlder patientsPatternsPhysical activity

Identifiers

PMID37328743
PMCPMC10276437
OpenAlexW4380988181

What OpenQuestion holds

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LicenceCC BY
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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.