Evidence map›Paper›PMID 37863110›Full record

Observational studyJournal of the American Medical Directors Association2024

Admission Cognition and Function Predict Change in Physical Function Following Skilled Nursing Rehabilitation.

Katie A Butera, Allison M Gustavson, Jeri E Forster, Daniel Malone, Jennifer E Stevens-Lapsley

Abstract readObservational Study
In one paragraph

Observational study in Journal of the American Medical Directors Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Katie A ButeraPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO, USA; Department of Physical Therapy, University of Delaware, Newark, DE, USA.
Allison M GustavsonCenter for Care Delivery and Outcome Delivery Center for Care Delivery & Outcomes Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA; Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Jeri E ForsterDepartment of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO, USA; VA Rocky Mountain Mental Illness Research Education and Clinical Center, Aurora, CO, USA.
Daniel MalonePhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO, USA.
Jennifer E Stevens-LapsleyPhysical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado, Aurora, CO, USA; VA Eastern Colorado Geriatric Research, Education, and Clinical Center (GRECC), VA Eastern Colorado Health Care System, Aurora, CO, USA. Electronic address: jennifer.stevens-lapsley@cuanschutz.edu.

Funding

University of Colorado Aging Training GrantT32AG000279 · NIA · UNIVERSITY OF COLORADO DENVER · PI Kerrie Moreau · 2001 to 2026
$10.1M
NRSA Training CoreTL1TR002533 · NCATS · UNIVERSITY OF COLORADO DENVER · PI CICUTTO, LISA · 2018 to 2022
$3.0M
Minnesota Learning Health System Mentored Career Development Program (MN-LHS)K12HS026379 · AHRQ · UNIVERSITY OF MINNESOTA · PI BEEBE, TIMOTHY, LINZER, MARK · 2018 to 2022
$2.9M
Shifting Rehabilitation Paradigms in Skilled Nursing FacilitiesI21RX002193 · VA · VA EASTERN COLORADO HEALTH CARE SYSTEM · PI STEVENS-LAPSLEY, JENNIFER E. · 2016 to 2018
–
AHRQ HHS K12 HS026379NCATS NIH HHS TL1 TR002533NIA NIH HHS T32 AG000279RRD VA I21 RX002193
6 · The paper itself

Abstract

objectivesMany older adults are discharged from skilled nursing facilities (SNFs) at functional levels below those needed for safe, independent home and community mobility. There is limited evidence explaining this insufficient recovery. The purpose of this secondary analysis was to determine predictors of physical function change following SNF rehabilitation.

designSecondary analysis of a prospective observational cohort study. SETTING AND

participantsAcross 4 SNFs, data were collected from 698 adults admitted for physical rehabilitation following an acute hospitalization.

methodsPhysical function recovery was evaluated as change from admission to discharge in Short Physical Performance Battery (SPPB) scores (N = 698) and gait speed (n = 444). Demographic and clinical characteristics collected at admission served as potential predictors of physical function change. Following imputation, a standardized model selection estimator was calculated for predictors per physical function outcome. Predictor estimates and 95% CIs were calculated for each outcome model.

resultsHigher cognitive scores [standardized β (β CONCLUSIONS AND IMPLICATIONS: Admission cognition, ADL independence, and physical function predicted physical function change following post-hospitalization rehabilitation. Inverse findings for admission physical function and ADL independence predictors suggest independence with ADL is not necessarily aligned with mobility-related function. Findings highlight that functional recovery is multifactorial and requires comprehensive assessment throughout SNF rehabilitation.

Indexed as

Activities of Daily LivingHospitalizationAgedCognitionHumansPatient DischargeProspective StudiesRecovery of FunctionSkilled Nursing Facilitiesfunctional predictorsphysical function recoverypost-hospitalization careRehabilitation

Identifiers

PMID37863110
PMCPMC10872438

What OpenQuestion holds

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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.