Evidence map›Paper›PMID 38773849›Full record

ArticleAustralasian journal on ageing2024

Introduction of enhanced weekend physiotherapy for patients with hip fracture is associated with improved early mobility outcomes.

Danielle Ní Chróinín, Ram Ghimire, Lynette McEvoy, David Lieu, Matt Jennings, Kristen Gallagher, Anubhav Katyal, Daniel Mahmood, Jonathan Boey, Elise Tcharkhedian

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Australasian journal on ageing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

10 authors.

Danielle Ní ChróinínDepartment of Geriatric Medicine, Liverpool Hospital, Liverpool, New South Wales, Australia.ORCID https://orcid.org/0000-0002-7711-9718
Ram GhimireDepartment of Geriatric Medicine, Campbelltown, New South Wales, Australia.
Lynette McEvoyDepartment of Orthopaedic Surgery, Liverpool Hospital, Liverpool, New South Wales, Australia.
David LieuDepartment of Orthopaedic Surgery, Liverpool Hospital, Liverpool, New South Wales, Australia.
Matt JenningsSouth Western Sydney Local Health District, Sydney, New South Wales, Australia.
Kristen GallagherDepartment of Physiotherapy, Liverpool Hospital, Liverpool, New South Wales, Australia.
Anubhav KatyalSouth Western Sydney Clinical School, UNSW Sydney, Liverpool, New South Wales, Australia.
Daniel MahmoodSouth Western Sydney Clinical School, UNSW Sydney, Liverpool, New South Wales, Australia.
Jonathan BoeySouth Western Sydney Clinical School, UNSW Sydney, Liverpool, New South Wales, Australia.
Elise TcharkhedianDepartment of Physiotherapy, Liverpool Hospital, Liverpool, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess whether enhanced daily weekend physiotherapy (EWP) for patients with hip fracture was associated with improved clinical outcomes.

methodsWe retrospectively analysed all previously ambulatory adults admitted with hip fracture to our tertiary hospital, comparing 'usual' ('control') care (09/19-03/20) to EWP (09/20-03/21). Outcomes included Day-7 mobility ≥20 m (primary), additional mobility measures, specified postoperative complications, new residential facility placement, acute length-of-stay (LOS) and 30-day death.

resultsAmongst 235 eligible patients (128 control, 107 EWP), 66% were female, mean age was 80.4 years (SD 10.5), 20% from residential care and 49% (114/235) were mobilising without aid at baseline (no between-group differences; all p ≥ .20). Median acute LOS was 10 days (IQR 6-15), total hospital LOS was 21 days (IQR 12-37) and 3% (n = 6) died by Day 30. Median Day-7 distance mobilised was 25 m (IQR 7-50) with EWP versus 10 m (3-40) (p = .06). No EWP patients developed pressure injury (0 vs. 6, p = .02); other outcomes were similar between groups. Adjusting for age, residence, baseline cognitive impairment, American Society of Anesthesiologist score and preadmission mobilisation without aids, EWP was independently associated with increased likelihood of mobilising ≥20 m at Day 7 (aOR 1.83, 95% CI 1.04-3.23, p = .03).

conclusionsEnhanced daily weekend physiotherapy was associated with improvement in early mobility, but not other outcomes assessed. These data would be strengthened by randomised controlled trial data exploring more intense physiotherapy, cost-benefit analysis and patient experience measures.

Indexed as

After-Hours CareEarly AmbulationHip FracturesLength of StayPhysical Therapy ModalitiesRecovery of FunctionAgedAged, 80 and overFemaleHumansMaleRetrospective StudiesTime FactorsTreatment Outcomeagedhip fractureshospitalisationphysical therapy modalitiestreatment outcome

Identifiers

PMID38773849
PMCPMC11671716

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.