Evidence map›Paper›PMID 39182024›Full record

Observational studyBMC geriatrics2024

Feasibility of hand grip tests during and after hospitalization in geriatric patients: an observational study.

Myrthe M Swart, Ligaya Smetsers, Ivan Bautmans, Hugo Plácido da Silva, Merle Geerds, Rudi Tielemans, René Melis, Geeske Peeters

Abstract readObservational Study
In one paragraph

Observational study in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Myrthe M SwartDepartment of Geriatrics, Radboud University Medical Center, Nijmegen, The Netherlands.
Ligaya SmetsersDepartment of Geriatrics, Radboud University Medical Center, Nijmegen, The Netherlands.
Ivan BautmansGerontology Department, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium.
Hugo Plácido da SilvaInstituto de Telecomunicações, Instituto Superior Técnico, Lisbon, Portugal.
Merle GeerdsZGT Academy, Ziekenhuisgroep Twente, Almelo, The Netherlands.
Rudi TielemansUniWeb, Meise, Belgium.
René MelisDepartment of Geriatrics, Radboud University Medical Center, Nijmegen, The Netherlands.
Geeske PeetersDepartment of Geriatrics, Radboud University Medical Center, Nijmegen, The Netherlands. geeske.peeters@radboudumc.nl.

Funding

Active and Assisted Living Programme AAL-2020-7-237-CP
6 · The paper itself

Abstract

backgroundMonitoring the recovery trajectory during and after hospitalization can be a valuable method to observe whether additional care is needed to optimize recovery. Hand grip strength tests are commonly used to measure an individual's physical condition. Eforto® is a system to monitor hand grip strength and grip work as measures of recovery. We examined the feasibility of daily repeated hand grip tests measured with Eforto® in geriatric inpatients, during hospitalization and at home after discharge.

methodsGeriatric inpatients (n = 191) were evaluated for grip strength and grip work with Eforto®, twice daily during their admission. We calculated attempt and success rates. Participants were divided into complete, high, moderate, and low attempt/success rate groups to study differences in patient characteristics. Reasons for non-attempt and unsuccessful tests were categorized and analyzed. Nine participants were interviewed about acceptability and user experience within the hospital setting. Four out of twenty participants accepted the invitation to continue the measurements after discharge at home for 4 weeks and were interviewed about acceptability and user experience.

resultsAcross the 191 participants, the attempt rate was 85% and 86% of the attempted tests was successful. The main reasons for non-attempt were that the patient felt physically unwell (41%), and that the patient was otherwise engaged, for example receiving care or undergoing medical tests (40%). Measurements were unsuccessful mostly because of the patient not having enough strength to reach the 80% threshold needed for the grip work test (60%). Participants in the complete and high attempt/success rate groups had a shorter length of stay (p<0.05) and a lower mortality (p<0.05) than participants in the moderate/low groups. The interview data showed good acceptability and user experience during hospitalization. The acceptability was strengthened by experienced usefulness. Self-monitoring at home resulted in low inclusion rate (20%) and low success rate (25%), with the uncertain time after discharge from the hospital as the main barrier.

conclusionsFor most patients, the tests were feasible in the supervised hospital setting. At-home testing with Eforto® is challenging, primarily because of the uncertain time after discharge from the hospital.

Indexed as

Feasibility StudiesGeriatric AssessmentHand StrengthHospitalizationAgedAged, 80 and overFemaleHumansMalePatient DischargeGrip strengthGrip workRecoverySelf-monitoring

Identifiers

PMID39182024
PMCPMC11344409

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.