Evidence map›Paper›PMID 39182057›Full record

Trial reportBMC geriatrics2024

Hospital-induced immobility - a backstage story of lack of chairs, time, and assistance.

Katrine Storm Piper, Martin Oxfeldt, Mette Merete Pedersen, Jan Christensen

Registry-linked trialAbstract readPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05926908 (Hospital-Induced Immobility - A Backstage Story of Lack of Chairs, Time, and Assistance), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT05926908 completednot on this map

Hospital-Induced Immobility - A Backstage Story of Lack of Chairs, Time, and Assistance

TypeobservationalSponsorRigshospitalet, DenmarkRan2021 to 2021Enrolled596ConditionsIn-hospital Mobility, Geriatric, ImmobilizationArmsA Mobilisation Initiative, Focus Group Interviews, Formal Education, Self-reported Level of Mobilisation, Observations of Patients and the Environment
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Observational
  2. Observational
  3. Review
  4. Article
  5. Article
  6. 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

4 authors.

Katrine Storm PiperDepartment of Occupational Therapy and Physiotherapy, Copenhagen University Hospital, Rigshospitalet, Valdemar Hansens Vej 1-23, Glostrup, 2600, Denmark. Katrine.storm.piper@regionh.dk.ORCID http://orcid.org/0000-0003-3951-006X
Martin OxfeldtDepartment of Occupational Therapy and Physiotherapy, Copenhagen University Hospital, Rigshospitalet, Valdemar Hansens Vej 1-23, Glostrup, 2600, Denmark.ORCID http://orcid.org/0000-0003-0158-4709
Mette Merete PedersenDepartment of Clinical Research, Copenhagen University Hospital, Hvidovre, Denmark.ORCID http://orcid.org/0000-0001-5719-2531
Jan ChristensenDepartment of Occupational Therapy and Physiotherapy, Copenhagen University Hospital, Rigshospitalet, Valdemar Hansens Vej 1-23, Glostrup, 2600, Denmark.ORCID http://orcid.org/0000-0003-1114-7465

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInactivity and bedrest during hospitalisation have numerous adverse consequences, and it is especially important that older patients are mobile during hospitalisation. This study aimed to identify whether the introduction of formal education of clinical staff and a Mobilisation Initiative (MI) could increase mobilisation of patients in a geriatric and a medical ward. Furthermore, to explore patients' and health care staffs' view on facilitators and barriers for mobilisation during hospitalisation.

methodsThe study was a pragmatic clinical study. Both qualitative and quantitative methods were used. The patients' level of mobilisation was obtained through short interview-based surveys and observations. Focus group interviews and formal education of clinical staff was initiated to increase awareness of mobilisation along with the implementation of a MI.

results596 patient surveys were included. Of all patients, 50% in the geriatric ward and 70% in the medical ward were able to independently mobilise. The highest percentage of patients sitting in a chair for breakfast and lunch in the geriatric ward was 57% and 65%, and in the medical ward 23% and 26%, respectively. A facilitator for mobilisation was interdisciplinary collaboration, and barriers were lack of chairs and time, and the patients' lack of help transferring.

conclusionsThis study adds new knowledge regarding the lack of in-hospital mobilisation in geriatric and medical departments. Mealtimes are obvious mobilisation opportunities, but most patients consume their meals in bed. A potential for a MI is present, however, it must be interdisciplinarily and organisationally anchored for further investigation of effectiveness.

trial registrationRetrospectively registered at ClinicalTrials.gov with the trial number NCT05926908.

Indexed as

HospitalizationAgedAged, 80 and overFemaleHumansMaleMiddle AgedTime FactorsHospitalisationInactivityMobilisationOlder adultsRehabilitation

Identifiers

PMID39182057
PMCPMC11344450

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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.