Evidence map›Paper›PMID 40382776›Full record

Observational studyThe Journal of frailty & aging2025

Association between frailty and physical function recovery of people who received physiotherapy early rehabilitation during acute hospitalisation: An observational cohort study.

Jennifer R A Jones, Sue Berney, Chris Michael, Tessa O'Dea, Joleen W Rose, Talia Clohessy, Stacey Haughton, Rebekah McGaw, Cameron Patrick, Mark Hindson and 5 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in The Journal of frailty & aging, 2025. 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. Review
  2. Observational
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

15 authors.

Jennifer R A JonesPhysiotherapy Department, The University of Melbourne, Parkville, Australia; Physiotherapy Department, Division of Allied Health, Austin Health, Heidelberg, Australia; Institute for Breathing and Sleep, Heidelberg, Australia. Electronic address: jennifer.jones@unimelb.edu.au.
Sue BerneyPhysiotherapy Department, The University of Melbourne, Parkville, Australia; Physiotherapy Department, Division of Allied Health, Austin Health, Heidelberg, Australia.
Chris MichaelInstitute for Breathing and Sleep, Heidelberg, Australia.
Tessa O'DeaPhysiotherapy Department, Division of Allied Health, Austin Health, Heidelberg, Australia.
Joleen W RosePhysiotherapy Department, Division of Allied Health, Austin Health, Heidelberg, Australia.
Talia ClohessyPhysiotherapy Department, The University of Melbourne, Parkville, Australia; Physiotherapy Department, Division of Allied Health, Austin Health, Heidelberg, Australia.
Stacey HaughtonPhysiotherapy Department, The University of Melbourne, Parkville, Australia; Physiotherapy Department, Division of Allied Health, Austin Health, Heidelberg, Australia.
Rebekah McGawPhysiotherapy Department, Division of Allied Health, Austin Health, Heidelberg, Australia.
Cameron PatrickStatistical Consulting Centre, The University of Melbourne, Parkville, Australia.
Mark HindsonPhysiotherapy Department, Division of Allied Health, Austin Health, Heidelberg, Australia.
Sharae TheisingerPhysiotherapy Department, Division of Allied Health, Austin Health, Heidelberg, Australia.
Elena GerstmanPhysiotherapy Department, The University of Melbourne, Parkville, Australia; Physiotherapy Department, Division of Allied Health, Austin Health, Heidelberg, Australia; Institute for Breathing and Sleep, Heidelberg, Australia.
Rebecca MorrisPhysiotherapy Department, Division of Allied Health, Austin Health, Heidelberg, Australia.
Lucy GaoPhysiotherapy Department, The University of Melbourne, Parkville, Australia.
David J BerlowitzPhysiotherapy Department, The University of Melbourne, Parkville, Australia; Physiotherapy Department, Division of Allied Health, Austin Health, Heidelberg, Australia; Institute for Breathing and Sleep, Heidelberg, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesExamine the effect of frailty on physical function recovery in people admitted to hospital who received a physiotherapy Early Rehabilitation program.

methodsObservational cohort (1 January 2021 to 31 December 2021). Patients admitted to the acute site at Austin Health, Australia who received an Early Rehabilitation program (targeted physical rehabilitation to address goals aligned to physiotherapy intervention in parallel with acute medical treatment) were eligible. Frailty was measured with the Clinical Frailty Scale (CFS). The primary outcome was, across the CFS, magnitude of change from admission to discharge in physical function assessed with the modified Iowa Level of Assistance Scale (mILOA). Secondary outcomes were length of stay and discharge destination. Generalised additive models were used.

resultsThere were 674 patients included in the study. Irrespective of frailty status, mean improvement in physical function from admission to discharge exceeded the minimal datable change of 5.8 points for the mILOA. Larger average improvements in mILOA were observed in patients with lower degrees of frailty (p < 0.001 overall effect), where a portion of patients with severe frailty did not make clinically meaningful gains in physical function following Early Rehabilitation. Mean improvement in physical function and predicted probabilities for discharge home were similar; where greater frailty severity was associated with a lesser chance of going home at acute hospital discharge (p = 0.002 overall effect).

conclusionsValidating the link between predictions for change in physical function and discharge home in people receiving early rehabilitation during acute hospitalisation would be of great clinical utility.

Indexed as

Frail ElderlyFrailtyPhysical Therapy ModalitiesRecovery of FunctionAgedAged, 80 and overAustraliaCohort StudiesFemaleGeriatric AssessmentHospitalizationHumansLength of StayMalePatient DischargePhysical Functional PerformanceFrailtyHospitalPhysical functionRehabilitation

Identifiers

PMID40382776
PMCPMC12462523

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Registered trials

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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.