Cochrane · systematic review · CD005955
Exercise for acutely hospitalised older medical patients
Hartley, P, Keating, JL, Jeffs, KJ, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library
MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
28
current version
GRADE rated
19
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 9 · 32.1%Very low 9 · 32.1%Low 8 · 28.6%Moderate 2 · 7.1%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Summary of findings table ‐ Exercise interventions compared to usual care with or without sham interventions for acutely hospitalised older medical patients
Population: acutely hospitalised medical patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functional ability: independence with activities of daily living at discharge from hospital Summary of findings table ‐ Exercise interventions vs usual care with or without sham interventions | no estimate extracted | 16 studies · 5174 participants | Low Downgraded: risk of bias, inconsistency |
Functional ability: functional mobility at discharge from hospital Summary of findings table ‐ Exercise interventions vs usual care with or without sham interventions | no estimate extracted | 8 studies · 2369 participants | Very low Downgraded: risk of bias, inconsistency |
Functional ability: new incidence of delirium during hospitalisation Summary of findings table ‐ Exercise interventions vs usual care with or without sham interventions | RR 0.9 [0.58, 1.41] | 7 studies · 2088 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Quality of life at discharge from hospital Summary of findings table ‐ Exercise interventions vs usual care with or without sham interventions | no estimate extracted | 4 studies · 875 participants | Low Downgraded: inconsistency |
Falls during hospitalisation Summary of findings table ‐ Exercise interventions vs usual care with or without sham interventions | RR 0.99 [0.59, 1.65] | 9 studies · 1787 participants | Moderate Downgraded: imprecision |
Medical deterioration during hospitalisation Summary of findings table ‐ Exercise interventions vs usual care with or without sham interventions | RR 1.02 [0.62, 1.68] | 11 studies · 2730 participants | Very low Downgraded: imprecision, inconsistency, indirectness |
Participant global assessment of success Summary of findings table ‐ Exercise interventions vs usual care with or without sham interventions | no estimate extracted | 0 studies · 0 participants | Ungraded |
Summary of findings table ‐ Rehabilitation‐related activity interventions compared to usual care with or without sham interventions for acutely hospitalised older medical patients
Population: acutely hospitalised older medical patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functional ability: independence with activities of daily living at discharge from hospital Summary of findings table ‐ Rehabilitation‐related activity interventions vs usual care with or without sham interventions | no estimate extracted | 4 studies · 2838 participants | Low Downgraded: risk of bias, inconsistency |
Functional ability: functional mobility at discharge from hospital Summary of findings table ‐ Rehabilitation‐related activity interventions vs usual care with or without sham interventions | no estimate extracted | 1 study · 975 participants | Ungraded |
Incidence of new delirium during hospitalisation Summary of findings table ‐ Rehabilitation‐related activity interventions vs usual care with or without sham interventions | RR 0.86 [0.3, 2.5] | 2 studies · 732 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Falls during hospitalisation Summary of findings table ‐ Rehabilitation‐related activity interventions vs usual care with or without sham interventions | RR 1.33 [0.3, 5.84] | 1 study · 250 participants | Ungraded |
Quality of life at discharge from hospital Summary of findings table ‐ Rehabilitation‐related activity interventions vs usual care with or without sham interventions | no estimate extracted | 1 study · 350 participants | Ungraded |
Medical deterioration during hospitalisation Summary of findings table ‐ Rehabilitation‐related activity interventions vs usual care with or without sham interventions | RR 0.86 [0.3, 2.5] | 2 studies · 732 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Participant global assessment of success Summary of findings table ‐ Rehabilitation‐related activity interventions vs usual care with or without sham interventions | no estimate extracted | 0 studies · 0 participants | Ungraded |
Summary of findings table ‐ Structured exercise interventions compared to usual care with or without sham interventions for acutely hospitalised older medical patients
Population: acutely hospitalised older medical patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functional ability: independence with activities of daily living at discharge from hospital Summary of findings table ‐ Structured exercise interventions vs usual care with or without sham interventions | no estimate extracted | 5 studies · 648 participants | Low Downgraded: risk of bias, inconsistency |
Functional ability: functional mobility at discharge from hospital Summary of findings table ‐ Structured exercise interventions vs usual care with or without sham interventions | no estimate extracted | 2 studies · 416 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Functional ability: new incidence of delirium during hospitalisation Summary of findings table ‐ Structured exercise interventions vs usual care with or without sham interventions | no estimate extracted | 1 study · 100 participants | Ungraded |
Quality of life at discharge from hospital Summary of findings table ‐ Structured exercise interventions vs usual care with or without sham interventions | no estimate extracted | 1 study · 76 participants | Ungraded |
Falls during hospitalisation Summary of findings table ‐ Structured exercise interventions vs usual care with or without sham interventions | RR 0.76 [0.23, 2.53] | 3 studies · 542 participants | Low Downgraded: imprecision |
Medical deterioration during hospitalisation Summary of findings table ‐ Structured exercise interventions vs usual care with or without sham interventions | RR 2.56 [0.48, 13.54] | 2 studies · 200 participants | Very low Downgraded: imprecision, indirectness |
Participant global assessment of success Summary of findings table ‐ Structured exercise interventions vs usual care with or without sham interventions | no estimate extracted | 0 studies · 0 participants | Ungraded |
Summary of findings table ‐ Progressive resistance exercise interventions compared to usual care with or without sham interventions for acutely hospitalised older medical patients
Population: acutely hospitalised older medical patients
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functional ability: independence with activities of daily living at discharge from hospital Summary of findings table ‐ Progressive resistance exercise interventions vs usual care with or without sham interventions | no estimate extracted | 7 studies · 1688 participants | Low Downgraded: risk of bias, inconsistency |
Functional ability: functional mobility at discharge from hospital Summary of findings table ‐ Progressive resistance exercise interventions vs usual care with or without sham interventions | no estimate extracted | 5 studies · 978 participants | Very low Downgraded: risk of bias, inconsistency |
Functional ability: new incidence of delirium during hospitalisation Summary of findings table ‐ Progressive resistance exercise interventions vs usual care with or without sham interventions | RR 0.96 [0.55, 1.68] | 4 studies · 1256 participants | Low Downgraded: imprecision, inconsistency |
Quality of life at discharge from hospital Summary of findings table ‐ Progressive resistance exercise interventions vs usual care with or without sham interventions | no estimate extracted | 2 studies · 449 participants | Moderate Downgraded: inconsistency |
Falls during hospitalisation Summary of findings table ‐ Progressive resistance exercise interventions vs usual care with or without sham interventions | RR 0.96 [0.48, 1.91] | 5 studies · 995 participants | Low Downgraded: imprecision |
Medical deterioration during hospitalisation Summary of findings table ‐ Progressive resistance exercise interventions vs usual care with or without sham interventions | RR 0.99 [0.52, 1.87] | 7 studies · 1798 participants | Very low Downgraded: imprecision, inconsistency, indirectness |
Participant global assessment of success Summary of findings table ‐ Progressive resistance exercise interventions vs usual care with or without sham interventions | no estimate extracted | 0 studies · 0 participants | Ungraded |