Analysis of bedside entertainment services' effect on post cardiac surgery physical activity: a prospective, randomised clinical trial

Papaspyros, Sotiris, Uppal, Shitansu, Khan, Shakeeb A., Paul, Sanjoy and O'Regan, David J. (2008) Analysis of bedside entertainment services' effect on post cardiac surgery physical activity: a prospective, randomised clinical trial. European Journal of Cardio-thoracic Surgery, 34 5: 1022-1026.


Author Papaspyros, Sotiris
Uppal, Shitansu
Khan, Shakeeb A.
Paul, Sanjoy
O'Regan, David J.
Title Analysis of bedside entertainment services' effect on post cardiac surgery physical activity: a prospective, randomised clinical trial
Journal name European Journal of Cardio-thoracic Surgery  (ERA 2012 Listed)    (ERA 2010 Rank B)   Check publisher's open access policy
Publication date 2008-11
Sub-type Article
DOI 10.1016/j.ejcts.2008.05.042
Volume number 34
Issue number 5
ISSN 1010-7940
1873-734X
Start page 1022
End page 1026
Total pages 5
Place of publication Oxford, United Kingdom
Publisher Oxford University Press
Language eng
Subject 1117 Public Health and Health Services
Formatted abstract Background:
A rising number of acute hospitals in the UK have been providing patients with bedside entertainment services (BES) since 1995. However, their effect on postoperative patient mobility has not been explored.

Objectives:
The aim of this prospective randomised clinical trial was to compare the level of postoperative physical activity and length of in-hospital stay of patients undergoing cardiac surgery depending on whether they had access to BES or not.

Methods:
One hundred patients requiring elective cardiac surgery were randomised to receive access to BES (52 patients) or not (48 patients). Pedometers were used to quantify postoperative physical activity for 5 days. To assess the significance of the effect of intervention (TV off or on) on the pedometer counts over time a mixed effect Poisson regression model is used, with the time varying aspect as random component. The potential influence of gender difference and age on pedometer counts were assessed by incorporating these two factors as covariates in the Poisson model.

Results:
On average, patients with no access to BES walked more than those with BES access. This difference ranged between 192 and 609 steps in favour of the first group for each individual postoperative day. Patients with no access to BES were 84% more likely (risk ratio: 1.84, 95% CI: 1.29–2.63) to walk higher number of steps than patients with access to BES. On average, participants with access to BES were likely to stay longer in hospital (median of 7 days with interquartile range 6–7 days), than participants with no access to BES (median of 6 days with interquartile range 5–7 days), however the difference did not reach statistical significance.

Conclusion:
We have demonstrated that the bedside entertainment systems may have an adverse effect on post cardiac surgery patient ambulation and may contribute to an increase in hospital stay.
Keyword Postoperative physical activity
Immobility
Exercise
Bedside entertainment
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article
Collections: Excellence in Research Australia (ERA) - Collection
School of Population Health Publications
 
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Created: Thu, 07 Jan 2010, 11:57:46 EST by Ms Lynette Adams on behalf of School of Population Health