Predicting walking time on a geriatric rehabilitation ward

Crouch, A., Cheung, V., Gray, L., Yelland, C. and Salih, S. (2009). Predicting walking time on a geriatric rehabilitation ward. In: The Australian & New Zealand Society for Geriatric Medicine Annual Scientific Meeting, “Of Bones, Jointes and Sinewes”: Musculoskeletal Medicine at the end of The Bone and Joint Decade. The Australian & New Zealand Society for Geriatric Medicine Annual Scientific Meeting, “Of Bones, Jointes and Sinewes”: Musculoskeletal Medicine at the end of The Bone and Joint Decade, Fremantle, Australia, (A7-A7). 7–9 September, 2009. doi:10.1111/j.1741-6612.2009.00386.x


Author Crouch, A.
Cheung, V.
Gray, L.
Yelland, C.
Salih, S.
Title of paper Predicting walking time on a geriatric rehabilitation ward
Conference name The Australian & New Zealand Society for Geriatric Medicine Annual Scientific Meeting, “Of Bones, Jointes and Sinewes”: Musculoskeletal Medicine at the end of The Bone and Joint Decade
Conference location Fremantle, Australia
Conference dates 7–9 September, 2009
Proceedings title The Australian & New Zealand Society for Geriatric Medicine Annual Scientific Meeting, “Of Bones, Jointes and Sinewes”: Musculoskeletal Medicine at the end of The Bone and Joint Decade   Check publisher's open access policy
Journal name Australasian Journal on Ageing   Check publisher's open access policy
Place of Publication Australia
Publisher Wiley-Blackwell Publishing Asia
Publication Year 2009
Sub-type Published abstract
DOI 10.1111/j.1741-6612.2009.00386.x
Open Access Status Not yet assessed
ISSN 1440-6381
Volume 28
Issue Supp. 1
Start page A7
End page A7
Total pages 1
Language eng
Formatted Abstract/Summary
Aim: To examine clinicians’ prediction of the walking activities
in geriatric and rehabilitation wards.
Methods: Twenty mobile patients in geriatric and rehabilitation
ward at Princess Alexandra hospital were fitted with a
tri-axial accelerometer daily to monitor walking activities.
Clinical members of the treating team (doctors, nursing staff,
physiotherapists and occupational therapists) were asked
during weekly team meetings to estimate and predict the
amount of time that patients walked in the previous week
and would walk in the forthcoming week. This was compared
to the amount of walking that the accelerometer measured
using the Bland-Altman method to assess the degree of
agreement.
Results: Consultant geriatricians estimated walking times in
the previous week had the smallest average difference of 1.25
minutes (limits of agreement −62.39 to 64.89 [95% CI −44
to −80.77 and 46.52 to 83.27]), compared to physiotherapists,
occupational therapists, nursing staff, registrars and
residents 31.52, 25.25, 39.25, 31.47 and 32.90 minutes
respectively. Similarly, for the predicted walking times in the
forthcoming week, the average difference for consultants
was −2.68 minutes (limits of agreement −66.80 to 61.44
[95% CI −48.55 to −85.06 and 43.19 to 79.69]), while the
average differences for the other team members were 31.88,
29.85, 44.73, 35.44 and 42.33 minutes.
Conclusion: Our results showed that consultants slightly
overestimated the walking time in the previous week and
underestimated in the coming week. All other team members
overestimated the patients’ walking times in both weeks by
a considerable margin. It may be that the greater experience
of consultant geriatricians may account for the more accurate
predictions.
Subjects 11 Medical and Health Sciences
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status Unknown
Additional Notes Note: DOI includes all oral presentations from the conference.

Document type: Conference Paper
Collection: School of Medicine Publications
 
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Created: Tue, 05 Oct 2010, 23:55:30 EST by Laura McTaggart on behalf of Faculty Of Health Sciences