Poor mobility in hospitalized adults of all ages

Mudge, Alison M., McRae, Prue, Mchugh, Kirstie, Griffin, Lauren, Hitchen, Andrew, Walker, James, Cruickshank, Mark, Morris, Norman R. and Kuys, Suzanne (2016) Poor mobility in hospitalized adults of all ages. Journal of Hospital Medicine, 11 4: 289-291. doi:10.1002/jhm.2536

Author Mudge, Alison M.
McRae, Prue
Mchugh, Kirstie
Griffin, Lauren
Hitchen, Andrew
Walker, James
Cruickshank, Mark
Morris, Norman R.
Kuys, Suzanne
Title Poor mobility in hospitalized adults of all ages
Journal name Journal of Hospital Medicine   Check publisher's open access policy
ISSN 1553-5606
Publication date 2016-04-01
Year available 2016
Sub-type Article (original research)
DOI 10.1002/jhm.2536
Open Access Status Not Open Access
Volume 11
Issue 4
Start page 289
End page 291
Total pages 3
Place of publication Hoboken, NJ, United States
Publisher John Wiley & Sons
Language eng
Subject 2911 Leadership and Management
2908 Fundamentals and skills
2719 Health Policy
2904 Care Planning
2903 Assessment and Diagnosis
Abstract Low levels of activity in hospital inpatients contribute to functional decline. Previous studies have shown low levels of activity in older inpatients, but few have investigated younger inpatients (aged <65 years). This observational study measured activity in older (aged ≥65 years) and younger hospital inpatients on 3 wards (medical, surgical, oncology) in a major teaching hospital in Brisbane, Australia, as part of a quality-improvement intervention to enhance mobility. Using structured behavioral mapping protocols, participants were observed for 2-minute intervals throughout 4, 4-hour daytime observation periods. The proportion of time spent at different activity levels was calculated for each participant, and time spent standing, walking or wheeling was compared between age group and wards. There were 3272 observations collected on 132 participants (median, 30 per patient; range, 9-35). The most time was spent lying in bed (mean 57%), with 9% standing or walking. There were significant differences among wards, but no difference between older and younger subgroups. Low mobility is common in adult inpatients of all ages. Behavioral mapping provided measures suitable for use in quality improvement.
Keyword Mobility
Hospital inpatients
Behavioral mapping
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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