+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Comparison of Posthospitalization Function and Community Mobility in Hospital Mobility Program and Usual Care Patients: A Randomized Clinical Trial

, : Comparison of Posthospitalization Function and Community Mobility in Hospital Mobility Program and Usual Care Patients: A Randomized Clinical Trial. JAMA Internal Medicine 176(7): 921-927

Low mobility is common during hospitalization and associated with loss or declines in ability to perform activities of daily living (ADL) and limitations in community mobility. To examine the effect of an in-hospital mobility program (MP) on posthospitalization function and community mobility. This single-blind randomized clinical trial used masked assessors to compare a MP with usual care (UC). Patients admitted to the medical wards of the Birmingham Veterans Affairs Medical Center from January 12, 2010, through June 29, 2011, were followed up throughout hospitalization with 1-month posthospitalization telephone follow-up. One hundred hospitalized patients 65 years or older were randomly assigned to the MP or UC groups. Patients were cognitively intact and able to walk 2 weeks before hospitalization. Data analysis was performed from November 21, 2012, to March 14, 2016. Patients in the MP group were assisted with ambulation up to twice daily, and a behavioral strategy was used to encourage mobility. Patients in the UC group received twice-daily visits. Changes in self-reported ADL and community mobility were assessed using the Katz ADL scale and the University of Alabama at Birmingham Study of Aging Life-Space Assessment (LSA), respectively. The LSA measures community mobility based on the distance through which a person reports moving during the preceding 4 weeks. Of 100 patients, 8 did not complete the study (6 in the MP group and 2 in the UC group). Patients (mean age, 73.9 years; 97 male [97.0%]; and 19 black [19.0%]) had a median length of stay of 3 days. No significant differences were found between groups at baseline. For all periods, groups were similar in ability to perform ADL; however, at 1-month after hospitalization, the LSA score was significantly higher in the MP (LSA score, 52.5) compared with the UC group (LSA score, 41.6) (P = .02). For the MP group, the 1-month posthospitalization LSA score was similar to the LSA score measured at admission. For the UC group, the LSA score decreased by approximately 10 points. A simple MP intervention had no effect on ADL function. However, the MP intervention enabled patients to maintain their prehospitalization community mobility, whereas those in the UC group experienced clinically significant declines. Lower life-space mobility is associated with increased risk of death, nursing home admission, and functional decline, suggesting that declines such as those observed in the UC group would be of great clinical importance. Identifier: NCT00715962.


PMID: 27243899

DOI: 10.1001/jamainternmed.2016.1870

Other references

Shyr JengJung; Tsung HsingTzu; Tsai PingLie, 1999: Factors affecting the enzymatic browning of shredded cabbage (Brassica oleracea L. var. Capitata Group). Some physiological characteristics of 18 cultivars of cabbage were measured. Polyphenol oxidase (PPO) [catechol oxidase], phenylalanine ammonia lyase (PAL) and total phenol content in cabbage made a positive contribution to the increase of Delta E...

Simpson E.R.; Mendelson C.R., 1990: The role of adipose tissue in estrogen biosynthesis in the human. Frisch, R E (Ed ) Progress in Reproductive Biology And Medicine, Vol 14 Adipose Tissue And Reproduction X+142p S Karger Ag: Basel, Switzerland; New York, New York, Usa Illus 85-106

Rink, T.J.; Sage, S.O., 1988: Initiation and termination of Ca2+ signals: studies in human platelets. Society of General Physiologists Series 43: 381-394

Zhang, J.; Hull, V.; Ouyang, Z.; He, L.; Connor, T.; Yang, H.; Huang, J.; Zhou, S.; Zhang, Z.; Zhou, C.; Zhang, H.; Liu, J., 2017: Modeling activity patterns of wildlife using time-series analysis. The study of wildlife activity patterns is an effective approach to understanding fundamental ecological and evolutionary processes. However, traditional statistical approaches used to conduct quantitative analysis have thus far had limited succes...

Marchiori, C.H.; Silva, C.G.; Caldas, E.R.; Vieira, C.I.; Almeida, K.G.; Teixeira, F.F., 2000: Pachycrepoideus vindemiae Hymenoptera Pteromalidae as parasite of Ophyra aenescens Diptera Muscidae in Brazil Pachycrepoideus vindemiae Hymenoptera Pteromalidae como parasita de Ophyra aenescens Diptera Muscidae no Brasil. The first occurrence of the parasitoid Pachycrepoideus vindemiae on pupae of Ophyra aenescens, a fly of medical-sanitary importance, is reported. A swine carcass was used as bait to collect the insects. In the study, 302 pupae of Ophyra aenescens...

Claudio Chiaruttini, 1991: Focus-of-attention techniques in the automatic interpretation of seismograms. The focus-of-attention techniques implemented in SNA2, a knowledge-based system for seismogram interpretation, are presented. They consist of data compression of the input digital records, scanning of the compressed traces to detect candidate seis...

Mestecky J.; Lue C.; Tarkowski A.; Ladjeva I.; Peterman J.H.; Moldoveanu Z.; Russell M.W.; Brown T.A.; Radl R.; E.A., 1989: Comparative studies of the biological properties of human iga subclasses. Poulik, M D (Ed ) Protides Of The Biological Fluids Proceedings Colloquium, Vol 36 Lipoproteins Igg And Iga Subclasses Cytofluorometry, Meeting, London, England, Uk, April 3-5, Xiii+481p Pergamon Press: Oxford, England, Uk; New York, New York, Usa Illus 173-182

Vidić, B., 1968: The structure of the palatum osseum and its toral overgrowths. Acta Anatomica 71(1): 94-99

Waugh, J.M.; Peck, D.A.; Beahrs, O.H.; Sauer, W.G., 1964: Surgical Management Of Chronic Ulcerative Colitis. Archives of Surgery 88: 556-569

Fleury, C., 1947: Microbial symbiosis with leguminosae. Cultures of a Bacterium radiciola strain from abroad were inoculated in soils cropped with beans in 6 expts., with peas in 4, with alfalfa in 5, with clover in 3, with sainfoinin 1 and with broad beans in 1 expt. Compared with controls no differen...