Upright time during hospitalization for older inpatients : A prospective cohort study
Copyright © 2019 Elsevier Inc. All rights reserved..
BACKGROUND: The purpose of this study was to examine: a) how long and how frequently older hospitalized patients spend upright; b) whether duration and frequency of upright time change by time of the day, the day of the week, and during hospitalization; and c) whether these relationships differ based on the mobility level of patients at admission.
METHODS: This prospective cohort study included 111 patients (82.2 ± 8 years old, 52% female) from the Emergency Department and a Geriatric Assessment Unit who were at least 60 years old and had an anticipated length of stay of at least three days. The main outcomes were accelerometer-measured total upright time and number of bouts of upright time during awake hours.
RESULTS: Patients were upright 15.9 times/day (interquartile range (IQR): 8.4-27.4) for a total of 54.2 min/day (IQR: 17.8-88.9) during awake hours. Time of day and day of week had little impact on the outcomes. Patients who walked independently at admission had 151.5 min (95% CI: 87.7-215.3) of upright time on hospital day 1 and experienced a decline of 4.5 min/day (-7.2 to -1.8). Those who needed personal mobility assistance or were bedridden had 29.5 min (-38.5-97.4) and 25 min (-48.3-100.3) of upright time on day 1, and demonstrated an increase of 3.6 (1.3-5.9) and 2.4 (0.05-4.5) min/day, respectively.
CONCLUSION: Hospitalized older adults spend only 6% of their awake hours upright while in hospital. Patients who can walk independently are more active but experience a decline in their upright time during hospitalization.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2019 |
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Erschienen: |
2019 |
Enthalten in: |
Zur Gesamtaufnahme - volume:126 |
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Enthalten in: |
Experimental gerontology - 126(2019) vom: 15. Okt., Seite 110681 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Theou, Olga [VerfasserIn] |
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Links: |
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Themen: |
Accelerometers |
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Anmerkungen: |
Date Completed 13.07.2020 Date Revised 13.07.2020 published: Print-Electronic Citation Status MEDLINE |
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doi: |
10.1016/j.exger.2019.110681 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM299928950 |
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520 | |a Copyright © 2019 Elsevier Inc. All rights reserved. | ||
520 | |a BACKGROUND: The purpose of this study was to examine: a) how long and how frequently older hospitalized patients spend upright; b) whether duration and frequency of upright time change by time of the day, the day of the week, and during hospitalization; and c) whether these relationships differ based on the mobility level of patients at admission | ||
520 | |a METHODS: This prospective cohort study included 111 patients (82.2 ± 8 years old, 52% female) from the Emergency Department and a Geriatric Assessment Unit who were at least 60 years old and had an anticipated length of stay of at least three days. The main outcomes were accelerometer-measured total upright time and number of bouts of upright time during awake hours | ||
520 | |a RESULTS: Patients were upright 15.9 times/day (interquartile range (IQR): 8.4-27.4) for a total of 54.2 min/day (IQR: 17.8-88.9) during awake hours. Time of day and day of week had little impact on the outcomes. Patients who walked independently at admission had 151.5 min (95% CI: 87.7-215.3) of upright time on hospital day 1 and experienced a decline of 4.5 min/day (-7.2 to -1.8). Those who needed personal mobility assistance or were bedridden had 29.5 min (-38.5-97.4) and 25 min (-48.3-100.3) of upright time on day 1, and demonstrated an increase of 3.6 (1.3-5.9) and 2.4 (0.05-4.5) min/day, respectively | ||
520 | |a CONCLUSION: Hospitalized older adults spend only 6% of their awake hours upright while in hospital. Patients who can walk independently are more active but experience a decline in their upright time during hospitalization | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Research Support, Non-U.S. Gov't | |
650 | 4 | |a Accelerometers | |
650 | 4 | |a Aging | |
650 | 4 | |a Hospital | |
650 | 4 | |a Upright time | |
700 | 1 | |a Kehler, D Scott |e verfasserin |4 aut | |
700 | 1 | |a Godin, Judith |e verfasserin |4 aut | |
700 | 1 | |a Mallery, Kayla |e verfasserin |4 aut | |
700 | 1 | |a MacLean, Mark A |e verfasserin |4 aut | |
700 | 1 | |a Rockwood, Kenneth |e verfasserin |4 aut | |
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