The Provision of Physical Activity to Hospitalized Elderly Patients

Lazarus, Bruce; Murphy, John B.; Coletta, Elise M.; McQuade, William; Culpepper, Larry

doi:10.1001/archinte.1991.00400120090017

Cited by 56 publications

(33 citation statements)

References 9 publications

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“…Low mobility, defined as activity that is limited to a bed or chair, is also a common event during hospitalization. An estimated 23 to 33 percent of older patients are limited to a bed or chair during hospitalization for acute illness [1,[10][11]. Ambulation during hospitalization occurs infrequently, with only 27 percent of patients walking in the hallways during hospitalization [12].…”

Section: Introductionmentioning

confidence: 99%

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Validation of use of wireless monitors to measure levels of mobility during hospitalization

Brown

Roth

Allman

2008

JRRD

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Abstract-Accurate methods of measuring levels of mobility during hospitalization are lacking. We validated the use of wireless monitors to measure three levels of mobility during hospitalization: (1) lying, (2) sitting, and (3) standing or walking. Hospitalized medical patients 65 years or older who did not have delirium or dementia and could walk in the 2 weeks before admission were eligible. Wireless monitors, which recorded average position every 20 seconds, were attached to the thigh and ankle of consented patients. Direct behavioral observation by trained observers who recorded mobility level was used as the gold standard. Forty-seven male patients (mean age 73.9 years), with a mean length of stay of 5.3 days, generated 187 two-hour direct behavioral observation periods. Wireless monitors were highly correlated with direct behavioral observations. The median kappa was 0.92 and the kappa across all observations was 0.88, indicating excellent agreement. This study demonstrates that wireless monitors validly measure mobility levels among older hospitalized patients.

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Section: Introductionmentioning

confidence: 99%

“…Previous studies examining the prevalence of low mobility have been based on chart review, brief surveys of patient location, or every-other-day nursing reports [1,[10][11]. Researchers have assessed ambulation by observing the hallways for patients who are walking during a specific period of time [12].…”

Section: Introductionmentioning

confidence: 99%

Validation of use of wireless monitors to measure levels of mobility during hospitalization

Brown

Roth

Allman

2008

JRRD

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“…Nosotros encontramos en el modelo univariado, asociación significativa entre el antecedente de disminución de la agudeza visual y el desarrollo de un estado confusional; asimismo y de modo sorprendente, todos los pacientes inmovilizados por indicación del personal de salud de Emergencia, mediante el uso de lazos o barras metálicas, pertenecían al grupo de pacientes confusos, constituyendo una medida iatrogénica que debería evitarse en lo posible, por los posibles riesgos asociados como: asfixia por estrangulamiento, aparición de úlceras de presión, éstasis venosa, empeoramiento de la confusión mental, etc. (32,33,34).…”

Section: Discusionunclassified

Prevalencia y factores de riesgo del estado confusional agudo en el adulto mayor en una sala de emergencias médicas.

Lama-Valdivia¹,

Pinedo²,

Saavedra³

2013

Rev Med Hered

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Prevalencia y factores de riesgo del estado confusional agudo en el adulto mayor en una sala de emergencias médicas.LAMA VALDIVIA Jaime*, VARELA PINEDO Luis**, ORTIZ SAAVEDRA Pedro José. SUMMARYObjective: To assess the prevalence and risk factors for delirium in elderly patients admitted to the emergency room of a national hospital. Material and methods: We studied all patients older than 60 years of age admitted to the emergency room of the Hospital Nacional Hipólito Unanue of Lima-Perú, between january and april, 2000. The Confusion Assessment Method was used as a test to assess delirium and diagnostic assessment included: several clinical and demographic variables, cognitive status ascertained using the Pfeiffer's test, functional level ascertained using the Katz's scala, depressive symptoms and nutritional status. We compared groups of patients with and without delirium through a stepwise logistic regression analysis. Results: At admission, 47 (42.7%) of 110 consecutive patients were diagnosed as delirious. The risk factors for delirium were: previous cognitive impairment (OR = 5.61; 95% CI, 1.65 -19.03, p < 0.0001), functional dependence (OR = 6.18; 95% CI, 1.25 -30.59, p < 0.001) and grave dehydration (OR = 4.22; 95% CI, 1.12 -9.75, p < 0.05). Conclusions: Delirium is frequent in the elderly admitted to a emergency room. In our study, the risk factors for delirium were: previous cognitive impairment, low functional status and grave dehydration. ( Rev Med Hered 2002; 13: 10-18 ).

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“…Such a decline is usually a consequence of limited physical activity (Gillick et al, 1982;Creditor, 1993;Inouye et al, 1993) and occurs early, within a few days after the admission (Lazarus et al, 1991), regardless of the underlying pathology. Therefore, interest is growing in investigating the possible interventions, such as physical exercise, which could limit musculoskeletal and cardiopulmonary decline in long-stay hospitalized adults (Vuori, 1995).…”

Section: Introductionmentioning

confidence: 99%

Electrical stimulation versus kinesitherapy in improving functional fitness in older women: A randomized controlled trial

Maggioni

Cè

Rampichini

et al. 2010

Archives of Gerontology and Geriatrics

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The Provision of Physical Activity to Hospitalized Elderly Patients

Cited by 56 publications

References 9 publications

Validation of use of wireless monitors to measure levels of mobility during hospitalization

Validation of use of wireless monitors to measure levels of mobility during hospitalization

Prevalencia y factores de riesgo del estado confusional agudo en el adulto mayor en una sala de emergencias médicas.

Electrical stimulation versus kinesitherapy in improving functional fitness in older women: A randomized controlled trial

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