Mobility Loss in Hospitalized Adults Predicts Poor Clinical Outcomes.

IF 1.2 4区医学 Q3 NURSING

Journal of nursing care quality Pub Date : 2024-10-03 DOI:10.1097/NCQ.0000000000000816

Stephanie E Rogers, Jade Mulvey, Roniela Turingan, L Maurine Coco, Colin C Hubbard, Sasha Binford, James D Harrison

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引用次数: 0

Abstract

Background: The Johns Hopkins Activity and Mobility Program is a systematic approach to measure and improve patient mobility.

Purpose: The purpose of this study was to evaluate the relationship between mobility loss and quality outcomes.

Methods: A retrospective cohort study design was used. Patients were categorized into 3 groups (gain, loss, no change in mobility) using the Johns Hopkins Highest Level of Mobility (JH-HLM) scores. The association between mobility loss and falls risk, in-hospital mortality, delirium, discharge to a facility, length of stay, and 30 day readmissions were assessed.

Results: Those who lost mobility were more at risk of being a high fall risk, in-hospital mortality, delirium, discharging to a facility, and had 48% longer lengths of stay. There was no association between mobility loss and 30-day readmissions.

Conclusions: Loss of mobility assessed using JH-HLM scores is associated with worse patient outcomes.

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住院成人行动不便预示着不良临床结果。

背景：约翰霍普金斯大学的 "活动和行动能力计划 "是一种系统性的方法，用于测量和改善患者的行动能力：约翰斯-霍普金斯大学的活动和行动能力计划是一种系统性的方法，用于测量和改善患者的行动能力。目的：本研究旨在评估行动能力丧失与质量结果之间的关系：方法：采用回顾性队列研究设计。采用约翰霍普金斯大学最高行动能力水平（Johns Hopkins Highest Level of Mobility，JH-HLM）评分法将患者分为三组（行动能力增强、丧失、无变化）。评估结果显示，丧失行动能力与跌倒风险、院内死亡率、谵妄、出院、住院时间和 30 天再入院之间存在关联：结果：丧失行动能力的患者更容易发生高跌倒风险、院内死亡、谵妄、出院，住院时间也延长了48%。行动能力丧失与30天再入院之间没有关联：结论：使用JH-HLM评分评估的活动能力丧失与患者预后恶化有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of nursing care quality 医学-护理

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.