Kaiser Permanente Southern California, Fontana Medical Center, Fontana, California.
Kaiser Permanente Southern California, Ontario Medical Center, Ontario, California.
J Hosp Med. 2015 Jun;10(6):384-9. doi: 10.1002/jhm.2343. Epub 2015 Mar 9.
Little information is available on how active adult patients are during their hospitalization. The purpose of this study is to describe the level of ambulation in hospitalized patients. This was a cohort study of ambulatory patients from 3 hospital medical-surgical units conducted March 2014 through July 2014. Patients wore an accelerometer upon admission to the unit until discharge to home. Sensor placement and data review were performed as part of routine care. Step counts were merged with administrative and clinical data for analysis. Data were available on 777 patients who had at least 24 hours of monitoring prior to discharge. The sample included 57% females, and 55% were nonwhite. The median total step count over 24 hours was 1158 (interquartile range: 636-2238). Patients who were older accrued fewer steps compared to younger patients (962 vs 1294, P < 0.0001). For patients who had at least 48 hours of monitoring (n = 378), there was an increase from 811 steps in the first 24 hours to 1188 steps in the final 24 hours prior to discharge. More frequent documentation was associated with higher step counts (P ≤ 0.001). We found that a diverse sample of hospitalized adult patients accrued over 1000 steps in the 24 hours prior to discharge home.
关于活动的成年住院患者在住院期间的活跃程度，相关信息有限。本研究旨在描述住院患者的活动水平。这是一项在 2014 年 3 月至 7 月期间对 3 个医院内科外科病房的活动患者进行的队列研究。患者在入住病房时佩戴加速度计，直到出院回家。传感器的放置和数据审查是常规护理的一部分。步计数与行政和临床数据合并进行分析。在出院前至少有 24 小时监测数据的 777 名患者的数据可用。样本包括 57%的女性，55%是非白人。24 小时总步数中位数为 1158（四分位距：636-2238）。与年轻患者相比，年龄较大的患者累计的步数较少（962 比 1294，P<0.0001）。对于至少有 48 小时监测数据的患者（n=378），在出院前的最后 24 小时，从前 24 小时的 811 步增加到 1188 步。更频繁的记录与更高的步数相关（P≤0.001）。我们发现，在出院前 24 小时内，多样化的住院成年患者累计超过 1000 步。
