McCullagh Ruth, O'Connell Eimear, O'Meara Sarah, Perry Ivan, Fitzgerald Anthony, O'Connor Kieran, Horgan N Frances, Timmons Suzanne
Centre for Gerontology & Rehabilitation, University College Cork, Cork, Ireland.
Physiotherapy Department, Mercy University Hospital, Cork, Ireland.
BMC Geriatr. 2016 Apr 8;16:79. doi: 10.1186/s12877-016-0252-z.
Older adults experience functional decline in hospital leading to increased healthcare burden and morbidity. The benefits of augmented exercise in hospital remain uncertain. The aim of this trial is to measure the short and longer-term effects of augmented exercise for older medical in-patients on their physical performance, quality of life and health care utilisation.
DESIGN & METHODS: Two hundred and twenty older medical patients will be blindly randomly allocated to the intervention or sham groups. Both groups will receive usual care (including routine physiotherapy care) augmented by two daily exercise sessions. The sham group will receive stretching and relaxation exercises while the intervention group will receive tailored strengthening and balance exercises. Differences between groups will be measured at baseline, discharge, and three months. The primary outcome measure will be length of stay. The secondary outcome measures will be healthcare utilisation, activity (accelerometry), physical performance (Short Physical Performance Battery), falls history in hospital and quality of life (EQ-5D-5 L).
This simple intervention has the potential to transform the outcomes of the older patient in the acute setting.
ClinicalTrials.gov Identifier: NCT02463864 , registered 26.05.2015.
老年人在住院期间会出现功能衰退，导致医疗负担和发病率增加。住院期间增加运动量的益处仍不明确。本试验的目的是评估增加运动量对老年内科住院患者身体机能、生活质量和医疗资源利用的短期和长期影响。
220名老年内科患者将被随机分为干预组或假手术组。两组患者均接受常规护理（包括常规物理治疗），并每天增加两次锻炼。假手术组将进行伸展和放松练习，而干预组将进行量身定制的强化和平衡练习。在基线、出院时和三个月时测量两组之间的差异。主要结局指标为住院时间。次要结局指标为医疗资源利用、活动量（加速度计测量）、身体机能（简短身体机能测试）、住院期间跌倒史和生活质量（EQ-5D-5L）。
这种简单的干预措施有可能改变老年患者在急性病环境中的治疗效果。
ClinicalTrials.gov标识符：NCT02463864，于2015年5月26日注册。
