住院成人的活动能力丧失预示着不良临床结局。

Mobility Loss in Hospitalized Adults Predicts Poor Clinical Outcomes.

作者信息

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

机构信息

Author Affiliations: Department of Medicine, Division of Geriatrics, University of California, San Francisco, California (Dr. Rogers); University of Utah School of Medicine, Salt Lake City, Utah (Mulvey); Department of Medicine, Division of Geriatrics, University of California, San Francisco, California (Turingan); Department of Rehabilitation Services, UCSF Health, San Francisco, California (Coco); Department of Medicine, Division of Hospital Medicine, UCSF, San Francisco, California (Hubbard); Department of Nursing, UCSF, San Francisco, California (Binford); and Department of Medicine, Division of Hospital Medicine, UCSF, San Francisco, California (Harrison).

出版信息

J Nurs Care Qual. 2025;40(2):131-137. doi: 10.1097/NCQ.0000000000000816. Epub 2025 Jan 27.

DOI:10.1097/NCQ.0000000000000816

PMID:39361883

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.