Rogers Stephanie E, Mulvey Jade, Turingan Roniela, Coco L Maurine, Hubbard Colin C, Binford Sasha, Harrison James D
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).
J Nurs Care Qual. 2025;40(2):131-137. doi: 10.1097/NCQ.0000000000000816. Epub 2025 Jan 27.
The Johns Hopkins Activity and Mobility Program is a systematic approach to measure and improve patient mobility.
The purpose of this study was to evaluate the relationship between mobility loss and quality outcomes.
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.
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.
Loss of mobility assessed using JH-HLM scores is associated with worse patient outcomes.
约翰霍普金斯活动与移动计划是一种用于测量和改善患者移动能力的系统方法。
本研究的目的是评估移动能力丧失与质量结果之间的关系。
采用回顾性队列研究设计。使用约翰霍普金斯最高移动水平（JH-HLM）评分将患者分为3组（移动能力增加、丧失、无变化）。评估了移动能力丧失与跌倒风险、院内死亡率、谵妄、转至医疗机构、住院时间和30天再入院之间的关联。
移动能力丧失的患者更有可能具有高跌倒风险、院内死亡、谵妄、转至医疗机构，且住院时间长48%。移动能力丧失与30天再入院之间无关联。
使用JH-HLM评分评估的移动能力丧失与更差的患者结局相关。
