Category: Technology (e.g. robotics, assistive technology, mHealth); Lifestyle Medicine; Quality Improvement and Implementation Science
Our objective was to incorporate wearable activity trackers to discover assess in-hospital mobility and to understand if promoting in-hospital mobility is related to their length of stay and discharge disposition.
All participants enrolled in the randomized control trial study were required to wear activity trackers to track daily steps<./p>
Setting : The trial was conducted in acute medicine units in two New York University Langone Health hospitals in Manhattan and Brooklyn.
Participants (or Animals, Specimens, Cadavers) : A random sample of patients 45 years or older, who were admitted in an acute medicine unit in the hospital were recruited for the study.
Interventions : The intervention arm was reminded to walk twice daily with either text messages or silent vibrations through the tracker, and the control arm did not receive any reminders. Their activity status was collected until the patients were discharged.
Main Outcome Measure(s) : We assessed the differences in means using the Mann-Whitney test to determine associations between daily steps and length of stay, discharge disposition and intervention.
51 participants were recruited for the study and 44 were assessed. The average number of steps was 973.67, with a median of 581 steps. There were no significant differences in daily steps between the control and intervention groups, length of stay, or discharge disposition.
Conclusions : While there were no statistically significant differences in daily steps between the study arms, LOS, or discharge disposition, the lessons learned in this pilot study can be extrapolated to a grander stage leading to better recruitment and evaluation of hospital mobility, as it is already known that maintaining mobility into advanced age improves function, and quantifying this mobility remains valuable in guiding care.
Sumaiya Tasneem– Research Coordinator, NYU Langone Health, New York, New York
Ashley Bagheri– Project Manager, NYU Langone Health, New York, New York
Simon Jones– Professor, NYU Langone School of Medicine, New York, New York
Paawan Punjabi– Medical Director, 17 West and Attending Hospitalist, NYU Langone Health--Tisch Hospital, New York, New York
Gavriil Ilizarov– Clinical Assistant Professor, Rehabilitation Medicine / Director for Health IT & Quality Integration, NYU Langone Health, New York, New York
Jason Freeman– Clinical Instructor, NYU-Langone Health Brooklyn, New York, New York