Ambulation, Wearable Devices
Conditions
Keywords
length of stay, hospitalization
Brief summary
Early ambulation of inpatients has been shown to be a key driver of decreased LOS and also reduced adverse events such as venous thromboembolism (VTE). We will test if a patient wearable device (pedometer) measuring steps and ambulation sessions decreases hospital LOS (primary outcome), decreases hospital LOS index (LOSI), decreases time to first ambulation, decreases time to first bowel movement (BM), decreases incidence of VTEs, and decreases costs (secondary outcomes). In a pilot randomized control trial, we will randomize 150 total adult patients admitted to UF Health Jacksonville in a 1:1 fashion to usual care and wearable pedometer or usual care. Patients randomized to the study intervention will receive a wearable pedometer upon admission, to be worn for the duration of their inpatient stay. Study outcome measures to be compared between the pedometer and no pedometer group include hospital LOS (primary outcome), hospital LOSI, time to first ambulation, time to first BM, incidence of VTEs, patient experience, and costs (secondary outcomes).
Interventions
DEVICEWearable Pedometer
Pedometer worn on wrist
Sponsors
University of Florida
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
1. Patients ages \> or equal to 18 years 2. Patient has capacity to undergo informed consent 3. Admitted to UF Health Jacksonville 8N progressive inpatient unit 4. Inpatient physician orders for patient ambulation and/or activity as tolerated upon hospital admission 5. Patient with a Fall Predictive Analytics score category of low risk 6. Patient with a Morse Fall Scale (MFS) of \< or equal to 50 7. No contraindications to wearing a wrist pedometer (no skin breakdown, overlying skin infections, contact dermatitis, or indwelling catheters/need for venipuncture at wrist site)
Exclusion criteria
1. Patient \< 18 years of age 2. Patient without capacity to undergo informed consent 3. Patient with a 'do not ambulate' order or has order for bed rest or other contraindication to ambulation (i.e., fall risk) or dependent on more than minimal assistance to ambulate 4. Patient with a Fall Predictive Analytics score category of high risk 5. Patient with MFS \> 50 or labelled by clinical team as fall risk 6. Non-English speaking 7. In law enforcement custody or ward of the state 8. Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital Length of Stay | Up to 1 month | Time patient is admitted in hospital |
Secondary
| Measure | Time frame |
|---|---|
| Hospital length-of-stay index | Up to 1 month |
| Time to first ambulation | Up to 1 month |
| Time to first bowel movement | Up to 1 month |
| Rate of venous thromboembolism | Up to 1 month |
| Total hospitalization costs | Up to 1 month |
Countries
United States
Outcome results
None listed