Assisted Walking Program on Walking Ability in In-Hospital Geriatric Patients: A Randomized Trial
| Autor: | Marco Zoli, Domenica Gazineo, Paolo Chiari, Elisa Ambrosi, Daniela Lopes Paim Pinto, Pietro Calogero, Lea Godino, Roberta Decaro |
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| Rok vydání: | 2020 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Braden activity subscale Poison control Walking Occupational safety and health law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Intervention (counseling) Injury prevention Clinical endpoint medicine Humans 030212 general & internal medicine Mobility Limitation Adverse effect Geriatric Assessment Aged Aged 80 and over Rehabilitation business.industry assisted walking hospitalized patients older patients randomized control trial Exercise Therapy Hospitalization Physical therapy Female Geriatrics and Gerontology 0305 other medical science business |
| Zdroj: | Journal of the American Geriatrics SocietyREFERENCES. 69(3) |
| ISSN: | 1532-5415 |
| Popis: | OBJECTIVES The main aim of this study was to evaluate if an individualized assisted walking program (IAWP) for hospitalized older patients could improve walking ability compared with usual geriatric care and rehabilitation. DESIGN A randomized controlled trial with an active control group, open labeled with parallel assignment was conducted between October 2018 and January 2020. SETTING Geriatric ward. PARTICIPANTS A total of 387 hospitalized patients (≥65 years) were randomly assigned to an intervention or control (usual-care) group. INTERVENTION The control group received usual hospital care. The intervention group received also an IAWP. MEASUREMENTS The primary endpoint was change in walking ability from hospital admission (considering both current and pre-admission status) to discharge, as assessed with the Braden Activity subscale measures. The secondary endpoint was the occurrence of in-hospital adverse events, such as complications of mobility, pressure ulcers, falls, pain and mortality, and the length of hospital stay. Intention-to-treat and per-protocol analyses were performed. RESULTS Baseline characteristics were similar between intervention and control groups. The intervention group, relative to the control group, had significantly improved walking ability at discharge (P |
| Databáze: | OpenAIRE |
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