Early Ambulation to Reduce Hospital Length of Stay

Study Overview
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Brief Summary
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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).

Official Title
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Early Ambulation to Reduce Hospital Length of Stay

Conditions
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Ambulation, Wearable Devices

Intervention / Treatment
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* Device: Wearable Pedometer


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients ages > or equal to 18 years Patient has capacity to undergo informed consent Admitted to UF Health Jacksonville 8N progressive inpatient unit Inpatient physician orders for patient ambulation and/or activity as tolerated upon hospital admission Patient with a Fall Predictive Analytics score category of low risk Patient with a Morse Fall Scale (MFS) of < or equal to 50 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: Patient < 18 years of age Patient without capacity to undergo informed consent 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 Patient with a Fall Predictive Analytics score category of high risk Patient with MFS > 50 or labelled by clinical team as fall risk Non-English speaking In law enforcement custody or ward of the state Pregnancy

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Pedometer<br>Admitted patients who receive a pedometer to wear during their hospital stay to measure steps ambulated | Device: Wearable Pedometer<br>* Pedometer worn on wrist<br>* Other names: Pedometer;|
| No Intervention: Control<br>Patients admitted to hospital who do not receive a pedometer, but receive all other usual standard of care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hospital Length of Stay | Time patient is admitted in hospital | Up to 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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length of stay, hospitalization