Clinical trial NCT05926908: Hospital-Induced Immobility
Official title: Hospital-Induced Immobility - A Backstage Story of Lack of Chairs, Time, and Assistance
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: In-hospital Mobility
Geriatric
Immobilization
Keywords: Mobilisation
Rehabilitation
older adults
inactivity
hospitalisation
Lead sponsor: Rigshospitalet, Denmark
Sponsor class: OTHER
First posted: 2023-07-03
Enrollment: 596
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Patients in the geriatric and medical wards at Copenhagen University Hospital, Rigshospitalet

Brief summary: Inactivity and bedrest during hospitalisation have numerous negative consequences, and it is especially important that older patients are mobile during hospitalisation. In this study the investigators aimed to identify whether the introduction of formal education of clinical staff and a Mobilisation Initiative could increase mobilisation of patients in a geriatric and a medical ward. Furthermore, the investigators wanted to explore patients' and health care staffs' view on facilitators and barriers for mobilisation during hospitalisation

Detailed description: Staying in bed and being inactive during hospitalisation can lead to a range of adverse consequences especially among older adults. The consequences include loss of muscle mass and strength leading to problems with loss of functional independence, risk of re-hospitalisation, and death. Moreover, older adults do not recover as well as younger adults with poor long-term recovery. The lack of in-hospital mobilisation is due to several factors including the hospital culture and organisational factors. Therefore, it is necessary to bring attention to this problem among the hospital staff. The aim of this study is to identify whether the introduction of formal education of clinical staff and a Mobilisation Initiative can increase the number of patients mobilised for breakfast and lunch among patients admitted to geriatric and medical wards. The activities planned in this study is self-reported level of mealtime mobilisation and observations of the patients, focus group interviews and survey on mobilisation awareness among the clinical staff, introduction of formal education and a Mobilisation Initiative. As hypothesized, this will result in an increased awareness of in-hospital mobilisation leading to an increase in the number of patients mobilised at mealtimes. Accordingly, expectations are that this will affect the activity level of the hospitalised patients and reduce adverse consequences leading to an increase in functional independence and reduce the number of readmissions resulting in a socioeconomic benefit.

Eligibility criteria: Inclusion Criteria:

* In-hospital patients in the geriatric and medical ward at Copenhagen University Hospital, Rigshospitalet

Exclusion Criteria:

* Patients declared moribund or delirious in the electronical medical journal
* Patients isolated in the hospital room
* Patients requiring interpreter for communication

Primary outcomes:
measure: Change in patients mobilised at lunch
timeFrame: One, two, three, four, five, and six months
measure: Change in patients mobilised at breakfast
timeFrame: One, two, three, four, five, and six months
Secondary outcomes:
measure: Change in chairs present bedside at breakfast
timeFrame: Two, three, four, five, and six months
measure: Change in chairs present bedside at lunch
timeFrame: Two, three, four, five, and six months
measure: Self-reported level of mobilisation
timeFrame: One and six months
measure: The Mobilisation Initiative
timeFrame: One and six months
measure: Formal Education
timeFrame: Four and five months
measure: Focus Group Interviews
timeFrame: Two months
measure: Awareness of mobilisation among the nursing staff
timeFrame: Two months and follow up at eight months
Other outcomes:
Locations:
city: Copenhagen
country: Denmark
facility: Rigshospitalet
Study officials:
References: