Graphic Representation of Hourly Activity Counts May Identify Discharge Outcomes for Older Adults After Critical Illness.

IF 1.1 4区医学 Q3 NURSING Rehabilitation Nursing Pub Date : 2021-09-01 DOI:10.1097/rnj.0000000000000312

Maya N Elías, Cindy L Munro, Zhan Liang

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Abstract

Purpose: After transitioning from an intensive care unit (ICU), hospitalized older adults are inactive, which may affect discharge outcomes. We examined trends between post-ICU hourly activity counts and discharge disposition among hospitalized older ICU survivors.

Design: A prospective, exploratory research design was used in this study.

Methods: We enrolled older ICU survivors within 24-48 hours of ICU discharge. Actigraphy measured post-ICU hourly activity counts (0:00 a.m.-23:59 p.m.). Chart review provided discharge disposition. Analyses were conducted to illustrate trends between post-ICU hourly activity counts and discharge disposition.

Findings: Mean hourly activity was about 2,233 ± 569 counts/hour. Graphs revealed trends between hourly activity counts and discharge disposition. Participants with lower post-ICU activity counts, especially during daytime hours, tended to be discharged to a care facility.

Conclusions: Future nursing research should determine whether post-ICU inactivity during hospitalization is a modifiable risk factor for worse discharge outcomes.

Clinical relevance: Activity could be a prognostic indicator of discharge disposition for older ICU survivors.

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每小时活动计数的图形表示法可识别重病后老年人的出院结果。

目的：从重症监护室（ICU）转出后，住院的老年人不爱活动，这可能会影响出院结果。我们研究了重症监护室住院老年人出院后每小时活动次数与出院处置之间的趋势：本研究采用前瞻性、探索性研究设计：我们在 ICU 出院后 24-48 小时内招募了 ICU 老年幸存者。活动记录仪测量了ICU出院后每小时的活动次数（上午0:00-下午23:59）。病历审查提供了出院处置情况。我们进行了分析，以说明重症监护室出院后每小时活动次数与出院处置之间的趋势：平均每小时活动次数约为 2,233 ± 569 次/小时。图表显示了每小时活动次数与出院处置之间的趋势。重症监护室术后活动次数较少的参与者，尤其是白天活动次数较少的参与者，往往会被送往护理机构：未来的护理研究应确定重症监护室术后住院期间不活动是否是导致出院结果更差的一个可改变的风险因素：临床相关性：活动可能是ICU老年幸存者出院后的预后指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Rehabilitation Nursing 医学-护理

CiteScore

1.90

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Rehabilitation Nursing is a refereed, award-winning publication and is the official journal of the Association of Rehabilitation Nurses. Its purpose is to provide rehabilitation professionals with high-quality articles with a primary focus on rehabilitation nursing. Topics range from administration and research to education and clinical topics, and nursing perspectives, with continuing education opportunities in every issue. Articles range from administration and research to education and clinical topics; nursing perspectives, resource reviews, and product information; and continuing education opportunities in every issue.