| dc.description.abstract | Background: Low mobility during hospitalization is common across all ages and is associated with functional decline. Factors influencing hospital mobility have been explored in several studies. However, the generalizability of these studies might be low due to differences in population samples and hospital environments. No previous study has investigated mobility in patients who are able to be independently active during hospitalization.
Aim/RQ: The purpose of this research was to examine which factors influence mobility in patients who are able to be independently active and also to develop a prediction model for mobility in hospitalized adult patients admitted to the Dutch University Medical Centre.
Methods: In this prospective observational, cross-sectional study, patients who were able to be independently active during hospitalization were included. Patients were excluded when receiving end-stage palliative care and when no verbal consent could be given. Outcome data consisted of hospital and personal related factors and were collected by behavioral mapping. Univariable and multivariable regression analyses were performed to explore the association of predictors with hospital mobility based on backward elimination criteria of p≤ 0.20. Additionally, the variance of mobility was described with R².
Results: A total of 186 participants were included with a mean age of 59 years. Sixteen factors were included in the univariable analyses. Based on the elimination criteria age (B= 0.008, p<0.05), surgical procedure(B= -0.107, p=0.02) and the use of an assistive device (B= -0.03, p=0.03) were found to be a significant predictor on mobility and explaining 10% of the variance of mobility.
Conclusion: Despite the ability to be independently active, participants performed low mobility during hospitalization. Further research of hospital mobility should focus on the clinical practice and provide information that can be used in clinical decisions.
Clinical Relevance: An underlying phenomenon of low hospital mobility is existent. To understand the causes of low mobility, the UMCU Hospital in Motion project should focus on the perspectives of patients, family members and care workers since they play an important role in hospital mobility. | |
