PURPOSE: Bed rest has been shown to be the most frequent transient risk factor responsible for deep venous thrombosis. Low mobility and bed rest are likely universal even during short-term hospitalization but not well-documented in terms of severity. The objective of this study was to assess if patients with short hospital stays have significant restriction of ambulation, as compared to outpatients.
METHODS: Ambulatory patients age 50–80 were recruited from inpatient and outpatient population. Inpatients were included in the study for hospitalizations under 72 hours in length. Pedometer were placed on them, which measured steps/hour and distance/hour on study participants. Patients with recent surgery or DVT, were excluded from the study. In outpatient population data was collected for 72 hours.
RESULTS: 40 outpatients and 29 inpatients were studied. Age and gender were similar in both groups. See table. Inpatient population had a significant and severe decrease in mobility as compared to out patient population (table 1). Age inversely correlated with mobility in both outpatients as well as inpatients (r = 0.6 and 0.37 respectively; p <0.05).
CONCLUSION: Our study demonstrates significant decrease in mobility in all categories in patients with even short-term hospitalizations.
CLINICAL IMPLICATIONS: This may be an important risk factor for development of venous stasis and deep venous thrombosis. Efforts must be undertaken to change the culture regarding mobility in hospitalized patients.
DISCLOSURE: Salim Surani, No Financial Disclosure Information; No Product/Research Disclosure Information