Early Ambulation to Reduce Hospital Length of Stay

NCT04444453 | Completed

• 1 other identifier: IRB202001410
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

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).

Conditions

Ambulation; Wearable Devices

Keywords

length of stay; hospitalization

Outcome Measures

Primary Outcomes (1)

• Hospital Length of Stay

  Time patient is admitted in hospital

  Up to 1 month

Secondary Outcomes (5)

• 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

Study Arms (2)

Pedometer

EXPERIMENTAL

Admitted patients who receive a pedometer to wear during their hospital stay to measure steps ambulated

Device: Wearable Pedometer

Control

NO INTERVENTION

Patients admitted to hospital who do not receive a pedometer, but receive all other usual standard of care

Interventions

Wearable Pedometer DEVICE

Pedometer worn on wrist

Also known as: Pedometer

Pedometer

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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)

You may not qualify if:

• 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

Sponsors & Collaborators

• University of Florida: lead

Study Sites (1)

University of Florida

Jacksonville, Florida, 32209, United States

Location

Study Officials

• Jennifer Fishe, MD

  University of Florida

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 18, 2020
• First Posted: June 23, 2020
• Study Start: October 21, 2020
• Primary Completion: August 1, 2022
• Study Completion: September 1, 2022
• Last Updated: January 17, 2023

Record last verified: 2023-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)