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Mobility and Functional Status Among Hospitalized COPD Patients.

Amy Shay1, Janet S Fulton1, Patricia O'Malley2

  • 1Indiana University, Indianapolis, USA.

Clinical Nursing Research
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Summary
This summary is machine-generated.

Early mobility in hospitalized older adults with chronic obstructive pulmonary disease (COPD) is linked to better outcomes. Weight-bearing activities predict discharge to home and shorter hospital stays, but not 30-day readmissions.

Keywords:
COPDfunctional statushospitalmobilitynursing interventionolder adult

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Area of Science:

  • Gerontology
  • Pulmonology
  • Rehabilitation Medicine

Background:

  • Older adults with chronic obstructive pulmonary disease (COPD) face significant risks of deconditioning and functional decline during hospitalization.
  • Maintaining functional status is crucial for recovery and quality of life in this vulnerable population.

Purpose of the Study:

  • To investigate the relationship between in-hospital mobility activities and functional status indicators in hospitalized older adults diagnosed with COPD.
  • To compare mobility patterns and outcomes between COPD and non-COPD patients.

Main Methods:

  • Utilized a predictive correlational, secondary analysis design with multivariate analyses.
  • Assessed correlations between mobility events (e.g., ambulation, out-of-bed activity) and functional status indicators.
  • Included patients with COPD (n=111) and without COPD (n=190).

Main Results:

  • Ambulation to the bathroom, ambulation outside the room, and days to first out-of-bed activity predicted discharge destination (home vs. extended care facility; p ≤ .05).
  • Days to first out-of-bed activity and out-of-room ambulation predicted reduced length of stay (LOS; p ≤ .05).
  • No mobility variables predicted 30-day readmission. COPD patients had more non-weight-bearing activity and longer LOS compared to non-COPD patients.

Conclusions:

  • Early weight-bearing activities are associated with positive functional outcomes in hospitalized COPD patients.
  • Specific in-hospital mobility interventions may improve discharge disposition and reduce length of stay for older adults with COPD.