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Related Experiment Video

Updated: Dec 31, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

A randomized trial of a behavioral intervention to decrease hospital length of stay by decreasing bedrest.

Juliana Tolles^1,2, Gabriel Waterman³, Charles E Coffey^4,5

¹Department of Emergency Medicine, Harbor-University of California Los Angeles (UCLA) Medical Center, Torrance, California, United States of America.

|January 11, 2020

Summary

This summary is machine-generated.

Hospitalized patients did not show improved functional status or reduced length of stay with a behavioral intervention and recliner chairs. Further active interventions are needed to combat functional decline in inpatients.

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Published on: August 1, 2019

Area of Science:

Clinical Medicine
Hospital Management
Patient Outcomes

Background:

Hospitalized patients frequently experience functional decline due to prolonged bed rest.
Early mobilization strategies can improve outcomes but are often resource-intensive.
A pragmatic mobilization protocol was developed to reduce inpatient bed time.

Purpose of the Study:

To decrease the time hospital inpatients spend in bed.
To evaluate the effectiveness of a behavioral intervention and recliner chairs in reducing bed rest.

Main Methods:

A prospective, non-blinded, controlled clinical trial was conducted in an urban teaching hospital.
Inpatients received either a behavioral intervention (educational handouts) alone or in combination with recliner chairs.
Primary outcome was hospital length of stay; secondary outcome was functional status using the '6-Clicks' score.

Main Results:

A total of 6082 patient encounters were analyzed over a 6-month period.
Neither the behavioral intervention nor recliner chairs significantly decreased length of stay or improved functional status.
Median length of stay was 84 hours (control), 80 hours (behavioral), and 88 hours (behavioral + recliner).

Conclusions:

Educational handouts and recliner chairs did not effectively reduce bed rest, improve functional status, or shorten length of stay.
Active interventions beyond education and physical resources are necessary to mitigate functional decline in inpatients.
Further research is needed to identify effective strategies for reducing inpatient bed time and its consequences.