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Mobility Loss in Hospitalized Adults Predicts Poor Clinical Outcomes
Stephanie E Rogers1, Jade Mulvey, Roniela Turingan
1Author Affiliations: Department of Medicine, Division of Geriatrics, University of California, San Francisco, California (Dr. Rogers); University of Utah School of Medicine, Salt Lake City, Utah (Mulvey); Department of Medicine, Division of Geriatrics, University of California, San Francisco, California (Turingan); Department of Rehabilitation Services, UCSF Health, San Francisco, California (Coco); Department of Medicine, Division of Hospital Medicine, UCSF, San Francisco, California (Hubbard); Department of Nursing, UCSF, San Francisco, California (Binford); and Department of Medicine, Division of Hospital Medicine, UCSF, San Francisco, California (Harrison).
Background:
The Johns Hopkins Activity and Mobility Program is a systematic approach to measure and improve patient mobility.
Purpose:
The purpose of this study was to evaluate the relationship between mobility loss and quality outcomes.
Methods:
A retrospective cohort study design was used. Patients were categorized into 3 groups (gain, loss, no change in mobility) using the Johns Hopkins Highest Level of Mobility (JH-HLM) scores. The association between mobility loss and falls risk, in-hospital mortality, delirium, discharge to a facility, length of stay, and 30 day readmissions were assessed.
Results:
Those who lost mobility were more at risk of being a high fall risk, in-hospital mortality, delirium, discharging to a facility, and had 48% longer lengths of stay. There was no association between mobility loss and 30-day readmissions.
Conclusions:
Loss of mobility assessed using JH-HLM scores is associated with worse patient outcomes.
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