Graphic Representation of Hourly Activity Counts May Identify Discharge Outcomes for Older Adults after Critical Illness

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose After transitioning from an intensive care unit (ICU), hospitalized older adults are inactive, which may affect discharge outcomes. We examined trends between post-ICU hourly activity counts and discharge disposition among hospitalized older ICU survivors. Design A prospective, exploratory research design was used in this study. Methods We enrolled older ICU survivors within 24-48 hours of ICU discharge. Actigraphy measured post-ICU hourly activity counts (0:00 a.m.-23:59 p.m.). Chart review provided discharge disposition. Analyses were conducted to illustrate trends between post-ICU hourly activity counts and discharge disposition. Findings Mean hourly activity was about 2,233 ± 569 counts/hour. Graphs revealed trends between hourly activity counts and discharge disposition. Participants with lower post-ICU activity counts, especially during daytime hours, tended to be discharged to a care facility. Conclusions Future nursing research should determine whether post-ICU inactivity during hospitalization is a modifiable risk factor for worse discharge outcomes. Clinical Relevance Activity could be a prognostic indicator of discharge disposition for older ICU survivors.

Original languageEnglish (US)
Pages (from-to)247-252
Number of pages6
JournalRehabilitation Nursing
Volume46
Issue number5
DOIs
StatePublished - Sep 23 2021

Keywords

  • Older adults
  • activity
  • critical illness
  • discharge outcomes
  • hospitalization
  • post-intensive care syndrome

ASJC Scopus subject areas

  • Nursing(all)
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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