Daytime Activity Is Associated With Discharge to Home in Older Adults Recovering From Critical Illness.
Daytime Activity Is Associated With Discharge to Home in Older Adults Recovering From Critical Illness.
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DOI：
10.3928/00989134-20210107-03
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发表时间：
2021-02-01
影响因子：
1.3
通讯作者：
Liang Z
中科院分区：
文献类型：
--
作者：
Elías MN;Munro CL;Liang Z
从重症监护室（ICU）转移后从危重病中恢复的住院老年人通常不活动，这可能会影响出院处置和住院时间（LOS）。本研究探讨了ICU术后早期活动、出院处置和LOS之间的关系。活动描记术测量ICU后的日间和夜间活动（平均活动计数/分钟）。前瞻性病历审查提供了出院处置和LOS（天）。独立样本t检验比较了ICU出院后的日间活动。多元回归分析了ICU后活动与LOS之间的关系。出院回家的患者（54.42 [SD = 29.3计数/分钟]）的ICU后日间活动量大于出院到机构的患者（33.26 [SD = 24.26计数/分钟]）：t（26）= 2.054，p = 0.050）。ICU后较低的日间活动与较长的LOS相关（β =-0.322，p = 0.041）。未来的研究应该调查ICU后住院期间白天不活动是否是从ICU出院的老年人中预后不良的可改变的风险因素。
Hospitalized older adults recovering from critical illness after transition of care out of an intensive care unit (ICU) are often inactive, which may affect discharge disposition and hospital length of stay (LOS). The current study explored relationships between early post-ICU activity, discharge disposition, and LOS. Actigraphy measured post-ICU daytime and nighttime activity (mean activity counts/min). Prospective chart review provided discharge disposition and LOS (days). Independent samples t tests compared post-ICU daytime activity by discharge disposition. Multivariate regression examined associations between post-ICU activity and LOS. Post-ICU daytime activity was greater among those discharged home (54.42 [SD = 29.3 counts/min]) than those discharged to a facility (33.26 [SD = 24.26 counts/min]): t(26) = 2.054, p = 0.050). Lower post-ICU daytime activity was associated with longer LOS (β = –0.322, p = 0.041). Future research should investigate whether post-ICU daytime inactivity during hospitalization is a modifiable risk factor for worse outcomes among older adults discharged from the ICU.
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DOI：
10.1111/j.1532-5415.2000.tb03907.x
发表时间：
2000-02-01
影响因子：
6.3
作者：
Covinsky, KE;Palmer, RM;Chren, MM
通讯作者：
Chren, MM
影响因子：
2.7
作者：
Gehlbach, Brian K.;Salamanca, Victor R.;Hall, Jesse B.
通讯作者：
Hall, Jesse B.
影响因子：
6.3
作者：
Beveridge C;Knutson K;Spampinato L;Flores A;Meltzer DO;Van Cauter E;Arora VM
通讯作者：
Arora VM
影响因子：
9.9
作者：
Weintraub, Sandra;Dikmen, Sureyya S.;Gershon, Richard C.
通讯作者：
Gershon, Richard C.
影响因子：
13.8
作者：
Tasheva, Plamena;Vollenweider, Peter;Mean, Marie
通讯作者：
Mean, Marie