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A systematic review of the physical activity levels of acutely ill older adults in Hospital At Home settings: an under-researched field.
Scott, Jennifer; Abaraogu, Ukachukwu O; Ellis, Graham; Giné-Garriga, Maria; Skelton, Dawn A.
Afiliación
  • Scott J; Centre for Living, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK. jennifer.scott@gcu.ac.uk.
  • Abaraogu UO; Centre for Living, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
  • Ellis G; Department of Medical Rehabilitation, University of Nigeria, Enugu, Nigeria.
  • Giné-Garriga M; NHS Lanarkshire, Monklands Hospital, Monkscourt Ave, Airdrie, UK.
  • Skelton DA; Blanquerna Faculty of Psychology, Education and Sport Sciences, Ramon Llull University, Barcelona, Spain.
Eur Geriatr Med ; 12(2): 227-238, 2021 04.
Article en En | MEDLINE | ID: mdl-33058019
PURPOSE: The purpose of this review was to identify, evaluate and synthesise existing evidence reporting the physical activity levels of acutely ill older patients in a 'Hospital At Home' setting and compare this to patients with similar characteristics treated in a traditional hospital inpatient setting. Functional changes and any adverse outcomes due to physical activity (e.g. falls) in both settings where PA was reported or recorded were also evaluated as secondary outcomes. METHODS: A search strategy was devised for the MEDLINE, CINAHL, AMed, PEDRO, OT Seeker and Cochrane databases. Search results were title, abstract and full-text reviewed by two independent researchers. Data were extracted from included articles using a custom form and assessed for quality and risk of bias using the Appraisal Tool for Cross-Sectional Studies. RESULTS: No studies set in the Hospital at Home environments were identified. 16 hospital inpatient studies met the criteria for inclusion. Older patients managed in inpatient settings that would be eligible for Hospital at Home services spent 6.6% of their day active and undertook only 881.8 daily steps. Functional change was reported in four studies with both improvement and decline during admission reported. CONCLUSION: There is a lack of published research on the physical activity levels of acutely-ill older adults in Hospital at Home settings. This review has identified a baseline level of activity for older acutely ill patients that would be suitable for Hospital at Home treatment. This data could be used as a basis of comparison in future hospital at home studies, which should also include functional change outcomes to further explore the relationship between physical inactivity and functional decline.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ejercicio Físico / Hospitales Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Aged / Humans Idioma: En Revista: Eur Geriatr Med Año: 2021 Tipo del documento: Article Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ejercicio Físico / Hospitales Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Aged / Humans Idioma: En Revista: Eur Geriatr Med Año: 2021 Tipo del documento: Article Pais de publicación: Suiza