Early Walking and Mobilization during Hospitalization of Patients with Chronic Disease: A Systematic Review and Meta-Analysis of Experimental Studies

2.50
Hdl Handle:
http://hdl.handle.net/10755/601559
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Early Walking and Mobilization during Hospitalization of Patients with Chronic Disease: A Systematic Review and Meta-Analysis of Experimental Studies
Author(s):
Cort's, Olga L.; Delgado, Sandra
Lead Author STTI Affiliation:
Iota Omicron
Author Details:
Olga L. Cort's, RN, CCN, olgacortesf@gmail.com; Sandra Delgado, RN
Abstract:
Session presented on Friday, July 24, 2015: Purpose: To determine the impact of mobilization or walking on the recovery of functional capacity and other events in hospitalized adults with chronic causes. Methods: Systematic review and meta- analysis. Data Sources included were MEDLINE, CINAHL online, HealthStar, EMBASE, Registered Clinical Trials in the Cochrane Library, LILACS, and manual review, all reviewed between years 2000-2012.' Target studies included randomized controlled trials in any language comparing older adults hospitalized for chronic disease randomized to walking or to a control / standard intervention group during hospitalization. Two reviewers independently assessed study eligibility and quality and performed data extraction. We calculate standardized mean differences (SMD) or reported as Mantel-Haenszel odds ratio (OR) with confidence intervals of 95% (CI) using the random effects model (random effect). Heterogeneity was assessed (I2 analysis). The outcomes were'i mproved functional capacity (measured by multiple scales), long stay, falls, and pulmonary thromboembolism. Results: Out of 169 potentially relevant studies, 14 studies met our inclusion criteria. Conducting mobilization or progressive walking were associated with improvement in functional capacity in three studies using the scale Six Minute Walk, (142 patients, DMS 55.2 meters 95% CI 20.4, and 90.1, I ' = 66 %). Also there was a reduction in hospital length of stay for patients in the experimental group compared with a control group, in three studies (484 patients, DMS 3.27 95% CI -5.28,-1.26 days, I ' = 52 %) heterogeneity was observed. Conclusion: Our meta-analysis showed an improvement in patients who were exposed to mobilization /walked during hospitalization and a reduction in hospital stay.
Keywords:
chronic disease; functional capacity; walking
MeSH:
Inpatients; Chronic Disease
CINAHL Headings:
Physical Mobility; Walking
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15PST50
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleEarly Walking and Mobilization during Hospitalization of Patients with Chronic Disease: A Systematic Review and Meta-Analysis of Experimental Studiesen
dc.contributor.authorCort's, Olga L.en
dc.contributor.authorDelgado, Sandraen
dc.contributor.departmentIota Omicronen
dc.author.detailsOlga L. Cort's, RN, CCN, olgacortesf@gmail.com; Sandra Delgado, RNen
dc.identifier.urihttp://hdl.handle.net/10755/601559-
dc.description.abstractSession presented on Friday, July 24, 2015: Purpose: To determine the impact of mobilization or walking on the recovery of functional capacity and other events in hospitalized adults with chronic causes. Methods: Systematic review and meta- analysis. Data Sources included were MEDLINE, CINAHL online, HealthStar, EMBASE, Registered Clinical Trials in the Cochrane Library, LILACS, and manual review, all reviewed between years 2000-2012.' Target studies included randomized controlled trials in any language comparing older adults hospitalized for chronic disease randomized to walking or to a control / standard intervention group during hospitalization. Two reviewers independently assessed study eligibility and quality and performed data extraction. We calculate standardized mean differences (SMD) or reported as Mantel-Haenszel odds ratio (OR) with confidence intervals of 95% (CI) using the random effects model (random effect). Heterogeneity was assessed (I2 analysis). The outcomes were'i mproved functional capacity (measured by multiple scales), long stay, falls, and pulmonary thromboembolism. Results: Out of 169 potentially relevant studies, 14 studies met our inclusion criteria. Conducting mobilization or progressive walking were associated with improvement in functional capacity in three studies using the scale Six Minute Walk, (142 patients, DMS 55.2 meters 95% CI 20.4, and 90.1, I ' = 66 %). Also there was a reduction in hospital length of stay for patients in the experimental group compared with a control group, in three studies (484 patients, DMS 3.27 95% CI -5.28,-1.26 days, I ' = 52 %) heterogeneity was observed. Conclusion: Our meta-analysis showed an improvement in patients who were exposed to mobilization /walked during hospitalization and a reduction in hospital stay.en
dc.subjectchronic diseaseen
dc.subjectfunctional capacityen
dc.subjectwalkingen
dc.subject.meshInpatientsen
dc.subject.meshChronic Diseaseen
dc.subject.cinahlPhysical Mobilityen
dc.subject.cinahlWalkingen
dc.date.available2016-03-17T12:49:35Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T12:49:35Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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