Assisted Ambulation to Improve Health Outcomes for Older Medical Inpatients
Mobility Limitation, Frailty, Hospital Acquired Condition
About this trial
This is an interventional prevention trial for Mobility Limitation
Eligibility Criteria
Inclusion Criteria: Participants must meet all of the inclusion criteria listed below to participate in this study: ≥65 years of age Admitted to a medical service Complete history and physical examination on file 6-Clicks score of 16-22 Insurance with Traditional Medicare or Medicare Advantage Exclusion Criteria: Any patient meeting any of the exclusion criteria listed below at baseline will be excluded from study participation: Significant language barrier that requires a translator (other than Spanish at Baystate site only) Discharge planned for that day or the following day Observation status Surgical procedure planned Patients diagnosed with unstable angina or other medical conditions precluding participation in exercise/ambulation Permanent residence in a skilled nursing facility Comfort care measures only >48 hours since admission Active infection with COVID-19 Other active infection requiring contact or droplet precautions Order for bedrest
Sites / Locations
- Baystate Medical CenterRecruiting
- Fairview HospitalRecruiting
- Marymount HospitalRecruiting
- Hillcrest HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Usual Care
Mobility Technician
No intervention
Designated mobility technicians (MT) will ambulate hospitalized medical patients up to 3 times daily, 7 days per week, until discharge or a maximum of 10 days. Each day, the MT will visit the patient 4 times or until the patient successfully ambulates 3 times that day. In cases where a PT has provided a recommendation in the patient's chart, the MT will follow the recommendation, if feasible. Otherwise, the MT will execute the standard mobility protocol. The mobility protocol will allow the MT to assist a patient with an appropriate out-of-bed activity based on their 6-clicks score from the immediately preceding session