Physical Activity in the Hospital: Documentation and Influence on Venous Thromboembolism Prophylaxis

in Journal of Aging and Physical Activity

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Juliessa M. Pavon
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Richard J. Sloane
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Carl F. Pieper
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Cathleen S. Colón-Emeric
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David Gallagher
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Harvey J. Cohen
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Katherine S. Hall
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Miriam C. Morey
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Midori McCarty
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Thomas L. Ortel
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Susan N. Hastings
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DOI:
https://doi.org/10.1123/japa.2018-0462
Keywords:
electronic health record; inpatient; mobility; older adults
First Published Online:
17 Nov 2019
In Print:
Volume 28: Issue 2
Page Range:
306–310
Restricted access

This study describes the availability of physical activity information in the electronic health record, explores how electronic health record documentation correlates with accelerometer-derived physical activity data, and examines whether measured physical activity relates to venous thromboembolism (VTE) prophylaxis use. Prospective observational data comes from community-dwelling older adults admitted to general medicine (n = 65). Spearman correlations were used to examine association of accelerometer-based daily step count with documented walking distance and with duration of VTE prophylaxis. Only 52% of patients had documented walking in nursing and/or physical therapy/occupational therapy notes during the first three hospital days. Median daily steps recorded via accelerometer was 1,370 (interquartile range = 854, 2,387) and correlated poorly with walking distance recorded in physical therapy/occupational therapy notes (median 33 feet/day [interquartile range = 12, 100]; r = .24; p = .27). Activity measures were not associated with use or duration of VTE prophylaxis. VTE prophylaxis use does not appear to be directed by patient activity, for which there is limited documentation.

The authors are with Duke University, Durham, NC. Pavon, Sloane, Pieper, Colón-Emeric, Cohen, Hall, Morey, and Hastings are also with GRECC, Durham VAHS, Durham, NC. Hastings is also with HSR&D, Durham VAHS, Durham, NC.

Pavon (Juliessa.pavon@duke.edu) is corresponding author.
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