All stakeholders—healthcare providers, delivery systems, policy communities, patients, and families—share concern for older adults who require hospitalization and seek interventions that support restorative processes. Hospitalized older adults are at high risk for rapid deconditioning and
Frances A. Kanach, Amy M. Pastva, Katherine S. Hall, Juliessa M. Pavon and Miriam C. Morey
Morten Villumsen, Martin Gronbech Jorgensen, Jane Andreasen, Michael Skovdal Rathleff and Carsten Møller Mølgaard
Lack of activity during hospitalization may contribute to functional decline. The purpose of this study was to investigate (1) the time spent walking during hospitalization by geriatric patients referred to physical and/or occupational therapy and (2) the development in time spent walking during hospitalization. In this observational study, 24-hr accelerometer data (ActivPal) were collected from inclusion to discharge in 124 patients at an acute geriatric ward. The median time spent walking was 7 min per day. During the first quartile of hospitalization, the patients spent 4 (IQR:1;11) min per day walking, increasing to 10 (IQR:1;29) min during the last quartile. Improvement in time spent walking was primarily observed in the group able to perform the Timed Up & Go task at admission. When walking only 7 min per day, patients could be classified as inactive and at risk for functional decline; nonetheless, the physical activity level increased significantly during hospitalization.
Lauren M. Robins, Ted Brown, Aislinn F. Lalor, Rene Stolwyk, Fiona McDermott and Terry Haines
adults recently discharged from hospital into the community after an extended period of hospitalization (greater than two weeks) as this group is likely to demonstrate substantial change in physical capacity and physical activity levels during the post-discharge period. It was hypothesized that physical
Nicolas Olivier, Renaud Legrand, Jacques Rogez, FX Gamelin, Serge Berthoin and Thierry Weissland
To analyze the consequences on heart rate variability (HRV) of a hospitalization period due to surgery of the knee in sportsmen.
Ten soccer players who had undergone knee surgery took part in this study.
HRV was measured before and after hospitalization within a 7-day interval.
After the hospitalization phase, heart rate at rest increased significantly (3 beats/minute). A significant decrease of 7% in the cardiac inter beat interval (R-R interval), P < 0.05 and a 66% decrease in total power spectral density: −66%, P < 0.05 were observed. The disturbance of the autonomic nervous system could be due to a variation in cardiac vagal activity resulting in a 64% decrease in the high frequencies (P < 0.05). This variation was not associated with a modification in normalized markers (LFn.u., HFn.u.) and LF/HF ratio (P > 0.05).
In sportsmen, a hospitalization period led to an increase in resting heart rate and was associated with a disturbance of the autonomic nervous system.
Robert Carter III, Samuel N. Cheuvront and Michael N. Sawka
We report our observations on one soldier with abnormal hyperthermia during exercise in the heat compared with prior exercise and following acute local (non-febrile) infection. Also, we report on 994 heat stroke hospitalizations in the U.S. Army. It is known that prior infection is a risk factor for heat illness and some of the 37 heat stroke deaths cited infections (eg, pneumonia, influenza) in the medical records.
This case report illustrates complete recovery from abnormal hyperthermia, which occurred in a laboratory setting during mild, low intensity exercise. In a field setting, this case may have resulted in serious heat illness. As with most of the heat stroke cases, rapid medical attention (ie, cooling and rehydration) and the age group (19 to 26) that represents majority of the heatstroke cases in U.S. Army are likely factors that contribute successful treatment of heatstroke in the field environment.
We conclude that acute inflammatory response can augment the hyperthermia of exercise and possibly increase heat illness susceptibility. Furthermore, it is important for health care providers of soldiers and athletes to monitor acute local infections due to the potential thermoregulatory consequences during exercise in the heat.
Ruth McCullagh, Noeleen M. Brady, Christina Dillon, N. Frances Horgan and Suzanne
The purpose of this review was to examine the utility and accuracy of commercially available motion sensors to measure step-count and time spent upright in frail older hospitalized patients. A database search (CINAHL and PubMed, 2004–2014) and a further hand search of papers’ references yielded 24 validation studies meeting the inclusion criteria. Fifteen motion sensors (eight pedometers, six accelerometers, and one sensor systems) have been tested in older adults. Only three have been tested in hospital patients, two of which detected postures and postural changes accurately, but none estimated step-count accurately. Only one motion sensor remained accurate at speeds typical of frail older hospitalized patients, but it has yet to be tested in this cohort. Time spent upright can be accurately measured in the hospital, but further validation studies are required to determine which, if any, motion sensor can accurately measure step-count.
Kristin Tivener, Allan Liggett and Darryl Mitchell
Denise Rodrigues Bueno, Maria de Fátima Nunes Marucci, Clara Suemi da Costa Rosa, Rômulo Araújo Fernandes, Yeda Aparecida de Oliveira Duarte and Maria Lucia Lebão
standardized questionnaire. Annual healthcare expenditures were estimated taking into account self-reported medicine prescription and outpatient service and hospitalizations related to HBP and DM. Prescription and self-medication for HBP and DM control were included in the analysis. Medicine prices were
Emma Renehan, Claudia Meyer, Rohan A. Elliott, Frances Batchelor, Catherine Said, Terry Haines and Dianne Goeman
Falls are a serious problem in the community, with one-third of people over 65 years of age falling each year ( Lord, Ward, Williams, & Anstey, 1993 ). In Australia, falls are the leading cause of hospitalizations due to injury, accounting for 70% of admissions for people aged over 65 years and 87
Laura K. Fewell, Riley Nickols, Amanda Schlitzer Tierney and Cheri A. Levinson
were 91 male and female athlete patients and 76 male and female non-athlete patients entering either a residential or partial hospitalization (PHP) treatment program for EDs between December 2012 and June 2017. Participants were diagnosed with anorexia nervosa (AN; restricting or binge/purge subtype