The early mobility bundle: A simple enhancement of therapy which may reduce incidence of hospital-acquired pneumonia and length of hospital stay

Journal of Hospital Infection

Volumn 88, Issue 1, 2014, Pages 34-39

  Stolbrink, M ^a   McGowan, L ^b   Saman, H ^c   Nguyen, T ^d   Knightly, R ^c   Sharpe, J ^c   Reilly, H ^c   Jones, S ^c   Turner, A M ^c,d  

^a LIVERPOOL SCHOOL OF TROPICAL MEDICINE   (United Kingdom)

^b UNIVERSITY OF WARWICK   (United Kingdom)

^c UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST   (United Kingdom)

^d UNIVERSITY OF BIRMINGHAM   (United Kingdom)

Author keywords

Activity; Hospital acquired pneumonia; Length of stay; Physiotherapy; Prevention

Indexed keywords

AGED; ARTICLE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLOSTRIDIUM DIFFICILE; COMORBIDITY; DECUBITUS; ELDERLY CARE; FEMALE; HIP FRACTURE; HOSPITAL ACQUIRED PNEUMONIA; HOSPITALIZATION; HUMAN; ISCHEMIC HEART DISEASE; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; OCCUPATIONAL THERAPY; PHYSIOTHERAPY; TRANSIENT ISCHEMIC ATTACK; ADOLESCENT; ADULT; CROSS INFECTION; INCIDENCE; MIDDLE AGED; MOBILIZATION; PNEUMONIA; TREATMENT OUTCOME; UNITED KINGDOM; VERY ELDERLY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CROSS INFECTION; EARLY AMBULATION; FEMALE; GREAT BRITAIN; HUMANS; INCIDENCE; LENGTH OF STAY; MALE; MIDDLE AGED; PHYSICAL THERAPY MODALITIES; PNEUMONIA; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84906047008     PISSN: 01956701     EISSN: 15322939     Source Type: Journal    
DOI: 10.1016/j.jhin.2014.05.006     Document Type: Article

References (25)

1. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 2005, 171:388-416.
2. Steer J., Norman E.M., Afolabi O.A., Gibson G.J., Bourke S.C. Dyspnoea severity and pneumonia as predictors of in-hospital mortality and early readmission in acute exacerbations of COPD. Thorax 2012, 67:117-121.
3. Sligl W.I., Majumdar S.R. How important is age in defining the prognosis of patients with community-acquired pneumonia?. Curr Opin Infect Dis 2011, 24:142-147.
4. Ntoumenopoulos G., Presneill J.J., McElholum M., Cade J.F. Chest physiotherapy for the prevention of ventilator-associated pneumonia. Intensive Care Med 2002, 28:850-856.
5. Varela G., Ballesteros E., Jimenez M.F., Novoa N., Aranda J.L. Cost-effectiveness analysis of prophylactic respiratory physiotherapy in pulmonary lobectomy. Eur J Cardiothorac Surg 2006, 29:216-220.
6. Nakamura M., Iwahashi M., Nakamori M., et al. An analysis of the factors contributing to a reduction in the incidence of pulmonary complications following an esophagectomy for esophageal cancer. Langenbecks Arch Surg 2008, 393:127-133.
7. Kamel H.K., Iqbal M.A., Mogallapu R., Maas D., Hoffmann R.G. Time to ambulation after hip fracture surgery: relation to hospitalization outcomes. JGerontol A Biol Sci Med Sci 2003, 58:1042-1045.
8. Mundy L.M., Leet T.L., Darst K., Schnitzler M.A., Dunagan W.C. Early mobilization of patients hospitalized with community-acquired pneumonia. Chest 2003, 124:883-889.
9. Nolan J., Thomas S. Targeted individual exercise programmes for older medical patients are feasible, and may change hospital and patient outcomes: a service improvement project. BMC Health Serv Res 2008, 8:250.
10. Centers for Disease Control and Prevention/National Healthcare Safety Network Surveillance definitions for specific types of infections 2014, CDC, Atlanta.
11. Stone S.P., Fuller C., Savage J., et al. Evaluation of the national Cleanyourhands campaign to reduce Staphylococcus aureus bacteraemia and Clostridium difficile infection in hospitals in England and Wales by improved hand hygiene: four year, prospective, ecological, interrupted time series study. BMJ 2012, 344:e3005.
12. Torres A., Peetermans W.E., Viegi G., Blasi F. Risk factors for community-acquired pneumonia in adults in Europe: a literature review. Thorax 2013, 68:1057-1065.
13. Meyer K.C. The role of immunity and inflammation in lung senescence and susceptibility to infection in the elderly. Semin Respir Crit Care Med 2010, 31:561-574.
14. Cilloniz C., Polverino E., Ewig S., et al. Impact of age and comorbidity on cause and outcome in community-acquired pneumonia. Chest 2013, 144:999-1007.
15. Agboado G., Peters J., Donkin L. Factors influencing the length of hospital stay among patients resident in Blackpool admitted with COPD: a cross-sectional study. BMJ Open 2012, 2(5). pii: e000869.
16. Trotter C.L., Stuart J.M., George R., Miller E. Increasing hospital admissions for pneumonia, England. Emerg Infect Dis 2008, 14:727-733.
17. Gill T.M., Murphy T.E., Gahbauer E.A., Allore H.G. Association of injurious falls with disability outcomes and nursing home admissions in community-living older persons. Am J Epidemiol 2013, 178:418-425.
18. Pitta F., Troosters T., Probst V., Spruit M., Decramer M., Gosselink R. Quantifying physical activity in daily life with questionnaires and motion sensors in COPD. Eur Resp J 2006, 27:1040.
19. Rogers C., Balanos G., Wood A.M. Validation of an activity monitor for use in COPD. Thorax 2011, 66(Suppl. IV):A101.
20. Luke A., Dugas L.R., Durazo-Arvizu R.A., Cao G., Cooper R.S. Assessing physical activity and its relationship to cardiovascular risk factors: NHANES 2003-2006. BMC Public Health 2011, 11:387.
21. Van Remoortel H., Raste Y., Louvaris Z., et al. Validity of six activity monitors in chronic obstructive pulmonary disease: a comparison with indirect calorimetry. PLoS One 2012, 7(6):e39198.
22. Rabinovich R.A., Louvaris Z., Raste Y., et al. Validity of physical activity monitors during daily life in patients with COPD. Eur Respir J 2013, 42:1205-1215.
23. Pitta F., Troosters T., Spruit M.A., Probst V.S., Decramer M., Gosselink R. Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2005, 171:972-977.
24. Department of Health Physical activity guidelines for adults (19-64 years) July 2011, Department of Health; 11, London, Available from:. https://www.gov.uk/government/publications/uk-physical-activity-guidelines.
25. National Health Service The 10,000 steps challenge 2007, NHS, London, Available from:. http://www.nhs.uk/Livewell/loseweight/Pages/10000stepschallenge.aspx.