Targeted individual exercise programmes for older medical patients are feasible, and may change hospital and patient outcomes: a service improvement project
2008

Feasibility of Individual Exercise Programs for Older Hospital Patients

Sample size: 220 publication 10 minutes Evidence: moderate

Author Information

Author(s): Nolan Jo, Thomas Susie

Primary Institution: Flinders Medical Centre

Hypothesis

Can individual exercise programs for older hospitalized patients be implemented effectively within 48 hours of admission?

Conclusion

It is feasible to identify older medical patients likely to benefit from an exercise program to maintain functional abilities, and to commence within 48 hours of admission.

Supporting Evidence

  • 89% of suitable patients commenced the exercise program within 48 hours.
  • 17% withdrawal rate from the program was relatively low.
  • 70% compliance with exercise sessions was achieved.

Takeaway

This study shows that older patients in the hospital can start exercise programs quickly, which helps them stay strong and healthy.

Methodology

Cohort service improvement project conducted over 20 weeks with patients aged 70 and older at risk of functional decline.

Potential Biases

Potential selection bias due to disparate group sizes and reliance on staff physiotherapists for data collection.

Limitations

High proportion of patient admissions (78%) were not suitable for the program, and reliance on staff physiotherapists for outcome measures may introduce bias.

Participant Demographics

Patients aged 70 and older, with a majority being female (68%) and an average age of 83.16 years.

Statistical Information

P-Value

0.002 for ACAT referrals, 0.019 for ACAT approvals

Confidence Interval

0.088–0.587 for ACAT referrals, 0.115–0.822 for ACAT approvals

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-8-250

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