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- Title
Physical Activity in the Hospital: Documentation and Influence on Venous Thromboembolism Prophylaxis.
- Authors
Pavon, Juliessa M.; Sloane, Richard J.; Pieper, Carl F.; Colón-Emeric, Cathleen S.; Gallagher, David; Cohen, Harvey J.; Hall, Katherine S.; Morey, Miriam C.; McCarty, Midori; Ortel, Thomas L.; Hastings, Susan N.
- Abstract
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.
- Subjects
THROMBOEMBOLISM prevention; DOCUMENTATION; HOSPITAL care; LONGITUDINAL method; STATISTICS; VEINS; WALKING; DATA analysis; BODY movement; ACCELEROMETRY; INDEPENDENT living; PHYSICAL activity; ELECTRONIC health records
- Publication
Journal of Aging & Physical Activity, 2020, Vol 28, Issue 2, p306
- ISSN
1063-8652
- Publication type
Article
- DOI
10.1123/japa.2018-0462