The Early Mobility Bundle: a simple enhancement of therapy which may reduce incidence of hospital-acquired pneumonia and length of hospital stay

Marie Stolbrink; Laura McGowan; Harman Saman; Thanh Nguyen; Rachel Knightly; Julie Sharpe; Helen Reilly; Sally Jones; Alice Turner

doi:10.1016/j.jhin.2014.05.006

The Early Mobility Bundle: a simple enhancement of therapy which may reduce incidence of hospital-acquired pneumonia and length of hospital stay

Marie Stolbrink, Laura McGowan, Harman Saman, Thanh Nguyen, Rachel Knightly, Julie Sharpe, Helen Reilly, Sally Jones, Alice Turner

Inflammation and Ageing

Research output: Contribution to journal › Article › peer-review

43 Citations (Scopus)

980 Downloads (Pure)

Abstract

Background
Early mobility facilitated by physiotherapy has been shown to reduce the incidence of hospital-acquired pneumonia (HAP) in patients with hip fractures but its effect on HAP incidence in medical patients has not yet been studied.
Aim
To determine whether early mobility aided by physiotherapy reduces the incidence of HAP and length of stay in patients on medical wards.
Methods
One respiratory and one elderly care medicine ward in one hospital association in Birmingham, UK, received the ‘Early Mobility Bundle’. The bundle consisted of extra targeted physiotherapy and collaboration with ward staff to encourage and promote activity. The incidence of HAP, falls, pressure sores, length of stay (LOS) and activity level were then compared to two matched wards within the same hospital association.
Results
HAP incidence was significantly lower in the intervention group (P < 0.0001) and remained so after adjusting for confounders (P = 0.001). Activity levels were higher (P = 0.04) and patients' LOS was more likely to fall in the lowest quartile (OR: 1.44; P = 0.009) in the intervention group. There was no significant difference in other outcomes.
Conclusion
The Early Mobility Bundle demonstrates a promising method to reduce the incidence of HAP and to increase activity in medical inpatients.

Original language	English
Pages (from-to)	34-39
Number of pages	6
Journal	The Journal of hospital infection
Volume	88
Issue number	1
Early online date	20 Jun 2014
DOIs	https://doi.org/10.1016/j.jhin.2014.05.006
Publication status	Published - Sept 2014

Bibliographical note

Keywords

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

Access to Document

10.1016/j.jhin.2014.05.006

Nguyen_Early_mobility_bundle_Journal_Hospital_Infection_2014
NOTICE: this is the author’s version of a work that was accepted for publication in Journal of Hospital Infection. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Hospital Infection, Volume 88, Issue 1, September 2014, Pages 34–39, DOI: 10.1016/j.jhin.2014.05.006 Checked for repository 28/10/2014
Accepted author manuscript, 375 KBLicence: Other (please specify with Rights Statement)

http://linkinghub.elsevier.com/retrieve/pii/S019567011400173X

Cite this

Stolbrink, M., McGowan, L., Saman, H., Nguyen, T., Knightly, R., Sharpe, J., Reilly, H., Jones, S., & Turner, A. (2014). The Early Mobility Bundle: a simple enhancement of therapy which may reduce incidence of hospital-acquired pneumonia and length of hospital stay. The Journal of hospital infection, 88(1), 34-39. Advance online publication. https://doi.org/10.1016/j.jhin.2014.05.006

@article{58c70753246a47fda374b5cf6b562635,

title = "The Early Mobility Bundle: a simple enhancement of therapy which may reduce incidence of hospital-acquired pneumonia and length of hospital stay",

abstract = "BackgroundEarly mobility facilitated by physiotherapy has been shown to reduce the incidence of hospital-acquired pneumonia (HAP) in patients with hip fractures but its effect on HAP incidence in medical patients has not yet been studied.AimTo determine whether early mobility aided by physiotherapy reduces the incidence of HAP and length of stay in patients on medical wards.MethodsOne respiratory and one elderly care medicine ward in one hospital association in Birmingham, UK, received the {\textquoteleft}Early Mobility Bundle{\textquoteright}. The bundle consisted of extra targeted physiotherapy and collaboration with ward staff to encourage and promote activity. The incidence of HAP, falls, pressure sores, length of stay (LOS) and activity level were then compared to two matched wards within the same hospital association.ResultsHAP incidence was significantly lower in the intervention group (P < 0.0001) and remained so after adjusting for confounders (P = 0.001). Activity levels were higher (P = 0.04) and patients' LOS was more likely to fall in the lowest quartile (OR: 1.44; P = 0.009) in the intervention group. There was no significant difference in other outcomes.ConclusionThe Early Mobility Bundle demonstrates a promising method to reduce the incidence of HAP and to increase activity in medical inpatients.",

keywords = "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",

author = "Marie Stolbrink and Laura McGowan and Harman Saman and Thanh Nguyen and Rachel Knightly and Julie Sharpe and Helen Reilly and Sally Jones and Alice Turner",

year = "2014",

month = sep,

doi = "10.1016/j.jhin.2014.05.006",

language = "English",

volume = "88",

pages = "34--39",

journal = "The Journal of hospital infection",

issn = "0195-6701",

publisher = "Elsevier",

number = "1",

}

TY - JOUR

T1 - The Early Mobility Bundle

T2 - a simple enhancement of therapy which may reduce incidence of hospital-acquired pneumonia and length of hospital stay

AU - Stolbrink, Marie

AU - McGowan, Laura

AU - Saman, Harman

AU - Nguyen, Thanh

AU - Knightly, Rachel

AU - Sharpe, Julie

AU - Reilly, Helen

AU - Jones, Sally

AU - Turner, Alice

PY - 2014/9

Y1 - 2014/9

N2 - BackgroundEarly mobility facilitated by physiotherapy has been shown to reduce the incidence of hospital-acquired pneumonia (HAP) in patients with hip fractures but its effect on HAP incidence in medical patients has not yet been studied.AimTo determine whether early mobility aided by physiotherapy reduces the incidence of HAP and length of stay in patients on medical wards.MethodsOne respiratory and one elderly care medicine ward in one hospital association in Birmingham, UK, received the ‘Early Mobility Bundle’. The bundle consisted of extra targeted physiotherapy and collaboration with ward staff to encourage and promote activity. The incidence of HAP, falls, pressure sores, length of stay (LOS) and activity level were then compared to two matched wards within the same hospital association.ResultsHAP incidence was significantly lower in the intervention group (P < 0.0001) and remained so after adjusting for confounders (P = 0.001). Activity levels were higher (P = 0.04) and patients' LOS was more likely to fall in the lowest quartile (OR: 1.44; P = 0.009) in the intervention group. There was no significant difference in other outcomes.ConclusionThe Early Mobility Bundle demonstrates a promising method to reduce the incidence of HAP and to increase activity in medical inpatients.

AB - BackgroundEarly mobility facilitated by physiotherapy has been shown to reduce the incidence of hospital-acquired pneumonia (HAP) in patients with hip fractures but its effect on HAP incidence in medical patients has not yet been studied.AimTo determine whether early mobility aided by physiotherapy reduces the incidence of HAP and length of stay in patients on medical wards.MethodsOne respiratory and one elderly care medicine ward in one hospital association in Birmingham, UK, received the ‘Early Mobility Bundle’. The bundle consisted of extra targeted physiotherapy and collaboration with ward staff to encourage and promote activity. The incidence of HAP, falls, pressure sores, length of stay (LOS) and activity level were then compared to two matched wards within the same hospital association.ResultsHAP incidence was significantly lower in the intervention group (P < 0.0001) and remained so after adjusting for confounders (P = 0.001). Activity levels were higher (P = 0.04) and patients' LOS was more likely to fall in the lowest quartile (OR: 1.44; P = 0.009) in the intervention group. There was no significant difference in other outcomes.ConclusionThe Early Mobility Bundle demonstrates a promising method to reduce the incidence of HAP and to increase activity in medical inpatients.

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Cross Infection

KW - Early Ambulation

KW - Female

KW - Great Britain

KW - Humans

KW - Incidence

KW - Length of Stay

KW - Male

KW - Middle Aged

KW - Physical Therapy Modalities

KW - Pneumonia

KW - Treatment Outcome

KW - Young Adult

U2 - 10.1016/j.jhin.2014.05.006

DO - 10.1016/j.jhin.2014.05.006

M3 - Article

C2 - 25063011

SN - 0195-6701

VL - 88

SP - 34

EP - 39

JO - The Journal of hospital infection

JF - The Journal of hospital infection

IS - 1

ER -

The Early Mobility Bundle: a simple enhancement of therapy which may reduce incidence of hospital-acquired pneumonia and length of hospital stay

Abstract

Bibliographical note

Keywords

Access to Document

Fingerprint

Cite this