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

Research output: Contribution to journalArticle


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

Colleges, School and Institutes

External organisations

  • Heart of England NHS Foundation Trust
  • University of Birmingham
  • The Medical School, University of Birmingham, Birmingham, UK.
  • Department of Geriatric Medicine, Heart of England NHS Foundation Trust, Solihull Hospital, Birmingham, UK.


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.
To determine whether early mobility aided by physiotherapy reduces the incidence of HAP and length of stay in patients on medical wards.
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.
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.
The Early Mobility Bundle demonstrates a promising method to reduce the incidence of HAP and to increase activity in medical inpatients.

Bibliographic note

Copyright © 2014 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.


Original languageEnglish
Pages (from-to)34-39
Number of pages6
JournalThe Journal of hospital infection
Issue number1
Early online date20 Jun 2014
Publication statusPublished - Sep 2014


  • 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