Mobility in Acute Care for Geriatric Patients with Orthopedic Conditions: a Review of Recent Literature
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GERIATRIC ORTHOPEDICS (C QUATMAN AND C QUATMAN-YATES, SECTION EDITORS)
Mobility in Acute Care for Geriatric Patients with Orthopedic Conditions: a Review of Recent Literature Madison Peck 1 & Amy Holthaus 1 & Katelyn Kingsbury 1 & Marka Gehrig Salsberry 1 & Vijay Duggirala 1 Accepted: 9 November 2020 / Published online: 4 December 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2021
Abstract Purpose of Review The purpose of this literature review is to appraise the current research surrounding the impact of mobility for geriatric patients presenting with orthopedic conditions in the acute care setting. Recent Findings A literature search in the PubMed database yielded 53 results which underwent a title and abstract screening to reveal a total of 22 articles eligible for full-text review. Two authors screened each article and a third author was responsible for reconciling any conflicts. Following the full-text screen, 10 total articles were extracted and evaluated to determine what the current literature has concluded about the impact of mobilization for geriatric patients with orthopedic conditions in the acute care setting. Studies are inconsistent in their dosage parameters of mobility for geriatric orthopedic patients and range in initiating protocols 6 to 24 h following surgery. Protocols and activity standards vary from 1.8 to 8.3 METs, 0 to 1000 steps per day, 15 min walks, or a 5-day mobility protocol focused on functional and strengthening activities. Studies range in reported length of stay (LOS) but infer that the earlier mobility is initiated the risk of prolonged LOS is decreased. Finally, studies report greater success with mobility protocols when multiple disciplines are educated and involved in implementation. Summary Despite the limitations of this study and existing literature, it is clear that integrating mobility within the first 24 h following the injury or surgical intervention does not produce additional adverse effects or increase pain intensity. This review suggests that emphasizing interprofessional collaboration when implementing a mobility protocol is vital to the success and safety of patients. Keywords Mobility . Orthopedic surgery . Geriatric . Physical therapy
Acronyms LOS Length of stay DVT Deep venous thromboembolism TJA Total joint arthroplasty ROM Range of motion TKA Total knee arthroplasty THA Total hip arthroplasty VCF Vertebral vompression fracture VAS Visual analog scale
This article is part of the Topical Collection on Geriatric Orthopedics * Madison Peck [email protected] 1
The Ohio State University Wexner Medical Center, 453 W 10th Ave, Columbus, OH 43210, USA
Introduction Mobilization of patients in the hospital is a factor in short-term and long-term functional outcomes, length of stay (LOS), discharge recommendations, and hospital readmission rates. Immobility during hospitalization is widely recognized as a contributor of deconditioning, functional loss, and increased demand for transition to sub-acute care facilities [1]. Evidence has eme
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