Research Alert

Abstract

Purpose 

After transitioning from an intensive care unit (ICU), hospitalized older adults are inactive, which may affect discharge outcomes. We examined trends between post-ICU hourly activity counts and discharge disposition among hospitalized older ICU survivors.

Design 

A prospective, exploratory research design was used in this study.

Methods 

We enrolled older ICU survivors within 24–48 hours of ICU discharge. Actigraphy measured post-ICU hourly activity counts (0:00 a.m.–23:59 p.m.). Chart review provided discharge disposition. Analyses were conducted to illustrate trends between post-ICU hourly activity counts and discharge disposition.

Findings 

Mean hourly activity was about 2,233 ± 569 counts/hour. Graphs revealed trends between hourly activity counts and discharge disposition. Participants with lower post-ICU activity counts, especially during daytime hours, tended to be discharged to a care facility.

Conclusions 

Future nursing research should determine whether post-ICU inactivity during hospitalization is a modifiable risk factor for worse discharge outcomes.

Clinical Relevance 

Activity could be a prognostic indicator of discharge disposition for older ICU survivors.

Journal Link: Rehabilitation Nursing