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

Stolbrink, Marie, McGowan, L., Saman, H., Nguyen, T., Knightly, R., Sharpe, J., Reilly, H., Jones, S. and Turner, A.M. (2014) 'The Early Mobility Bundle: a simple enhancement of therapy which may reduce incidence of hospital-acquired pneumonia and length of hospital stay'. Journal of Hospital Infection, Vol 88, Issue 1, pp. 34-39.

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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.

Item Type:	Article
Subjects:	W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 84 Health services. Delivery of health care WB Practice of Medicine > Therapeutics > WB 460 Physical medicine. Physical therapy WC Communicable Diseases > Infection. Bacterial Infections > Bacterial Infections > WC 202 Pneumonia (General or not elsewhere classified)
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.1016/j.jhin.2014.05.006
Depositing User:	Lynn Roberts-Maloney
Date Deposited:	19 Jan 2015 11:23
Last Modified:	15 Feb 2018 11:35
URI:	https://archive.lstmed.ac.uk/id/eprint/4758

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