Goal-directed Mobilization of Medical Inpatients (GoMob-in)

Insel Gruppe AG, University Hospital Bern

Status

Completed

Conditions

Delirium

Immobility Syndrome

Hospital Acquired Condition

Mobility Limitation

Sarcopenia

Fall

Treatments

Behavioral: Goal-directed mobilization

Study type

Interventional

Funder types

Other

Identifiers

NCT04760392

GoMob-in

Details and patient eligibility

About

Immobilization in general internal medicine inpatients is a major contributor to morbidity and mortality. Goal-directed mobilization (GDM) may improve mobility. The aim of this study is to assess, if GDM increases physical activity (DEMMI score) during hospitalization and improves quality of care until 3 months after hospitalization.

Enrollment

160 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

All consenting patients aged ≥ 18 years admitted to the Department of General Internal Medicine, Inselspital, Bern University Hospital, Bern, Switzerland, who have an indication for physiotherapy (prescription by the resident in charge or the care coordinator).
Participants must be randomized at latest on the second day after hospital admission.
Written informed consent.

Exclusion criteria

Inability to follow study procedures, i.e., due to language problems (unable to read, speak or understand German), psychological disorders, severe dementia (defined as to levels 5 - 7 in the Global Deterioration Scale), blindness, Patients unable to provide informed consent themselves
Expected hospital stay for < 5 days
Medically indicated bedrest for more than 24 h, e.g. after surgery
Injuries or neurologic deficits of one or both lower extremities directly impairing walking capacity (e.g. fractures, hemiplegia, previous use of a wheelchair or bedriddenness)
Terminal illness
Pregnancy or breast feeding
Previous enrolment in this study
Enrolment of the investigator, his/her family members, employees and other dependent persons