A systematic review and meta-analysis: Assessment of hospital walking programs among older patients

Authors

Christine Loyd, University of Alabama at Birmingham School of Medicine
Yue Zhang, University of Alabama at Birmingham School of Medicine
Tara Weisberg, Department of Clinical and Diagnostic Sciences
James Boyett, Department of Clinical and Diagnostic Sciences
Elizabeth R. Huckaby, Department of Clinical and Diagnostic Sciences
Jeri Grundhoefer, Department of Clinical and Diagnostic Sciences
Steve Otero, Department of Clinical and Diagnostic Sciences
Lisa Roberts, University of Alabama at Birmingham School of Medicine
Samantha Giordano-Mooga, Department of Clinical and Diagnostic Sciences
Carmen Capo-Lugo, University of Alabama at Birmingham School of Health Professions
Catherine H. Smith, The University of Alabama at Birmingham
Richard E. Kennedy, University of Alabama at Birmingham School of Medicine
Barbara J. King, University of Wisconsin–Madison School of Nursing
Cynthia J. Brown, LSU Health Sciences Center - New OrleansFollow

Document Type

Article

Publication Date

11-28-2022

Publication Title

Nursing Open

Abstract

Aim: The aim of this study is to assess effect of hospital walking programs on outcomes for older inpatients and to characterize hospital walking dose reported across studies. Design: A systematic review and meta-analysis examining impact of hospital walking and/or reported walking dose among medical-surgical inpatients. For inclusion, studies were observational or experimental, published in English, enrolled inpatients aged ≥ 65 yrs hospitalized for medical or surgical reasons. Methods: Searches of PubMed, CINAHL, Embase, Scopus, NICHSR, OneSearch, ClinicalTrials.gov, and PsycINFO were completed in December 2020. Two reviewers screened sources, extracted data, and performed quality bias appraisal. Results: Hospital walking dose was reported in 6 studies and commonly as steps/24 hr. Length of stay (LOS) was a common outcome reported. Difference in combined mean LOS between walking and control groups was −5.89 days. Heterogeneity across studies was considerable (I2 = 96%) suggesting poor precision of estimates. Additional, high-quality trials examining hospital walking and patient outcomes of older patients is needed.

First Page

1942

PubMed ID

36441641

Volume

10

Issue

4

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.

Recommended Citation

Loyd, Christine; Zhang, Yue; Weisberg, Tara; Boyett, James; Huckaby, Elizabeth R.; Grundhoefer, Jeri; Otero, Steve; Roberts, Lisa; Giordano-Mooga, Samantha; Capo-Lugo, Carmen; Smith, Catherine H.; Kennedy, Richard E.; King, Barbara J.; and Brown, Cynthia J., "A systematic review and meta-analysis: Assessment of hospital walking programs among older patients" (2022). School of Medicine Faculty Publications. 631.
https://digitalscholar.lsuhsc.edu/som_facpubs/631
10.1002/nop2.1496

File Format

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