Key result
Hospital Fit use increased standing and walking time on postoperative day one by 28.43 minutes (95% CI 5.55-51.32) and improved the odds of functional recovery (OR 3.08, 95% CI 1.14-8.31).
Why the study?
Low physical activity levels are common in hospitalized patients, and digital health tools could help prevent the negative effects of inactivity following orthopedic surgery.
Does a smartphone app with an accelerometer (Hospital Fit) improve physical activity and functional recovery in patients following elective orthopedic surgery?
Does a smartphone app with an accelerometer (Hospital Fit) improve physical activity and functional recovery in patients following elective orthopedic surgery?
Mean Difference: 28.43 (95% CI 5.55–51.32)
A smartphone app with an accelerometer significantly increases early postoperative physical activity and functional recovery in patients undergoing elective orthopedic surgery.
Hospital Fit may boost inpatient activity post-orthopedic surgery; leaves open confirmation in larger randomized trials.
Low physical activity (PA) levels are common in hospitalized patients. Digital health tools could be valuable in preventing the negative effects of inactivity. We therefore developed Hospital Fit; which is a smartphone application with an accelerometer, designed for hospitalized patients. It enables objective activity monitoring and provides patients with insights into their recovery progress and offers a tailored exercise program. The aim of this study was to investigate the potential of Hospital Fit to enhance PA levels and functional recovery following orthopedic surgery. PA was measured with an accelerometer postoperatively until discharge. The control group received standard physiotherapy, while the intervention group used Hospital Fit in addition to physiotherapy. The time spent active and functional recovery (modified Iowa Level of Assistance Scale) on postoperative day one (POD1) were measured. Ninety-seven patients undergoing total knee or hip arthroplasty were recruited. Hospital Fit use, corrected for age, resulted in patients standing and walking on POD1 for an average increase of 28.43 min (95% confidence interval (CI): 5.55-51.32). The odds of achieving functional recovery on POD1, corrected for the American Society of Anesthesiologists classification, were 3.08 times higher (95% CI: 1.14-8.31) with Hospital Fit use. A smartphone app combined with an accelerometer demonstrates the potential to enhance patients' PA levels and functional recovery during hospitalization.
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Dijk-Huisman et al. (2020) studied Total knee or hip arthroplasty (n=97). Hospital Fit (smartphone app with accelerometer) plus standard physiotherapy vs. Standard physiotherapy was evaluated on Time spent standing and walking on postoperative day one (POD1) (MD 28.43, 95% CI 5.55-51.32). Hospital Fit use increased standing and walking time on postoperative day one by 28.43 minutes (95% CI 5.55-51.32) and improved the odds of functional recovery (OR 3.08, 95% CI 1.14-8.31).
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