Physical Activity in the Hospital: Documentation and Influence on Venous Thromboembolism Prophylaxis.

Journal Article (Journal Article)

This study describes the availability of physical activity information in the electronic health record, explores how electronic health record documentation correlates with accelerometer-derived physical activity data, and examines whether measured physical activity relates to venous thromboembolism (VTE) prophylaxis use. Prospective observational data comes from community-dwelling older adults admitted to general medicine (n = 65). Spearman correlations were used to examine association of accelerometer-based daily step count with documented walking distance and with duration of VTE prophylaxis. Only 52% of patients had documented walking in nursing and/or physical therapy/occupational therapy notes during the first three hospital days. Median daily steps recorded via accelerometer was 1,370 (interquartile range = 854, 2,387) and correlated poorly with walking distance recorded in physical therapy/occupational therapy notes (median 33 feet/day [interquartile range = 12, 100]; r = .24; p = .27). Activity measures were not associated with use or duration of VTE prophylaxis. VTE prophylaxis use does not appear to be directed by patient activity, for which there is limited documentation.

Full Text

Duke Authors

Cited Authors

  • Pavon, JM; Sloane, RJ; Pieper, CF; Colón-Emeric, CS; Gallagher, D; Cohen, HJ; Hall, KS; Morey, MC; McCarty, M; Ortel, TL; Hastings, SN

Published Date

  • April 24, 2020

Published In

Volume / Issue

  • 28 / 2

Start / End Page

  • 306 - 310

PubMed ID

  • 31743088

Pubmed Central ID

  • PMC7210062

Electronic International Standard Serial Number (EISSN)

  • 1543-267X

Digital Object Identifier (DOI)

  • 10.1123/japa.2018-0462


  • eng

Conference Location

  • United States