Assisted Ambulation to Improve Health Outcomes for Older Medical Inpatients

Description

The investigator proposes to conduct a randomized trial of supervised ambulation delivered by mobility technician (MT) up to three times daily, including weekends, to hospitalized medical patients. The aims of the study are to compare the short and intermediate-term outcomes of patients randomized to the intervention versus those patients randomized to receive usual care, to identify patients who are most likely to benefit from the intervention and to assess whether the intervention increases or decreases overall costs of an episode of care, including the cost of the MTs, the index hospitalization and the first 30 days post enrollment.

Conditions

Mobility Limitation, Frailty, Hospital Acquired Condition, Weakness, Muscle

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Study Overview

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Study Details

Study overview

The investigator proposes to conduct a randomized trial of supervised ambulation delivered by mobility technician (MT) up to three times daily, including weekends, to hospitalized medical patients. The aims of the study are to compare the short and intermediate-term outcomes of patients randomized to the intervention versus those patients randomized to receive usual care, to identify patients who are most likely to benefit from the intervention and to assess whether the intervention increases or decreases overall costs of an episode of care, including the cost of the MTs, the index hospitalization and the first 30 days post enrollment.

Randomized Trial of Assisted Ambulation to Improve Health Outcomes for Older Medical Inpatients

Assisted Ambulation to Improve Health Outcomes for Older Medical Inpatients

Condition
Mobility Limitation
Intervention / Treatment

-

Contacts and Locations

Springfield

Baystate Medical Center, Springfield, Massachusetts, United States, 01199

Cleveland

Fairview Hospital, Cleveland, Ohio, United States, 44111

Cleveland

Cleveland Clinic- Main Campus, Cleveland, Ohio, United States, 44195

Garfield Heights

Marymount Hospital, Garfield Heights, Ohio, United States, 44125

Mayfield Heights

Hillcrest Hospital, Mayfield Heights, Ohio, United States, 44124

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. ≥65 years of age
  • 2. Admitted to a medical service
  • 3. Complete history and physical examination on file
  • 4. 6-Clicks score of 16-23
  • 5. Insurance with Traditional Medicare or Medicare Advantage
  • 1. Significant language barrier that requires a translator (other than Spanish at Baystate site only)
  • 2. Discharge planned for that day or the following day
  • 3. Observation status
  • 4. Surgical procedure planned
  • 5. Patients diagnosed with unstable angina or other medical conditions precluding participation in exercise/ambulation
  • 6. Permanent residence in a skilled nursing facility
  • 7. Comfort care measures only
  • 8. \>48 hours since admission
  • 9. Active infection with COVID-19
  • 10. Other active infection requiring contact or droplet precautions
  • 11. Order for bedrest

Ages Eligible for Study

65 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

The Cleveland Clinic,

Michael Rothberg, M.D., PRINCIPAL_INVESTIGATOR, The Cleveland Clinic

Study Record Dates

2026-10-11