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The relationship between physical activity and post-operative length of hospital stay: A systematic review

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Title: The relationship between physical activity and post-operative length of hospital stay: A systematic review
Authors: Abeles, A
Kwasnicki, RM
Pettengell, C
Murphy, J
Darzi, A
Item Type: Journal Article
Abstract: Background Recovery from surgery has traditionally been measured using specific outcome measures, such as length of hospital stay. However, advances in technology have enabled the measurement of continuous, objective physical activity data in the perioperative period. The aim of this systematic review was to determine the relationship between length of hospital stay and physical activity data for patients undergoing surgery. Methods A systematic search of EMBASE, Medline and the Cochrane Library, from inception until January 2017, was performed to identify all study designs that evaluated physical activity after surgery. Studies were included if a wearable sensor measured patient activity as an in-patient and the length of hospital stay was reported. Only English articles were included. Results Six studies with a total of 343 participants were included in this review. All the studies were prospective observational studies. Each study used a different sensor, with the commonest being a tri-axial accelerometer, and multiple different physical activity outcome measures were used, thereby prohibiting meta-analysis. Four of the studies demonstrated a relationship between physical activity levels and length of hospital stay, while two studies did not show any significant relationship. Conclusion The amount of physical activity performed post-operatively negatively correlates with the length of hospital stay. This suggests that objective physical activity data collected by body worn sensors may be capable of predicting functional recovery post-operatively.
Issue Date: 6-Jul-2017
Date of Acceptance: 28-Jun-2017
URI: http://hdl.handle.net/10044/1/51995
DOI: https://dx.doi.org/10.1016/j.ijsu.2017.06.085
ISSN: 1743-9191
Publisher: ELSEVIER
Start Page: 295
End Page: 302
Journal / Book Title: INTERNATIONAL JOURNAL OF SURGERY
Volume: 44
Copyright Statement: © 2017 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Keywords: Science & Technology
Life Sciences & Biomedicine
Surgery
Sensor Peri-operative monitoring
Post-operative outcome
Surgical recovery
Fast-track
Physical activity
ARTERY-BYPASS SURGERY
OLDER-ADULTS
FUNCTIONAL RECOVERY
ABDOMINAL-SURGERY
ENHANCED RECOVERY
GRAFT-SURGERY
RESECTION
ACCELEROMETER
OUTCOMES
PLACEMENT
Peri-operative monitoring
Sensor
1103 Clinical Sciences
Publication Status: Published
Appears in Collections:Division of Surgery
Faculty of Medicine



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