Assisted Ambulation to Improve Health Outcomes for Older Medical Inpatients

Recruiting now · Not applicable

Conditions studied: Mobility Limitation, Frailty, Hospital Acquired Condition, Weakness, Muscle

In brief

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.

Key facts

Study ID

NCT05725928

Run by

The Cleveland Clinic

People needed

3000

Starts

2023-05-15

Expected to finish

2026-12-01

Last updated by the study team

2026-06-08

Who can join

Age: 65 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Participants must meet all of the inclusion criteria listed below to participate in this study:
• ≥65 years of age
• Admitted to a medical service
• Complete history and physical examination on file
• 6-Clicks score of 16-23
• Insurance with Traditional Medicare or Medicare Advantage

You may not qualify if…

• Any patient meeting any of the exclusion criteria listed below at baseline will be excluded from study participation:
• Significant language barrier that requires a translator (other than Spanish at Baystate site only)
• Discharge planned for that day or the following day
• Observation status
• Surgical procedure planned
• Patients diagnosed with unstable angina or other medical conditions precluding participation in exercise/ambulation
• Permanent residence in a skilled nursing facility
• Comfort care measures only
• >48 hours since admission
• Active infection with COVID-19
• Other active infection requiring contact or droplet precautions
• Order for bedrest

Where it is running

• Baystate Medical Center — Springfield, Massachusetts, United States (enrolling)
• Fairview Hospital — Cleveland, Ohio, United States (enrolling)
• Cleveland Clinic- Main Campus — Cleveland, Ohio, United States (enrolling)
• Marymount Hospital — Garfield Heights, Ohio, United States (enrolling)
• Hillcrest Hospital — Mayfield Heights, Ohio, United States (enrolling)

Full record on ClinicalTrials.gov

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