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University of Sherbrooke, Canada [03:00 - 03:30 PM]
Title: Effect of exercise training on behavioral disorders and length of stay during COVID-19 preventive isolation in patients hospitalized in geriatric unit
COVID-19 isolation precautions in hospital settings can be associated with disruptive behaviours that could affect the quality of care and length of stay (LOS), especially in specialized geriatric units. Supervised exercise intervention, performed in addition to usual rehabilitation care (UC), could reduce LOS and the risk of institutionalization at discharge. Hence, the objective of this study was to determine if the addition of supervised exercise training to UC would reduce disruptive behaviours in hospitalized older adults while COVID-19 preventive isolation was mandatory. A retrospective descriptive non-experimental research study was performed by retrieving data from 54 medical records with 50% of patients who have been individually trained (EX) in addition to usual care (UC) during hospitalization, including during a COVID-19 infection. Patient characteristics, LOS, reasons for hospitalization, disruptive behaviours and details of exercise training were collected. Most of the patients were hospitalized for a cognitive and functional assessment (72%). A total of 360 disruptive behaviours were observed during the hospital stay, including 203 events during room isolation. These behaviours progressively decreased during the hospitalization (p≤0.05), with no difference between EX and UC (p≥0.31). LOS tended to be shorter (p=0.066) in EX (32[16] days) compared to UC (38[18] days). The risk of extended LOS tended to decrease by 61% (OR: 0.39 [0.12-1.12]; p=0.09) in EX, with 52% who went back to their place of residence compared to 37% in UC. Although adding supervised exercise training to UC does not impact in-hospital disruptive behavioural disorders, LOS and risk of institutionalization may be reduced.
Dr Émilie Breton has completed a baccalaureate in physiotherapy, a doctorate in medicine, and an internal medicine core residency from Université Laval. She completed a subspecialty in Geriatric Medicine from the University of Sherbrooke, then a fellowship in Geriatric Rehabilitation from the University of Toronto. She is an adjunct professor at the Faculty of Medicine and Health Sciences at Sherbrooke University and the Program Director of the subspecialty in Geriatric Medicine. She was the clinical leader of the in-hospital CORE program on the Acute Care COVID-19 Units and on the Short-term geriatric unit affiliated with the University of Sherbrooke.