SHM Converge Scientific Abstract ePoster Gallery-Ampac-6-Clicks Measured Functional Loss Is Associated With Poor Clinical Outcomes

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This retrospective cohort study evaluated whether functional mobility changes measured by the AM-PAC 6-Clicks Inpatient Short Form were associated with clinical outcomes in hospitalized adults at UCSF. Researchers analyzed 15,897 patients across 20,950 encounters from July 2021 to June 2022.<br /><br />Patients’ mobility was assessed by comparing AM-PAC scores at admission and discharge. They were grouped into three categories: mobility gain, no meaningful change, or mobility loss. The study examined associations between mobility change and outcomes including delirium, falls risk, length of stay, discharge to a facility, mortality, and 30-day readmission using multivariate logistic regression.<br /><br />The results showed that loss of mobility function was significantly associated with worse in-hospital outcomes, including higher delirium rates, higher falls risk, longer hospital stays, and more frequent discharge to a skilled nursing facility or similar facility. However, mobility loss was not significantly associated with 30-day readmissions.<br /><br />The authors concluded that daily AM-PAC assessment may help care teams detect and prevent functional decline during hospitalization, potentially improving patient safety and outcomes. They also noted that more research is needed to confirm how broadly this approach can be applied.

Asset Subtitle

James D. Harrison

Meta Tag

Author List Colin Hubbard, Jade Mulvey, James D. Harrison, Joanna Lopez, Roniela Turingan, Sasha Binford, Stephanie E. Rogers

Category Research

Concept AM-PAC 6-Clicks Bedside Tool

Concept Functional Mobility Loss

Concept Inpatient Mobility Assessment

Concept Delirium

Concept Fall Risk

Distinguished Non-Finalist

Presenter Organization University of California San Francisco

Presenting Author James D. Harrison

Track Outcomes Research

Keywords

AM-PAC 6-Clicks

functional mobility

hospitalized adults

retrospective cohort study

mobility loss

delirium

falls risk

length of stay

discharge disposition

30-day readmission

AM-PAC 6-Clicks Bedside Tool

Functional Mobility Loss

Inpatient Mobility Assessment

Delirium

Fall Risk