SHM Converge Scientific Abstract ePoster Gallery-Use of Mobility Scoring to Predict Patient Outcomes

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This retrospective cohort study examined whether changes in AM-PAC mobility scores could predict hospital outcomes among adult inpatients discharged from a tertiary care center between September and December 2023. The goal was to identify patients at highest risk for prolonged length of stay (LOS) and discharge to a facility, using initial and final AM-PAC “6-Clicks” mobility scores.<br /><br />The study included discharged adults with both initial and follow-up AM-PAC scores, achieving very high documentation compliance (96.6%). Of the cohort, 42.1% showed improving AM-PAC scores during hospitalization. Patients were grouped by change in score (delta AM-PAC), and outcomes were compared between those with improving versus unchanged/worsening mobility.<br /><br />Results did not support the original hypothesis. Patients with unchanged or worsening AM-PAC scores had a lower rate of discharge to a facility than those whose scores improved. In the reported summary table, the improving group had a higher mean age-adjusted facility discharge rate (16.0%) and longer mean LOS (6.63 days) compared with the non-improving group (10.5% facility discharge, 5.10 days LOS). However, after adjustment for demographics and clinical factors, patients with delta AM-PAC 0 still had 1.4 times the odds of discharge to a facility compared with the reference group.<br /><br />The authors concluded that delta AM-PAC alone is not an optimal predictor of discharge disposition or LOS. While AM-PAC remains a useful, well-documented mobility measure, other process or clinical measures should be explored to better identify patients needing resources and discharge planning support.

Asset Subtitle

Baxter Murray

Meta Tag

Author List Baxter Murray, Jingwen Zhang, Justin Marsden, Leonidas N. Walthall IV, Marc Heincelman, Meghan Thomas

Category Innovations

Concept AM-PAC Mobility Score

Concept Inpatient Mobility Score

Concept Discharge Disposition

Concept Delta AM-PAC

Concept Patient Outcome

Distinguished Non-Finalist

Presenter Organization Medical University of South Carolina

Presenting Author Baxter Murray

Track Quality Improvement

Keywords

AM-PAC mobility

6-Clicks

retrospective cohort study

hospital outcomes

length of stay

discharge disposition

adult inpatients

mobility score change

facility discharge

tertiary care center

AM-PAC Mobility Score

Inpatient Mobility Score

Discharge Disposition

Delta AM-PAC

Patient Outcome