ArticleCureus2026
Standing Up to Deconditioning: A Multidisciplinary Two-Cycle Audit to Enhance Patient Mobilization in Elderly Inpatients.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Deconditioning is a common and preventable cause of functional decline among hospitalized elderly patients, contributing to prolonged recovery, increased dependence, and hospital-associated complications. Despite this, early mobilization is often limited by ward routines, invasive devices, and competing clinical priorities. Objectives This two-cycle audit aimed to evaluate whether low-cost, multidisciplinary interventions could improve early mobilization among elderly inpatients and reduce the risk of deconditioning. Methods A baseline audit was conducted on an elderly inpatient ward to assess the proportion of eligible patients mobilizing out of bed by 11:00 a.m. daily. Findings informed two sequential Plan-Do-Study-Act (PDSA) cycles. Cycle 1 focused on promoting early mobilization during morning handovers and minimizing unnecessary barriers such as intravenous lines and urinary catheters. Cycle 2 introduced sit-out charts and educational posters to improve documentation and sustain engagement. Data were collected daily at a fixed time point, excluding patients receiving end-of-life care or those who were permanently bedbound. Results At baseline, a mean of 7.73 patients (30%) were mobilizing out of bed daily. Following PDSA Cycle 1, this increased to a mean of 14.71 patients (57%). During Cycle 2, improvement was sustained, with a mean of 13.14 patients (51%) mobilizing daily. Staff feedback indicated improved awareness and shared responsibility for patient mobility. Conclusion This two-cycle audit demonstrates that simple, low-cost, multidisciplinary interventions embedded into routine ward practice can sustainably improve early mobilization among elderly inpatients. Early mobilization should be considered a core marker of quality inpatient care and a key strategy in reducing the risk of hospital-associated deconditioning.
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