• Burns · Nov 2024

    Identification and quantification of physical activity in critically ill burn patients: A feasibility study.

    • Y Dikkema, L J Mouton, K W Gerrits, Steen-DieperinkM van derMVMartini Hospital, Department of Intensive Care, Groningen, the Netherlands. Electronic address: m.vandersteen-dieperink@mzh.nl., J Eshuis, C P van der Schans, Scholten-JaegersS M H JSMHJBurn Center Martini Hospital Groningen, Groningen, the Netherlands. Electronic address: s.scholten@mzh.nl., A S Niemeijer, and M K Nieuwenhuis.
    • Alliance of Dutch Burn Centers, Burn Center Martini Hospital Groningen, Groningen, the Netherlands; Hanze University of Applied Sciences Groningen, Research Group Healthy Ageing, Allied Healthcare and Nursing, Groningen, the Netherlands; University of Groningen, University Medical Center Groningen, Department of Human Movement Sciences, Groningen, the Netherlands. Electronic address: y.dikkema@mzh.nl.
    • Burns. 2024 Nov 12; 51 (1): 107312107312.

    BackgroundPhysical activity is essential in burn care to counteract the effects of severe burns and inactivity during hospitalization. However, detailed knowledge of performed physical activities is lacking. This study evaluated the feasibility of a dual accelerometer-based method to assess type, frequency, and duration of physical activity in critically ill burn patients during hospitalization.MethodsA prospective observational study was conducted at the burn center of the Martini Hospital, Groningen, The Netherlands. Eligible were patients with a total body surface area (TBSA) burned of ≥ 15 % or an indication for intensive care. Patients wore two accelerometers, one on the chest and one on the diagonally opposite thigh. An algorithm converted accelerometer data into type, frequency, and duration of activities common for intensive care patients. An activity diary was used to assess non-wear time and its content, e.g., surgery.ResultsFive patients (20-60 years, 13-31 % TBSA burned, LOS 30-65 days) were included. Per patient, 14-49 days (17,380-61,796 min) could be analyzed of which 7-14 % was non-wear time. During wear time, 86-95 % of activities could be identified and quantified. However, processing the data was labor-intensive.ConclusionThe dual accelerometer-based method proved feasible for research purposes. For clinical application, further refinement of data processing is required.Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.

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