: Linking ACCELerometer and EHR dATa for Early detection of poor physical activity
is a collaboration between Duke Pepper Center
and Duke FORGE
teams to leverage Electronic Health Record (EHR)-based data to provide a targeted and scalable process for early identiﬁcation of poor physical activity as an alternative to traditional screening. Juliessa Pavon, MD
, Project Leader, links physical activity (PA) data measured by accelerometers to patient clinical characteristics and outcomes using the EHR. Despite the importance of metrics of physical activity in making health care decisions, PA is not routinely captured in clinical encounters, or in a discrete and uniform method.
In recent years, activity tracking through accelerometry has become an important component of clinical monitoring and has the potential to increase our understanding of basic medical conditions. For example, activity monitoring in several large epidemiological studies is highlighting the importance of low physical activity on health outcomes in major chronic diseases. As a result, the addition of accelerometer-measured activity at Duke could aid in the detection of poor physical activity in these high risk populations, many of which go on to seek geriatrics services.
Results from this study will provide foundational new knowledge regarding the clinical utility of an EHR digital algorithm to detect an important patient outcome: poor physical activity, as measured by objective accelerometer data. Providing clinicians with the ability to monitor these patients most in need of early geriatrics care interventions, and modify treatment course to promote healthy aging and resilience, is consistent with key stakeholder goals of Duke FORGE and the Duke Pepper Center.
Funding for Dr Pavon’s research is provided by the Duke Department of Medicine Health Data Science grant program.
Pavon JM, Fish LJ, Colón-Emeric CS, Hall KS, Morey MC, Pastva AM, Hastings SN. Towards “mobility is medicine”: Socioecological factors and hospital mobility in older adults. J Am Geriatr Soc. 2021 Jul;69(7):1846-1855. PMCID:8273111
Pavon JM, Sloane RJ, Pieper CF, Colón-Emeric CS, Cohen HJ, Gallagher D, Hall KS, Morey MC, McCarty M, Hastings SN. Accelerometer-Measured Hospital Physical Activity and Hospital-Acquired Disability in Older Adults. J Am Geriatr Soc. 2020 Feb;68(2):261-265. PMCID:7002200
Pavon JM, Sloane RJ, Pieper CF, Colón-Emeric CS, Gallagher D, Cohen HJ, Hall KS, Morey MC, McCarty M, Ortel TL, Hastings SN. Physical Activity in the Hospital: Documentation and Influence on Venous Thromboembolism Prophylaxis. J Aging Phys Act. 2020 Apr 24;28(2):306-310. PMCID:7210062
Pavon JM, Sloane R, Morey MC, Hastings SN. Inpatient Mobility Measures As Useful Predictors of Discharge Destination in Hospitalized Older Adults. J Am Geriatr Soc. 2017 Jan;65(1):224-226. PMCID:5832492