JMIR Publications

ABSTRACT

Disruptions in sleep and physical activity are common during hospitalization but the long-term impact on patient reported outcomes is poorly understood. This secondary analysis sought to examine the association of daily sleep, physical activity, and patient reported outcomes at 13 weeks after hospital discharge. Differences in patient reported outcomes at 13 weeks following hospital discharge were examined using a multivariate linear regression model. In a subgroup of participants who averaged the recommended 7-9 hours of sleep/night over 13-weeks (n=60), those who were sedentary (<5000 steps/day) reported significantly reduced life space mobility (z-score, -0.77, 95% CI [-1.3, -0.15], P = 0.02), poorer physical health (z-score, -0.73, 95% CI [-1.3, -0.13], P=0.003), and significantly higher symptom burden (z-score, 0.93, 95% CI [0.3, 1.5], P =0.02) compared to those who were physically active (≥5000 steps/day). Interventions to improve functional recovery post-discharge may need to target individuals with sedentary activity levels.