{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:27:00Z","timestamp":1759883220493,"version":"build-2065373602"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:00:00Z","timestamp":1753315200000},"content-version":"unspecified","delay-in-days":204,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Trans. Sci."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S2059866125101106_as1\">\n\t    <jats:title>Background:<\/jats:title>\n\t    <jats:p>Hospital-acquired pressure injuries (HAPIs) are a preventable source of patient harm, contributing to morbidity, mortality, and billions in healthcare costs. Risk assessment tools rely on subjective evaluation and may not accurately capture real-time mobility. Existing technologies have not been widely adopted and have failed to significantly reduce HAPI rates. Our study explores the feasibility of a novel, wireless mattress-attachable motion sensor designed for continuous mobility monitoring in hospitalized patients.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2059866125101106_as2\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>Sensor accuracy was first validated against video analysis in three healthy volunteers. A single-arm prospective cohort study was then conducted in hospitalized patients. A motion sensor was attached to each patient\u2019s bed to continuously record movement. Sensor-derived mobility data were compared with nursing-assessed mobility scores and other patient characteristics. Simulated immobility alerts were generated based on periods of inactivity.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2059866125101106_as3\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>The sensor\u2019s movement detection strongly correlated with video-based analysis in three healthy volunteers (<jats:italic>r<\/jats:italic> = 0.89, 95% CI [0.51, 0.99]). Forty-seven patients were enrolled with an average of 9.7 movements\/hour and average recording duration of 22.9 hours. No significant differences in age, comorbidities, or nursing mobility scores were observed between high- and low-movement groups. Simulated immobility alerts identified 15 patients who would have triggered a notification, predominantly those with lower movement and BMI.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2059866125101106_as4\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>The sensor system provides objective mobility data and overcomes limitations of current assessment tools. These findings support its potential role in pressure injury prevention and highlight key areas for future clinical integration.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/cts.2025.10110","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T09:02:14Z","timestamp":1753347734000},"source":"Crossref","is-referenced-by-count":0,"title":["Feasibility and validation of a novel mobility monitoring sensor in hospitalized patients: A prospective cohort study"],"prefix":"10.1017","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7746-7833","authenticated-orcid":false,"given":"Samuel","family":"Smith","sequence":"first","affiliation":[{"name":"George Washington University School of Medicine and Health Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leah","family":"Steckler","sequence":"additional","affiliation":[{"name":"George Washington University School of Medicine and Health Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,7,24]]},"reference":[{"key":"S2059866125101106_ref24","doi-asserted-by":"publisher","DOI":"10.1097\/01.WON.0000438014.90734.a2"},{"key":"S2059866125101106_ref11","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.14371"},{"key":"S2059866125101106_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13071"},{"key":"S2059866125101106_ref4","unstructured":"4. Levinson, DR. Adverse events in hospitals: National incidence among medicare beneficiaries, Office of Inspector General, US Department of Health and Human Services, November 2010. (https:\/\/oig.hhs.gov\/oei\/reports\/oei-06-09-00090.pdf) Accessed February 2, 2025"},{"key":"S2059866125101106_ref31","doi-asserted-by":"publisher","DOI":"10.1111\/sms.14202"},{"key":"S2059866125101106_ref14","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000527966.72494.61"},{"key":"S2059866125101106_ref1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15316"},{"key":"S2059866125101106_ref22","unstructured":"22. Smith, SD. Patient monitoring system. US patent application US 2024\/0225481 A1. Published July 11, 2024. (https:\/\/patents.google.com\/patent\/US20240225481A1)"},{"key":"S2059866125101106_ref9","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.17431"},{"key":"S2059866125101106_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.09.003"},{"key":"S2059866125101106_ref13","unstructured":"13. Agency for Healthcare Research and Quality. Preventing pressure ulcers in hospitals., Rockville, MD. (https:\/\/www.ahrq.gov\/patient-safety\/settings\/hospital\/resource\/pressureulcer\/tool\/pu7b.html) Accessed February 2, 2025."},{"key":"S2059866125101106_ref15","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2017-007505"},{"key":"S2059866125101106_ref29","doi-asserted-by":"publisher","DOI":"10.1364\/BOE.439893"},{"key":"S2059866125101106_ref16","first-page":"CD006471","article-title":"Risk assessment tools for the prevention of pressure ulcers","volume":"1","author":"Moore","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"S2059866125101106_ref32","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000824780.10098.d1"},{"key":"S2059866125101106_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.2079"},{"key":"S2059866125101106_ref23","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-023-00899-4"},{"key":"S2059866125101106_ref25","first-page":"408","article-title":"Predictive validity of pressure ulcer risk assessment tools for elderly: a meta-analysis","volume":"46","author":"Park","year":"2016","journal-title":"J Korean Acad Nurs"},{"key":"S2059866125101106_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-018-0997-7"},{"key":"S2059866125101106_ref28","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2021.732751"},{"key":"S2059866125101106_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/00129334-200107000-00015"},{"key":"S2059866125101106_ref7","doi-asserted-by":"publisher","DOI":"10.1046\/j.0283-9318.2003.00250.x"},{"key":"S2059866125101106_ref19","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000523"},{"key":"S2059866125101106_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000878"},{"key":"S2059866125101106_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-198707000-00002"},{"key":"S2059866125101106_ref26","doi-asserted-by":"publisher","DOI":"10.1186\/cc10546"},{"key":"S2059866125101106_ref18","doi-asserted-by":"publisher","DOI":"10.1177\/1751143718804682"},{"key":"S2059866125101106_ref21","doi-asserted-by":"publisher","DOI":"10.3390\/s24196483"},{"key":"S2059866125101106_ref30","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-017-0430-8"},{"key":"S2059866125101106_ref17","doi-asserted-by":"publisher","DOI":"10.25270\/wmp.2020.5.1829"},{"volume-title":"National Clinical Guideline Centre. The prevention and management of pressure ulcers in primary and secondary care","year":"2014","key":"S2059866125101106_ref8"},{"key":"S2059866125101106_ref27","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1055\/s-2003-43272","article-title":"Effects of body mass index on the accuracy of an electronic pedometer","volume":"24","author":"Swartz","year":"2003","journal-title":"Int J Sports Med"}],"container-title":["Journal of Clinical and Translational Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2059866125101106","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T16:07:43Z","timestamp":1759853263000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2059866125101106\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":32,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"alternative-id":["S2059866125101106"],"URL":"https:\/\/doi.org\/10.1017\/cts.2025.10110","relation":{},"ISSN":["2059-8661"],"issn-type":[{"type":"electronic","value":"2059-8661"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e171"}}