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After-Surgery Step Counts From Wearables Predict Recovery Outcomes

Wearable data could give clinicians an objective signal for discharge decisions.

Overview

  • The Ohio State–led analysis, published Wednesday in the Journal of the American College of Surgeons, tied each extra 1,000 postoperative steps to 18% fewer complications, 16% lower readmission odds, and 6% shorter hospital stays.
  • Researchers drew on the NIH All of Us program, linking electronic health records with wearable device data for 1,965 adult inpatients who underwent surgery.
  • Step count was a stronger predictor of recovery than heart rate variability and self-reported wellness scores measured after surgery.
  • The association between higher steps and better outcomes held across different surgery types and across patients with varied baseline health.
  • Authors propose using step monitoring to time discharge and target extra support after hospitalization, while noting the study is observational and does not prove causation.