Early Mobilization in Aneurysmal Subarachnoid Hemorrhage Accelerates Recovery and Reduces Length of Stay

Olkowski, Brian F.; Binning, Mandy J.; Sanfillippo, Geri; Arcaro, Melissa L.; Slotnick, Laurie E.; Veznedaroglu, Erol; Liebman, Kenneth; Warren, Amy

doi:10.1097/jat.0000000000000008

Cited by 12 publications

(11 citation statements)

References 32 publications

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“…Retrospective studies have shown that early rehabilitation after the ruptured aneurysm is secured is feasible without an increase in adverse events. 267,441,442,444,445 To decrease the potential risk of rerupture of a patient’s aneurysm, bed rest would be safest before the aneurysm being secured. 442,443 Patients with DCI are usually not considered for participation in rehabilitation or ambulation while they are receiving BP augmentation and other therapies for DCI.…”

Section: Asah Recoverymentioning

confidence: 99%

2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage: A Guideline From the American Heart Association/American Stroke Association

Hoh¹,

Ko²,

Amin‐Hanjani³

et al. 2023

Stroke

268

145

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AIM: The “2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage” replaces the 2012 “Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage.” The 2023 guideline is intended to provide patient-centric recommendations for clinicians to prevent, diagnose, and manage patients with aneurysmal subarachnoid hemorrhage. METHODS: A comprehensive search for literature published since the 2012 guideline, derived from research principally involving human subjects, published in English, and indexed in MEDLINE, PubMed, Cochrane Library, and other selected databases relevant to this guideline, was conducted between March 2022 and June 2022. In addition, the guideline writing group reviewed documents on related subject matter previously published by the American Heart Association. Newer studies published between July 2022 and November 2022 that affected recommendation content, Class of Recommendation, or Level of Evidence were included if appropriate. STRUCTURE: Aneurysmal subarachnoid hemorrhage is a significant global public health threat and a severely morbid and often deadly condition. The 2023 aneurysmal subarachnoid hemorrhage guideline provides recommendations based on current evidence for the treatment of these patients. The recommendations present an evidence-based approach to preventing, diagnosing, and managing patients with aneurysmal subarachnoid hemorrhage, with the intent to improve quality of care and align with patients’ and their families’ and caregivers’ interests. Many recommendations from the previous aneurysmal subarachnoid hemorrhage guidelines have been updated with new evidence, and new recommendations have been created when supported by published data.

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Section: Asah Recoverymentioning

confidence: 99%

2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage: A Guideline From the American Heart Association/American Stroke Association

Hoh¹,

Ko²,

Amin‐Hanjani³

et al. 2023

Stroke

268

145

View full text Add to dashboard Cite

show abstract

“…Further, early mobilization performed in inpatients who underwent surgery shortened the length of hospital stay (Pashikanti & von Ah, ). Olkowski et al () found that early mobilization in patients with aneurysmal subarachnoid haemorrhage shortens the length of hospital stay. Tayrose et al () reported that the early mobilization of patients after total joint replacement procedure shortened the length of hospital stay and reduced the cost of hospitalization (Tayrose et al, ).…”

Section: Discussionmentioning

confidence: 99%

Effects of early mobilization protocol performed after cardiac surgery on patient care outcomes

Yayla

Özer

2019

Int J of Nursing Practice

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Aim:This study aimed to determine the effects of an early mobilization protocol performed in patients who underwent cardiac surgery on post-operative outcomes.Background: Post-operative complications are common in patients undergoing cardiac surgery. Early mobilization is recommended for patients who undergo cardiac surgery to prevent complications and achieve successful outcomes in postoperative care. Design:The study design was quasi-experimental with a control group. Methods: Participants were patients who underwent cardiac surgery between January and October 2015. The study included 102 patients (51 patients each in the experimental and control groups). The introductory characteristics form, the Richards-Campbell Sleep Questionnaire (RCSQ), duration of hospital stay (postoperatively), and development of a post-operative late complications form were used to collect data. Results: The study results revealed that patients in the experimental group had better improvement in RCSQ scores, shorter duration of hospitalization, and fewer late complications after surgery than patients in the control group. Conclusion: Early mobilization is feasible in adult cardiac surgery patients and has significant benefits. More research is recommended into the effectiveness of early mobilization in different patient groups. KEYWORDS cardiac surgery, early mobilization, length of stay, nursing, post-operative complications, sleep SUMMARY STATEMENTWhat is already known about this topic?• Cardiac surgery stands out from other forms of treatment due to the advances in techniques and materials that have resulted in safer procedures and lower perioperative risks. Despite these advances, post-operative complications are frequent and are a determinant of length of hospital stay and functional recovery.• Early mobilization is one of the evidence-based, effective nursing interventions that improve patient care outcomes and prevent immobilization-related complications.• However, standard guidelines, evidence-based practices, and early mobilization protocols are underused by nurses during postoperative care. What this paper adds?• This study assesses the effect of an early mobilization protocol on patient care outcomes in patients who underwent cardiac surgery

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“…The ndings of this study consisted with previous studies on the association between early mobilization and favorable outcomes in patients with aSAH (19)(20)(21)(30)(31)(32). Observational studies have consistently reported that early mobilization programs are linked to favorable functional outcomes (19,21), shorter hospital stay (20,21), and fewer complications (30).…”

Section: Discussionmentioning

confidence: 77%

Association between early mobilization and functional outcomes in patients with aneurysmal subarachnoid hemorrhage: A Multicenter, retrospective, propensity score-matched study

TAKARA

Suzuki

Satoh³

et al. 2023

Preprint

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Background Early mobilization is important for promoting functional recovery and preventing complications in patients with aneurysmal subarachnoid hemorrhage (aSAH). However, the efficacy of early mobilization in patients with aSAH remains unclear. This study aimed to investigate the association between early mobilization and functional outcomes in patients with aSAH. Methods This multicenter retrospective study was conducted in Japan, including patients with aSAH who received physical therapy, with or without occupational therapy, from April 2014 to March 2019. The primary outcome was the modified Rankin Scale (mRS) score, with a favorable functional outcome defined as an mRS score of 0–2 and an unfavorable outcome with an mRS score of 3–5. Patients initiating walking training within 14 days of aSAH onset were classified into the early mobilization group, whereas those initiating training after 14 days were classified into the delayed mobilization group. Propensity score matching analysis was performed to assess the association between early mobilization and favorable outcomes. Results A total of 718 patients were screened and 450 eligible patients were identified. Before matching, 229 patients (50.9%) were in the early mobilization group and 221 (49.1%) were in the delayed mobilization group. After matching, each group consisted of 122 patients, and the early mobilization group exhibited a higher proportion of favorable outcomes than did the delayed mobilization group (81.1% vs. 52.5%; risk difference, 28.7%; 95% CI, 17.4–39.9; p < 0.001). Conclusions This multicenter retrospective study suggests that initiating walking training within 14 days of aSAH onset is associated with favorable outcomes.

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Early Mobilization in Aneurysmal Subarachnoid Hemorrhage Accelerates Recovery and Reduces Length of Stay

Abstract: Background: Survivors of aneurysmal subarachnoid hemorrhage

Cited by 12 publications

References 32 publications

2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage: A Guideline From the American Heart Association/American Stroke Association

2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage: A Guideline From the American Heart Association/American Stroke Association

Effects of early mobilization protocol performed after cardiac surgery on patient care outcomes

Association between early mobilization and functional outcomes in patients with aneurysmal subarachnoid hemorrhage: A Multicenter, retrospective, propensity score-matched study

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