Early Mobilization in People With Acute Cardiovascular Disease

Health-Related Quality of Life in Older Adults With Acute Cardiovascular Disease Undergoing Early Mobilization

“…EM has been shown previously to be safe and feasible in people with acute CVD and is associated with lower rates of discharge to healthcare institutions (ie, rehabilitation centres and long-term care facilities). 6 , 19 Our current study similarly found that EM was safe and feasible. Adverse events were rare (0.4% of mobility activities), transient, and not clinically relevant.…”

Patient and Family Perspectives on Early Mobilization in Acute Cardiac Care

“… 7 Family-based mobilization is a feasible and meaningful engagement intervention wherein family members can directly contribute to care. 1 , 18 Mobilization programs may also improve person-centred outcomes. One study observing patient, family caregiver, and clinician perspectives on the use of in-bed cycling as a method of mobilization in critically ill children found that family participation in their child’s care decreased anxiety, improved satisfaction, and provided emotional and psychological benefits to family members.…”

“…Recent evidence, however, supports the safety and feasibility of EM in acute and critical cardiac populations. 1 EM is also associated with increased muscle strength and physical function, decreased rates of delirium, shortened critical care duration and hospital length of stay, and reduced incidence of hospital readmissions. 2 , 3 Despite our current knowledge of the benefits associated with EM, involuntary bed rest and delayed mobilization continue to be a common part of acute cardiology care practice.…”

Sedentary Time in Older Adults With Acute Cardiovascular Disease

“…In contrast, a recent study by Semsar-Kazerooni et al., of patients with acute cardiovascular disease undergoing EM reported 9.6% of interventional and 12.2% of preintervention patients discharged to a rehabilitation or acute-care hospital. 13 A low rate of discharge to inpatient rehabilitation may represent either a “less sick” selected patient population or improved recovery while in hospital.…”

“…The EM program has been previously shown to be safe and feasible people with acute cardiovascular disease. 12,13 Mobility is measured in the EM program using the validated LOF Mobility Scale, which ranges from 0 (bed mobility) to 5 (able to walk > 20 meters). 12 Bedside nurses assess the prehospital and admission LOF score upon unit J o u r n a l P r e -p r o o f arrival and then subsequently twice daily.…”