Early mobilization in the postoperative patients submitted to cardiac surgery – A systematic review

Ramos, Priscila; Ricci, Natália Aquaroni; Suster, Erika A B; Paisani, Denise de Moraes; Chiavegato, Luciana Dias

doi:10.1183/13993003.congress-2015.pa3544

Cited by 3 publications

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“…Ahmed et al () showed that early activity in patients who had undergone open‐heart surgery was associated with a significantly shorter length of stay in the ICU. The results of a systematic review showed that early mobilization of patients with cardiac surgery shortens the length of hospital stay (Ramos et al, ). Further, early mobilization performed in inpatients who underwent surgery shortened the length of hospital stay (Pashikanti & von Ah, ).…”

Section: Discussionmentioning

confidence: 99%

“…Early mobilization performed in patients who underwent cardiac surgery reduces the development of post‐operative complications such as pneumonia (Sandra et al, ). In addition, early mobilization reduces complications in patients who underwent cardiac surgery (Ramos et al, ). Our results are consistent with those reported previously, and our results showed that the number of patients with complications decreased because of the positive effects of ROM exercises, deep breathing with incentive spirometry, cough exercises, and sitting and walking activities included in the protocol.…”

Section: Discussionmentioning

confidence: 99%

“…In the ABCDE package program, early mobilization was found to be beneficial and safe as well as improving patient care outcomes (Balas et al, ; Klein, Mulkey, Bena, & Albert, ). Recent studies have shown that early mobilization reduces pain (Augustin, de Quadros, & Sarmento‐Leite, ; Chair, Thompson, & Li, ), deep vein thrombosis (Garcia Guerrero et al, ; Langhorne et al, ; Nakao et al, ), urinary system complications (Chair et al, ; Kurabe, Ozawa, Watanabe, & Aiba, ; Langhorne et al, ), atelectasis (Ahmed, El Soussi, & El Said, ), pneumonia (Kamel, Iqbal, Mogallapu, Maas, & Hoffmann, ; Kurabe et al, ), delirium (Kamel et al, ), and complications (Ahmed et al, ; Ramos, Ricci, Suster, Paisani, & Chiavegato, ; Sandra, VanNortwick, Dionne, Whitmore, & Bradley, ); shortens the length of stay in the intensive care unit (ICU) (Ahmed et al, ) and hospital (Ramos et al, ); and increases oxygen transport and functional healing (Barbosa et al, ; Bourdin et al, ). In addition, early mobilization indirectly decreases the cost of hospitalization by reducing post‐operative complications and shortening the length of stay in the hospital (Healy, Iorio, Ko, Appleby, & Lemos, ).…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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“…Early mobilization after cardiac surgery is crucial to the success of improved recovery [3,[11][12][13][14]. Although there are different techniques and periods proposed for mobilization, there is not enough evidence on how they should be optimal [1].…”

Section: Discussionmentioning

confidence: 99%

Mobilization Levels of Cardiac Surgery Patients in the Early Postoperative Period

İbrahimoğlu

Gezer

Öğütlü³

2023

Dubai Med J

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Introduction: Early mobilization after cardiac surgery positively affects the improvement of the physical, social, and psychological functions of patients. This study was carried out to evaluate the mobilization levels of cardiac surgery patients in the early postoperative period with the ICU-Mobility Scale (IMS). Methods: This descriptive and observational study was conducted with 104 patients and 15 nurses between February and June 2021 in a cardiovascular surgery intensive care unit in Turkey. Data were collected with an information form and the IMS. Results: A statistically significant relationship was found between the time the patients reached the 1st, 3rd, 4th, 6th, 7th, and 8th levels of the IMS in the intensive care unit and the American Society of Anesthesiologists (ASA) score, cardiopulmonary bypass time, aortic cross-clamping time, operation time, and intubation time (p < 0.05). In addition, nurses reported that they had a little difficulty and high satisfaction during the application of the scale. Conclusion: Mobilization after cardiac surgery is affected by some factors during and after surgery. The IMS is an inexpensive, easy, and effective method that can be used to evaluate and classify the mobilization levels of patients in the intensive care unit after cardiac surgery.

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“…This finding highlights the importance of improving functional capacity of lung transplant candidates through pre‐habilitation. Patients who are able to walk greater distances prior to transplant may have greater functional capacity post‐transplant which could potentially reduce the incidence of postoperative complications and length of hospital stay 27 …”

Section: Discussionmentioning

confidence: 99%

Changes in 6‐minute walking distance in lung transplant candidates while participating in a home‐based pre‐habilitation program—A retrospective chart review

Massierer

Bourgeois

Räkel

et al. 2020

Clinical Transplantation

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Home‐based exercise programs may offer a less costly alternative to providing exercise pre‐transplant to a large number of patients. We describe the changes in 6‐minute walk distance (6MWD) in lung transplant candidates who participated in a home‐based exercise program and their relationship to post‐transplant outcomes. Retrospectively, we investigated 159 individuals while awaiting transplantation who performed the surgery between 2011 and 2015. Primary outcome was 6MWD at time of assessment for transplant, last test prior to transplant and one‐month post‐transplant. 6MWD decreased by 28 ± 93.9 m between the time of assessment and the last 6MWD prior to transplantation (P < .001). Forty‐one patients (25.8%) increased their 6MWD (mean + 85.8 ± 42.8 m); 72 patients (45.3%) decreased their 6MWD (mean −109.8 ± 71.2 m); and 46 patients (28.9%) had no change in 6MWD (−1.5 ± 15.7 m). There was a moderate correlation (r = .528; P < .001) between the last 6MWD prior to transplant and 6MWD post‐transplant. Change in 6MWD prior to transplant weakly correlated with length of time on mechanical ventilation (r = −.185; P = .034). When adjusted for covariates, change in 6MWD prior to transplant was not associated with length of time on mechanical ventilation, total hospital LOS, or intensive care unit LOS. The majority of the patients were able to either increase or maintain their 6MWD while participating in a home‐based pre‐habilitation program during the waiting list period. Prospective research is needed to evaluate the effects of home‐based pre‐habilitation program for lung candidates.

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Early mobilization in the postoperative patients submitted to cardiac surgery – A systematic review

Cited by 3 publications

References 0 publications

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

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

Mobilization Levels of Cardiac Surgery Patients in the Early Postoperative Period

Changes in 6‐minute walking distance in lung transplant candidates while participating in a home‐based pre‐habilitation program—A retrospective chart review

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