Lower incidence of venous thrombosis with temporary active-fixation lead implantation in mobile patients

Abstract

In the 75% of patients with moderate or high mobility, there were no DVT cases. The 6.4% DVT incidence was limited to patients with low mobility and was significantly lower than the norm for this procedure. A larger, randomized study is needed to confirm the benefits of the mobility allowed by an active-fixation lead.

Outcomes of inpatient mobilization: a literature review

“…García Guerrero et al . () studied 47 consecutive patients receiving temporary pacemaker implantation and found that those who had a high or moderate amount of mobility did not experience a DVT, and 6·4% of patients with a low amount of mobility did develop a DVT.…”

Association of Wearable Activity Monitors With Assessment of Daily Ambulation and Length of Stay Among Patients Undergoing Major Surgery

“…Ambulatory status is a fundamental factor in management of the postoperative surgical inpatient and has been linked to both key clinical (eg, deep venous thromboembolism) 1,2,3 and efficiency (eg, cost of inpatient care and length of stay [LOS]) 4,5,6,7,8 outcomes. Yet, despite its central role in recovery and disposition, daily assessment of ambulation is imprecise and is an often neglected component of nursing care, missed 76% to 89% of the time.…”

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

“…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, ).…”