Pulse Brain · Growing Health Evidence Index
Tier 3 — Observational / field trialPeer-reviewed

First initiation of mobilization out of bed after cardiac surgery – an observational cross-sectional study in Sweden

Elisabeth Westerdahl, Johanna Lilliecrona, Maria Sehlin, Anna Svensson‐Raskh, Malin Nygren‐Bonnier, Monika Fagevik Olsén

Journal of Cardiothoracic Surgery · 2024

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Summary

This observational study examined early mobilisation practices in 290 adult cardiac surgery patients across five Swedish university hospitals, finding that 96% were mobilised out of bed within 24 hours post-surgery, with 39% mobilised within 6 hours. Mean time to first mobilisation was 8.7 hours (median 7.1 hours), with no significant differences across surgery types. A moderate association was found between longer intubation time and delayed mobilisation, suggesting extubation status may influence mobilisation timing.

Regional applicability

This study was conducted in Sweden and provides evidence on early mobilisation practices in a Scandinavian healthcare context. Findings may be transferable to United Kingdom cardiac surgery programmes, though implementation practices and staffing models may differ; UK centres should evaluate whether mobilisation timing aligns with these benchmarks and local protocols.

Key measures

Time to first mobilization after end of surgery (hours), duration of first mobilisation session (minutes), type of mobilisation (sitting on edge of bed, standing, sitting in chair), intubation time, correlation coefficients (Spearman's rho)

Outcomes reported

The study documented the timing of first out-of-bed mobilization after cardiac surgery, duration of mobilisation sessions, and types of mobilisation performed. It examined associations between patient factors (intubation time) and mobilisation timing within the first 24 hours post-surgery.

Theme
General food systems / other
Subject
Out of scope / non-food
Study type
Research
Study design
Observational cross-sectional study
Source type
Peer-reviewed study
Status
Published
Geography
Sweden
System type
Other
DOI
10.1186/s13019-024-02915-4
Catalogue ID
SNmq64crgc-n38xru

Topic tags

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