Effects of early mobilisation in patients after cardiac surgery: a systematic review
Abstract Background Early mobilisation is prescribed after cardiac surgery to prevent postoperative complications, decrease length of hospital stay, and augment return to daily activities. Objective To evaluate the evidence for the effects of early mobilisation in patients after cardiac surgery on l...
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Published in | Physiotherapy Vol. 103; no. 1; pp. 1 - 12 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
England
Elsevier Ltd
01.03.2017
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Abstract | Abstract Background Early mobilisation is prescribed after cardiac surgery to prevent postoperative complications, decrease length of hospital stay, and augment return to daily activities. Objective To evaluate the evidence for the effects of early mobilisation in patients after cardiac surgery on length of hospital stay, functional capacity and postoperative complications. Data sources The data sources used were Medline, Embase, CINAHL, PEDro, Web of Science and Cochrane Central Register of Controlled Trials. Study selection Randomised controlled trials of early mobilisation after cardiac surgery. Study selection was not restricted by language or publication time. Study appraisal and synthesis methods The methodological quality of each article was appraised with the PEDro scale. All review phases (selection, data extraction and appraisal) were conducted by two investigators, and a third investigator provided consensus. Results Nine trials were selected. The PEDro scale showed that the studies had a low risk of bias (range 5 to 9 points). The trials revealed diversity in techniques used for mobilisation, as well as periods considered early for the start of the intervention. Early mobilisation groups had improved outcomes compared with control groups without treatment. Generally, these advantages did not differ when groups of interventions were compared. Limitations It was not possible to perform a meta-analysis due to the variability of the interventions proposed as early mobilisation. Conclusions Regardless of the techniques used as mobilisation, the essential point is to avoid bed rest. Early mobilisation seems to be important to prevent postoperative complications, improve functional capacity and reduce length of hospital stay in patients after cardiac surgery. |
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AbstractList | Early mobilisation is prescribed after cardiac surgery to prevent postoperative complications, decrease length of hospital stay, and augment return to daily activities.
To evaluate the evidence for the effects of early mobilisation in patients after cardiac surgery on length of hospital stay, functional capacity and postoperative complications.
The data sources used were Medline, Embase, CINAHL, PEDro, Web of Science and Cochrane Central Register of Controlled Trials.
Randomised controlled trials of early mobilisation after cardiac surgery. Study selection was not restricted by language or publication time.
The methodological quality of each article was appraised with the PEDro scale. All review phases (selection, data extraction and appraisal) were conducted by two investigators, and a third investigator provided consensus.
Nine trials were selected. The PEDro scale showed that the studies had a low risk of bias (range 5 to 9 points). The trials revealed diversity in techniques used for mobilisation, as well as periods considered early for the start of the intervention. Early mobilisation groups had improved outcomes compared with control groups without treatment. Generally, these advantages did not differ when groups of interventions were compared.
It was not possible to perform a meta-analysis due to the variability of the interventions proposed as early mobilisation.
Regardless of the techniques used as mobilisation, the essential point is to avoid bed rest. Early mobilisation seems to be important to prevent postoperative complications, improve functional capacity and reduce length of hospital stay in patients after cardiac surgery. BACKGROUNDEarly mobilisation is prescribed after cardiac surgery to prevent postoperative complications, decrease length of hospital stay, and augment return to daily activities.OBJECTIVETo evaluate the evidence for the effects of early mobilisation in patients after cardiac surgery on length of hospital stay, functional capacity and postoperative complications.DATA SOURCESThe data sources used were Medline, Embase, CINAHL, PEDro, Web of Science and Cochrane Central Register of Controlled Trials.STUDY SELECTIONRandomised controlled trials of early mobilisation after cardiac surgery. Study selection was not restricted by language or publication time.STUDY APPRAISAL AND SYNTHESIS METHODSThe methodological quality of each article was appraised with the PEDro scale. All review phases (selection, data extraction and appraisal) were conducted by two investigators, and a third investigator provided consensus.RESULTSNine trials were selected. The PEDro scale showed that the studies had a low risk of bias (range 5 to 9 points). The trials revealed diversity in techniques used for mobilisation, as well as periods considered early for the start of the intervention. Early mobilisation groups had improved outcomes compared with control groups without treatment. Generally, these advantages did not differ when groups of interventions were compared.LIMITATIONSIt was not possible to perform a meta-analysis due to the variability of the interventions proposed as early mobilisation.CONCLUSIONSRegardless of the techniques used as mobilisation, the essential point is to avoid bed rest. Early mobilisation seems to be important to prevent postoperative complications, improve functional capacity and reduce length of hospital stay in patients after cardiac surgery. Abstract Background Early mobilisation is prescribed after cardiac surgery to prevent postoperative complications, decrease length of hospital stay, and augment return to daily activities. Objective To evaluate the evidence for the effects of early mobilisation in patients after cardiac surgery on length of hospital stay, functional capacity and postoperative complications. Data sources The data sources used were Medline, Embase, CINAHL, PEDro, Web of Science and Cochrane Central Register of Controlled Trials. Study selection Randomised controlled trials of early mobilisation after cardiac surgery. Study selection was not restricted by language or publication time. Study appraisal and synthesis methods The methodological quality of each article was appraised with the PEDro scale. All review phases (selection, data extraction and appraisal) were conducted by two investigators, and a third investigator provided consensus. Results Nine trials were selected. The PEDro scale showed that the studies had a low risk of bias (range 5 to 9 points). The trials revealed diversity in techniques used for mobilisation, as well as periods considered early for the start of the intervention. Early mobilisation groups had improved outcomes compared with control groups without treatment. Generally, these advantages did not differ when groups of interventions were compared. Limitations It was not possible to perform a meta-analysis due to the variability of the interventions proposed as early mobilisation. Conclusions Regardless of the techniques used as mobilisation, the essential point is to avoid bed rest. Early mobilisation seems to be important to prevent postoperative complications, improve functional capacity and reduce length of hospital stay in patients after cardiac surgery. |
Author | Santos, P.M.R Suster, É.A.B Ricci, N.A Chiavegato, L.D Paisani, D.M |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27931870$$D View this record in MEDLINE/PubMed |
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Keywords | Early mobilisation Cardiac surgery Postoperative complications Randomised control trials |
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Snippet | Abstract Background Early mobilisation is prescribed after cardiac surgery to prevent postoperative complications, decrease length of hospital stay, and... Early mobilisation is prescribed after cardiac surgery to prevent postoperative complications, decrease length of hospital stay, and augment return to daily... BACKGROUNDEarly mobilisation is prescribed after cardiac surgery to prevent postoperative complications, decrease length of hospital stay, and augment return... |
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SubjectTerms | Cardiac surgery Cardiac Surgical Procedures - rehabilitation Early Ambulation - methods Early mobilisation Humans Intensive Care Units - statistics & numerical data Length of Stay - statistics & numerical data Physical Medicine and Rehabilitation Physical Therapy Modalities Postoperative complications Postoperative Complications - epidemiology Randomised control trials Randomized Controlled Trials as Topic |
Title | Effects of early mobilisation in patients after cardiac surgery: a systematic review |
URI | https://www.clinicalkey.es/playcontent/1-s2.0-S0031940616300608 https://dx.doi.org/10.1016/j.physio.2016.08.003 https://www.ncbi.nlm.nih.gov/pubmed/27931870 https://search.proquest.com/docview/1847889680 |
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