Key result
Day-10 mobilization after uncomplicated MI shows no difference in 30-day outcomes versus day-20 mobilization.
Why the study?
Does early mobilization on day 10 safely prevent complications or maintain outcomes compared to day 20 mobilization in patients with uncomplicated myocardial infarction?
Does early mobilization on day 10 safely prevent complications or maintain outcomes compared to day 20 mobilization in patients with uncomplicated myocardial infarction?
Early mobilization starting at 10 days after an uncomplicated myocardial infarction is safe and does not increase complications compared to standard prolonged bed rest.
Answers are grounded in this paper and cite their sources.
Supports feasibility of day-10 mobilization after uncomplicated MI; hypothesis-generating and requires randomized trials before practice change.
During the years 1968-71 203 patients with proved myocardial infarction were admitted to the trial. Patients were mobilized either on day 10 (102 patients) or on day 20 (100 patients). All patients were kept in hospital for 30 days in order to ensure a detailed comparison of clinical course and laboratory data. In neither group was there a fatal complication and the differences in clinical outcome or laboratory data were statistically not significant. Half of the patients from each group were re-examined after an average of one-and-a-half years, and again no differences were observed. It is concluded that patients with an uncomplicated myocardial infarction may safely be mobilized after 9 days and discharged after three weeks.
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Lamers et al. (1973) studied Uncomplicated myocardial infarction (n=202). Early mobilization (day 10) vs. Standard mobilization (day 20) was evaluated on Clinical outcome and laboratory data at 30 days (p=not significant). Early mobilization on day 10 after uncomplicated myocardial infarction resulted in no fatal complications and no statistically significant differences in clinical outcomes or laboratory data compared to mobilization on day 20.
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