Key result
Early mobilization and early hospital discharge for patients with acute myocardial infarction showed no evidence of increased complications compared to late mobilization and late discharge.
Why the study?
Does early mobilization and early hospital discharge reduce complications in patients with acute myocardial infarction?
Does early mobilization and early hospital discharge reduce complications in patients with acute myocardial infarction?
Early mobilization and early hospital discharge appear safe for patients with acute myocardial infarction, with no increase in complications compared to prolonged bed rest and hospitalization.
May support early mobilization safety in AMI; leaves open RCTs to confirm benefits before practice change.
OBJECTIVE: This study was a literature review with the purpose of analyzing articles comparing early and late mobilization and those comparing early and late discharge for patients with acute myocardial infarction. METHODS: The literature review was performed using the Lilacs and Medline databases (1966-2007), and the length of the resting period, the hospitalization and possible complications were analyzed. RESULTS: We selected 18 articles; 11 of them compared early and late mobilization and 7 compared early and late discharge. The length of the resting period in the early mobilization group varied from 2 to 10 days and 5 to 28 days for the longest resting period. The early discharge group stayed in the hospital from 3 to 14 days and the late discharge group stayed in the hospital from 5 to 21 days. CONCLUSION: The studies show that there is no evidence of complications related to short periods of bed rest and hospitalization.
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Lopes et al. (2008) conducted a review in Acute myocardial infarction (n=4,323). Early mobilization and early hospital discharge vs. Late mobilization and late hospital discharge was evaluated on Complications (including re-infarction, angina, and death). Early mobilization and early hospital discharge for patients with acute myocardial infarction showed no evidence of increased complications compared to late mobilization and late discharge.
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