Key result
An ERAS protocol-based early mobilisation strategy significantly reduced the time to first mobilisation (β -0.881 days) compared to standard care in patients undergoing cardiac valve surgery.
Why the study?
The feasibility and safety of early mobilisation to promote enhanced recovery among patients with concurrent AF undergoing cardiac valve surgery was unknown.
Does an ERAS protocol-based early mobilisation strategy improve recovery metrics and reduce complications in patients with atrial fibrillation undergoing cardiac valve surgery?
RCT (n=190)
Randomly allocated
No
Does an ERAS protocol-based early mobilisation strategy improve recovery metrics and reduce complications in patients with atrial fibrillation undergoing cardiac valve surgery?
Mean Difference: -0.881 (95% CI -1.677–-0.085)
Absolute Event Rate: 2% vs 2%
p-value: p=0.031
Implementing an ERAS-based early mobilisation protocol significantly accelerates recovery, improves functional capacity, and reduces complications in patients with atrial fibrillation undergoing cardiac valve surgery.
Early mobilisation via ERAS improves recovery metrics after valve surgery in AF; extends RCT evidence supporting its safety and adoption in this population.
This study aimed to assess the feasibility and safety of early mobilisation in promoting enhanced recovery among patients with concurrent atrial fibrillation undergoing cardiac valve surgery. A total of 190 patients who underwent cardiac valve surgery with concurrent atrial fibrillation at a tertiary-grade A hospital in Changsha City between January and December 2022 were randomly allocated to either an intervention (n = 95) or a control group (n = 95). The control group received standard perioperative care, while the intervention group followed a care programme that integrated conventional and Enhanced Recovery After Surgery (ERAS) protocols. The study compared recovery progress, incidence of complications, and various other metrics between the two groups. The intervention group demonstrated statistically. significant differences (p < 0.01) compared to the control group in terms of time to first mobilisation, duration of intensive care unit (ICU) stay, mechanical ventilation duration, pain scores, 6-minute walking distances, occurrence of arrhythmias, ICU re-admission, pulmonary infection rates, sternal incision infection rates, length of hospital stay, hospitalisation expenses, and adverse event rates. Summarily, patients in the intervention group exhibited more favourable outcomes across these metrics than those in the control group. Implementing an ERAS protocol-based early mobilisation strategy is a safe and viable approach for patients undergoing cardiac valve surgery with concurrent atrial fibrillation, facilitating their expedited recovery.
No takes yet. Share an insight, caveat, or question.
Gao et al. (2025) conducted an RCT in Cardiac valve surgery with concurrent atrial fibrillation (n=190). Early mobilisation based on Enhanced Recovery After Surgery (ERAS) protocol vs. Standard perioperative care was evaluated on First mobilisation time (days postoperation) (β -0.881, 95% CI -1.677 to -0.085, p=0.031). An ERAS protocol-based early mobilisation strategy significantly reduced the time to first mobilisation (β -0.881 days) compared to standard care in patients undergoing cardiac valve surgery.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: