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March 27, 2024Cardiopulmonary Physical Therapy Journal

Impact of Early Mobilization Within the Intensive Care Unit After Coronary Artery Bypass Grafting: A Systematic Review

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Why the study?

The functional outcomes and effectiveness of early mobilization for patients within intensive care units after CABG had not been investigated.

Does early mobilization reduce hospital and intensive care unit length of stay and improve functional outcomes in adults in the intensive care unit after CABG?

Population

2280 participants across 14 studies in 7 countries

Comparison

Early mobilization interventions vs control/standard care

Design

Systematic review

Key result

Early mobilization after CABG surgery reduced intensive care unit length of stay by ≥1 day in 6 of 14 studies and hospital length of stay by ≥1 day in 5 of 7 studies.

Authors

SMSandra P. MorganJSJames M. Smith

Discussion

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Member takes

Overview

Supports early mobilization post-CABG to shorten ICU and hospital stays; extends prior evidence but requires standardized protocols in future trials.

Study Design

Type

Systematic Review (n=2,280)

Multicenter

Yes

Structured PICO

Does early mobilization reduce hospital and intensive care unit length of stay and improve functional outcomes in adults in the intensive care unit after CABG?

P
Population
2,280 adult patients across 14 studies who underwent coronary artery bypass grafting and received early mobilization in the intensive care unit.
I
Intervention
Early mobilization (majority beginning within 24 to 48 hours after surgery)
O
Outcome
Hospital and intensive care unit length of stay (LoS) and functional outcomes

Early mobilization after CABG is associated with reduced ICU and hospital lengths of stay and improved respiratory and functional outcomes.

Limitations

  • Interventions were heterogenous

Cite This Study

Morgan et al. (2024) conducted a systematic review in Coronary artery bypass grafting (CABG) (n=2,280). Early mobilization was evaluated on Hospital and intensive care unit length of stay (LoS) and functional outcomes. Early mobilization after CABG surgery reduced intensive care unit length of stay by ≥1 day in 6 of 14 studies and hospital length of stay by ≥1 day in 5 of 7 studies.

synapsesocial.com/papers/6aa35914e7e1fc2350748baahttps://doi.org/10.1097/cpt.0000000000000244
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Also Consider

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  1. 1Early Rehabilitation Therapy Is Beneficial for Patients With Prolonged Mechanical Ventilation After Coronary Artery Bypass Surgery2016 · 88 citations
  2. 2Return to work and quality of life measurement in coronary artery bypass grafting1996 · 42 citations
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  4. 4Influence of Early Ambulation in Postoperative Hospitalization Following Cardiac Surgery2015 · 5 citations
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