Shivananda Venkata Reddy, Lourdhuraj Irudhayaraj, Srihari Sharma, Mohammad H Hadadzadeh
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引用次数: 0
Abstract
Background: Early mobilization (EM) has become essential for improved recovery after surgery, but its particular advantages in cardiac surgery populations have not been consistently reported.
Objective: To systematically evaluate the effects of early mobilization on functional recovery outcomes, hospital length of stay, and safety profiles in patients undergoing cardiac surgery.
Methods: The systematic search was performed in six databases (PubMed, Google Scholar, Cochrane CENTRAL, PEDro, Embase, and Web of Science). The search included studies published between January 1, 2015, and August 2025. Inclusion criteria were that the studies must look at interventions of early mobilization (within 48 h of postoperative) in patients undergoing cardiac surgery, and the outcome measures may include functional capacity, length of stay in the hospital, or precautionary measures. Risk of Bias 2.0 (RoB 2) and Risk Of Bias In Non-randomized Studies-of Interventions (ROBINS-I) were used to evaluate the risk of bias.
Results: This review included 20 studies with 11,631 participants, 12 randomized controlled trials, four observational cohort studies, and four other study types. Most interventions were initiated within 24 h after the operation. Functional recovery outcomes were predominantly favorable. Early mobilization improved 6-Minute Walk Test (6MWT) distance and functional independence scores in the majority of studies, whereas hospital length of stay results were inconsistent, with approximately half of the studies reporting significant reductions. The safety profiles were excellent throughout the studies, and few serious adverse events could be directly related to early mobilization. Subgroup analyses showed that Coronary Artery Bypass Grafting (CABG) had specific advantages, which were possible even in frail older patients.
Conclusions: Early mobilization following cardiac surgery appears safe and is associated with improvements in functional recovery (e.g., walking capacity and independence) and selected hospital outcomes (e.g., length of stay), although the magnitude of benefit varies across studies.
期刊介绍：
Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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