EARLY VERSUS DELAYED MOBILIZATION AFTER VALVE SURGERY: IMPACT ON RECOVERY AND LENGTH OF HOSPITAL STAY: A RETROSPECTIVE STUDY
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Keywords
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Abstract
Enhanced postsurgical recovery in cardiac surgery aims to reduce complications, promote early physical function, and shorten hospitalization. Early mobilization has emerged as a key component of cardiac rehabilitation and enhanced recovery pathways, contributing to improved functional outcomes and reduced morbidity after major cardiothoracic procedures.¹⁻³ Early mobilization helps counteract postoperative deconditioning, reduces pulmonary complications, improves muscle strength, and accelerates return to baseline activity.⁴⁻⁶ Despite these known benefits, the adoption of structured mobilization protocols in resource-limited settings remains inconsistent due to staffing constraints, lack of standardized guidelines, and varying postoperative hemodynamic stability in patients.⁷
References
2. Ades PA, Keteyian SJ, Wright JS. Increasing cardiac rehabilitation participation. J Am Coll Cardiol. 2017;69(10):1107-1115.
3. Price KJ, Gordon BA, Bird SR, Benson AC. A review of guidelines for cardiac rehabilitation exercise. Heart Lung Circ. 2016;25(9):887-894.
4. Hoyer EH, Friedman M, Lavezza A, et al. Promoting mobility after surgery. J Am Geriatr Soc. 2016;64(11):2432-2438.
5. Morris PE, Goad A, Thompson C, et al. Early mobility improves outcomes in ICU patients. Crit Care Med. 2008;36(8):2238-2243.
6. Doiron KA, Hoffmann TC, Beller EM. Early rehabilitation in ICU patients. Crit Care. 2018;22:47.
7. Naylor JM, Harmer AR, Fransen M, et al. Early mobilisation barriers in low-resource settings. Physiotherapy. 2019;105(1):156-163.
8. Phillips A, Stewart R, Carter J, et al. Functional outcomes of early mobilization after cardiac surgery. Heart Lung. 2013;42(6):436-441.
9. Fagan MJ, Mehra S, Hall J, et al. Effects of early mobilization after cardiac surgery: a systematic review. Eur J Cardiovasc Nurs. 2022;21(3):259-269.
10. Tadyanemhandu C, Mudawarima T, Chiyaka ET. Impact of early physiotherapy on outcomes after cardiac surgery. S Afr J Physiother. 2020;76(1):1398.
11. Ferreira LL, Daniele TM, Tavares LR. Early mobilization after cardiac surgery: a meta-analysis. Rev Bras Cir Cardiovasc. 2020;35(5):689-697.
12. Funamoto M, Tanaka S, Yoshimura K, et al. Impact of structured postoperative mobilization in valve surgery patients. Interact Cardiovasc Thorac Surg. 2021;33(1):36-43.
13. Vahlberg T, Holmström J, Rydén L. Early physiotherapy improves muscle strength after valve replacement surgery. Physiother Res Int. 2023;28(2):e1975.
14. Fagan MJ, Mehra S, Hall J, et al. Effects of early mobilization after cardiac surgery: a systematic review. Eur J Cardiovasc Nurs. 2022;21(3):259-269.
15. Moradian S, Aghaei A, Ebrahimian A, et al. Effectiveness of early cardiac rehabilitation in valve surgery patients: a randomized trial. Clin Rehabil. 2022;36(9):1195-1204.
16. Tadyanemhandu C, Mudawarima T, Chiyaka ET. Impact of early physiotherapy on cardiac rhythm outcomes after surgery. S Afr J Physiother. 2020;76(1):1398.

