Controlled Trial of Early Mobilisation and Discharge From Hospital in Uncomplicated Myocardial Infarction

Harpur, J. E.; Conner, William T.; Hamilton, M.; Kellett, R. J.; Galbraith, H.; Murray, J. J.; Swallow, J. H.; Rose, Geoffrey

doi:10.1016/s0140-6736(71)92357-9

Cited by 100 publications

(22 citation statements)

References 12 publications

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“…The natural progression of this approach was a more rapid increase in mobilisation after the infarction, and by the 1970s several controlled trials of early mobilisation had shown that this was a safe approach and lessened the complications mentioned above. 3 4 The result has been a general acceptance of this regimen, and patients with no complications are now likely to be discharged within four or five days, when the risk of dangerous arrhythmias is significantly reduced.…”

Section: Early Mobilisationmentioning

confidence: 99%

Exercise in cardiac rehabilitation.

Bethell¹

1999

Br J Sports Med

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Section: Early Mobilisationmentioning

confidence: 99%

Exercise in cardiac rehabilitation.

Bethell¹

1999

Br J Sports Med

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“…In the 74 patients mobilised after only 2 to 4 days in uncomplicated infarction or only transient complications, there were no deaths in 6 weeks and 4 (50 ) in 24 weeks. In a group of similarly uncomplicated patients mobilised after either 7 or 21 days' bed rest, Harpur et al (1971) found mortality rates of 5 and 8 per cent, respectively, which were not statistically significantly different. Though strict comparison between different studies is not possible, we have no reason to suspect that a period of bed rest longer than 2 to 4 days is safer.…”

Section: Non-fatal Cardiac Complicationsmentioning

confidence: 79%

Rapid mobilisation after acute myocardial infarction. First step in rehabilitation and secondary prevention.

Thornley¹,

Turner²

1977

Heart

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4Rapid mobilisation after acute myocardial infarction as the first step in a planned programme of rehabilitation and secondary prevention was studied in a group of 142 men under 65 years of age admitted to a coronary care unit.Patients without complications were mobilised after 2 days' bed rest, but the programme was flexible and those with complications were mobilised less rapidly. Fifteen patients died before mobilisation could be started.In 127 who survived long enough to be mobilised, 74 (58%1') spent 2 to 4 days in bed, 42 (33%) 5 to 10 days, and 11 (9%) more than 10 days. The mean period of bed rest was 5-4 days.Rapid mobilisation eliminated the need for physiotherapy and led to early discharge from hospital with more economic use of hospital beds. In 125 patients who were discharged, 99 (7900) had 16 days or less (5 to 16) in hospital. The mean period of hospital stay was 15-5 days.

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“…We believe we know, based on our own data [16] and on the ex perience of other investigators [7,9,13], that ail early intervention activity program is safe, i.e., that it is not associated with an increase in lifethreatening arrhythmias, recurrent myocardial infarction, or sudden death. Data from many groups also show improvement in the anxiety and de pression scores on standard psychologic tests [10].…”

mentioning

confidence: 94%