Influence of Early Ambulation in Postoperative Hospitalization Following Cardiac Surgery

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

“…Eleven studies were randomized controlled trials (RCT), [16][17][18][19][20][21][22][23][24][25][26] 2 were quasiexperimental, 27,28 and one was a cross-sectional study. 29 Fourteen of the studies demonstrated a moderate level of evidence when scored by the OCEBM, and one demonstrated a weak level of evidence because of a small sample size and lack of blinding (Table 3).…”

“…For this systematic review, 11 studies had a 1b level of evidence, [16][17][18][19][20][21][22][23][24][25][26] one study had a 2b level of evidence, 29 and 2 studies had a 2c level of evidence 27,28 based on an assessment using the OCEBM tool (Table 3). The studies were scored as moderate to high quality when rated with the PEDro scale, and there were no studies with a rating lower than a 2c using the OCEBM tool.…”

“…The research study with a weak evidence level was a cross-sectional study with a small sample size, with participants and health care providers who were not blinded. 29 This review revealed themes that included typical population characteristics, definitions of "EM," and outcomes in response to EM. For clarity, the outcomes were categorized into the themes of ICU LoS, total hospital LoS, functional outcomes, respiratory function, autonomic function, and psychosocial outcomes.…”

“…A risk of selection bias was determined to be present because of gender prevalence of male participants. Of the 14 studies, [16][17][18][19][20][21][22][23][24][25][26][27][28][29] 11 focused on only CABG procedures and 13 had predominantly male participants. One study focusing on participants requiring more than 72 hours of mechanical ventilation was predominantly women, with 64 women of the total 106.…”

Impact of Early Ambulation on Functionality in Patients Submitted to Valve Replacement

“…Thus, physiotherapy will act preventively to avoid/minimize these postoperative complications, performing active kinesiotherapy, intra-unit ambulation, breathing pattern techniques, acting on the functional health of individuals, favoring physical parameters such as gain in muscle mass and strength, improvement in the range of motion of the joints, body balance, increased cardiorespiratory capacity, among others. Thus, accelerating performance in daily activities, favoring the hospital discharge process more quickly and, thereby, improving their quality of life [9,10].…”