Activities per year
Patients infrequently mobilize at the surgical ward after cardiac surgery. Inactivity results in prolonged hospital stay, readmissions and increased cardiovascular mortality. Next, the course of in-hospital mobilization activities for patients is unclear. The aim was to evaluate early mobilization after heart surgery with a mobilization poster on the Activity Classification Guide for Inpatient Activities score from the American College for Sports Medicine (ACSM). Second, to develop a Thorax Centrum Twente (TCT) score with actual activities.
MethodsA poster was developed for the Moving is Improving! study to stimulate hospital mobilization after heart surgery. In this sequential-group study at a cardiothoracic surgery ward, 32 patients were included in the usual care group and 209 patients in the poster mobilization group. Change of ACSM and TCT scores over time were both defined as primary endpoints. Secondary endpoints included length of stay and survival. A subgroup analysis for coronary artery bypass grafting (CABG) was performed.
ResultsACSM score increased during hospital stay (p < 0.001). No significant increase of ACSM score was observed with a mobilization poster (p = 0.27), nor in the CABG subgroup (p = 0.15). The poster increased mobility to chair, toilet, corridor (all p < 0.01) and home trainer (p = 0.02) as measured by the activity-specific TCT scores, without differences in length of stay or survival.
ConclusionsACSM score measured day-to-day functional changes, without significant differences between the poster mobilization and usual care group. Actual activities measured with the TCT score did improve. The mobilization poster is now new standard care, and effects in other centers and other departments should be assessed.
Trial registrationThis study does not fall under the ICMJE trial definition and was not registered.
- Cardiac rehabilitation
- Early ambulation
- Physical therapy
- Thoracic surgery
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- 2 Invited talk
Frank Ruben Halfwerk (Invited speaker) & Nicole Wielens (Invited speaker)9 Nov 2022
Activity: Talk or presentation › Invited talk
A mobilization poster stimulates early in-hospital rehabilitation after cardiac surgery: a prospective sequential-group studyHalfwerk, F. R., Wielens, N., Hulskotte, S., Brusse-Keizer, M. & Grandjean, J. G., Dec 2023, In: Journal of Cardiothoracic Surgery. 18, 1, p. 1-11 11 p., 83.
Research output: Contribution to journal › Article › Academic › peer-reviewOpen AccessFile24 Downloads (Pure)
Innovations in cardio-thoracic surgery: Predicting and optimising outcome with state of the heart technologyHalfwerk, F. R., 29 Oct 2020, Enschede: University of Twente. 204 p.
Research output: Thesis › PhD Thesis - Research UT, graduation UTOpen AccessFile359 Downloads (Pure)
Wielens, N., Hulskotte, S., Halfwerk, F. R. & Grandjean, J. G., 5 Sept 2018, In: Cordiaal. 39, 4, p. 118-120 3 p. Translated title of the contribution: Early mobilisation for patients undergoing cardio-thoracic surgery: Moving is improving!
Research output: Contribution to journal › Article › ProfessionalOpen AccessFile