Impact of Facilitation of Early Mobilization on Postoperativ
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The study outcomes say that staff-directed facilitation of early mobilization does not improve postoperative pulmonary function or decreases postoperative pulmonary complications (PPCs). The research was published in the journal Annals of Surgery.

This study was aimed to estimate the extent to which staff-directed facilitation of early mobilization impacts recovery of pulmonary function and 30-day postoperative pulmonary complications (PPCs) after colorectal surgery.

This study involved the analysis of a priori secondary outcomes of a pragmatic, observer-blind, randomized trial. Consecutive patients undergoing colorectal surgery were randomized 1:1 to usual care (preoperative education) or facilitated mobilization (staff dedicated to assist transfers and walking during hospital stay). Forced vital capacity, forced expiratory volume in 1 second (FEV1), and peak cough flow were measured preoperatively and at 1, 2, 3 days, and 4 weeks after surgery. PPCs were defined according to the European Perioperative Clinical Outcome Taskforce.

99 patients were included in the intention-to-treat analysis (usual care 49, facilitated mobilization 50). There was no between-group difference in the recovery of forced vital capacity, FEV1, or peak cough flow. Thirty-day PPCs were also not different between groups.

In this randomized controlled trial, staff-directed facilitation of early mobilization did not improve postoperative pulmonary function or reduce PPCs within an enhanced recovery pathway for colorectal surgery.

Source: https://journals.lww.com/annalsofsurgery/Abstract/2021/05000/Impact_of_Facilitation_of_Early_Mobilization_on.8.aspx
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