Observational studyBMC surgery2017
Incidence of orthostatic hypotension and cardiovascular response to postoperative early mobilization in patients undergoing cardiothoracic and abdominal surgery.
Observational study in BMC surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04040647 (Tolerance of Early Mobilization and Ambulation the Day of Colorectal and Bariatric Surgery in an Enhanced Recovery Program), which is not on this map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Tolerance of Early Mobilization and Ambulation the Day of Colorectal and Bariatric Surgery in an Enhanced Recovery Program
Who cites it
18 citing papers in PubMed, 41 citations in OpenAlex.
- Association of postoperative orthostatic intolerance with early recovery quality and clinical outcomes following thoracoscopic pulmonary resection: a propensity-matched study.Journal of thoracic disease · 2026Article
- Review
- Incidence and Risk Factors of Orthostatic Hypotension and Postural Tachycardia Following Sedated Colonoscopy: A Prospective Observational Study.Diagnostics (Basel, Switzerland) · 2025Article
- Prognostic Implications of Orthostatic Hypotension in Elective Coronary Artery Bypass Grafting.Medical science monitor : international medical journal of experimental and clinical research · 2025Observational
- Postoperative hypotension in gastric cancer patients: causes and clinical approaches.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Review
- Characteristics, Management, and Outcomes of Hospitalized Patients with Orthostatic Hypotension.Journal of clinical hypertension (Greenwich, Conn.) · 2025Observational
- Delayed ambulation in adult patients after major abdominal surgery in Northwest Ethiopia: a multicenter prospective follow up study.Scientific reports · 2025Article
- Protocolized strategies to encourage early mobilization of critical care patients: challenges and success.Critical care science · 2025Review
- Orthostatic intolerance during early mobilization following thoracoscopic lung resection: a prospective observational study.BMC surgery · 2024Observational
- Impact of surgical aortic valve replacement and transcatheter aortic valve implantation on cardiovascular and cerebrovascular controls: A pilot study.Physiological reports · 2024Article
- Postoperative orthostatic intolerance following fast-track unicompartmental knee arthroplasty: incidence and hemodynamics-a prospective observational cohort study.Journal of orthopaedic surgery and research · 2024Observational
- Association Between Early Mobilization and Postoperative Pneumonia Following Robot-assisted Minimally Invasive Esophagectomy in Patients with Thoracic Esophageal Squamous Cell Carcinoma.Physical therapy research · 2024Article
- Persistent Orthostatic Hypotension Following Surgery for Adult Spinal Deformity: Prevalence, Risk Factors, and Cardiovascular Evaluation.Asian spine journal · 2023Article
- Review
- Orthostatic hypotension following posterior spinal fusion surgeries for spinal deformity correction in adolescents: prevalence and risk factors.BMC musculoskeletal disorders · 2021Article
- Four Hours Postoperative Mobilization is Feasible After Thoracoscopic Anatomical Pulmonary Resection.World journal of surgery · 2021Article
- Orthostatic Hypotension Following Cervical Spine Surgery: Prevalence and Risk Factors.Global spine journal · 2020Article
- Effect of coronary artery bypass grafting on blood pressure response to head-up tilting.The journal of physiological sciences : JPS · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn cardiothoracic and abdominal surgery, postoperative complications remain major clinical problems. Early mobilization has been widely practiced and is an important component in preventing complications, including orthostatic hypotension (OH) during postoperative management. We investigated cardiovascular response during early mobilization and the incidence of OH after cardiothoracic and abdominal surgery.
methodsIn this prospective observational study, we consecutively analyzed data from 495 patients who underwent elective cardiothoracic and abdominal surgery. We examined the incidence of OH, and the independent risk factors associated with OH during early mobilization after major surgery. Multivariate logistic regression was performed using various characteristics of patients to identify OH-related independent factors.
resultsOH was observed in 191 (39%) of 495 patients. The incidence of OH in cardiac, thoracic, and abdominal groups was 39 (33%) of 119, 95 (46%) of 208, and 57 (34%) of 168 patients, respectively. Male sex (OR 1.538; p = 0.03) and epidural anesthesia (OR 2.906; p < 0.001) were independently associated with OH on multivariate analysis.
conclusionsThese results demonstrate that approximately 40% patients experience OH during early mobilization after cardiothoracic and abdominal surgery. Sex was identified as an independent factor for OH during early mobilization after all three types of surgeries, while epidural anesthesia was only identified after thoracic surgery. Therefore, the frequent occurrence of OH during postoperative early mobilization should be recognized.
trial registrationUniversity hospital Medical Information Network Center (UMIN-CTR) number UMIN000018632 . (Registered on 1st October, 2008).
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