ArticleJournal of gastrointestinal oncology2018
Walking to recovery: the effects of missed ambulation events on postsurgical recovery after bowel resection.
Article in Journal of gastrointestinal oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 29 citations in OpenAlex.
- Trial
- Predictors of Prolonged Time to Ambulation After Radical Prostatectomy in a 23-hour Ambulatory Surgery Center.JU open plus · 2026Article
- Dual-opioid spinal anaesthesia in enhanced recovery after caesarean section: effects on postoperative opioid requirement and maternal recovery.Journal of anesthesia, analgesia and critical care · 2026Article
- Impact of an ERAS based nursing program on postoperative recovery in patients undergoing grade IV day surgery: a randomized controlled trial.BMC nursing · 2025Article
- Reducing costs and improving patient recovery through a nurse-driven centralized spinal orthoses program on a post-surgical unit: A quality improvement initiative.International journal of nursing studies advances · 2024Article
- Construction of a predictive model for postoperative hospitalization time in colorectal cancer patients based on interpretable machine learning algorithm: a prospective preliminary study.Frontiers in oncology · 2024Article
- Early Ambulation Shortened the Length of Hospital Stay in ICU Patients after Abdominal Surgery.Clinics and practice · 2023Article
- The Efficacy of Erector Spinae Plane Block for Patients Undergoing Percutaneous Nephrolithotomy.Turkish journal of anaesthesiology and reanimation · 2023Article
- Clinical guidelines on perioperative management strategies for enhanced recovery after lung surgery.Translational lung cancer research · 2019Review
- Is postoperative ambulation a component or a marker of enhanced recovery after surgery?Journal of gastrointestinal oncology · 2019Article
- Delivery of Acute Rehabilitation to a Postcoronary Artery Bypass Graft COVID-19 Patient in a Pandemic Environment.Heart views : the official journal of the Gulf Heart AssociationArticle
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly ambulation after surgery is demonstrated to reduce complications and decreases patient length of stay (LOS) as part of an enhanced recovery after surgery (ERAS) program. This study hypothesizes that missed and refused ambulation attempts prolong patient LOS.
methodsFrom January 2014 to December 2016, all patients admitted to one ward who had undergone bowel resection surgery were assigned a dedicated ambulation team with the goal of ambulating 3 times per day. Clinical data was collected prospectively. Statistical analysis of ambulation frequency, percentage of ambulation sessions completed and overall LOS was performed to test the hypothesis.
resultsA total of 127 patients were analyzed for mean age, breakdown of laparoscopic/open procedures/pre-surgery ambulation status. The median LOS (mLOS) for all patients was 4.3 days. When ambulation was not offered for a 24-hour period, the mLOS increased from 3.6 to 6.6 days (P<0.001). When a patient refused to ambulate at any time, the mLOS increased from 4.0 to 4.7 days (P=0.004). There was a significant association between completed ambulation attempts and mLOS (r=-0.536, P<0.001). Increasing narcotic use (r=0.548, P<0.001) including the use of a patient-controlled analgesia (PCA) (r=0.213, P=0.011) increased mLOS.
conclusionsAmbulation participation is a critical component of an enhanced bowel resection pathway. Non-compliance is associated with an increased LOS. Optimizing pain control, minimizing narcotics, and ensuring adequate ambulation resources also contribute to decreased LOS.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.