ArticleBMJ open quality2021
Multidisciplinary, early mobility approach to enhance functional independence in patients admitted to a cardiothoracic intensive care unit: a quality improvement programme.
Article in BMJ open quality, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Improving postoperative pain management after minimally invasive coronary surgery using methadone analgesia and early chest drain removal.Journal of thoracic disease · 2026Article
- Perspectives of early mobility in the cardiac surgery intensive care unit: an interpretive description study.Clinical rehabilitation · 2026Article
- Physical Therapist-Led Therapeutic Exercise and Mobility in Adult Intensive Care Units: A Scoping Review of Operational Definitions, Dose Progression, Safety, and Documentation.Journal of clinical medicine · 2025Review
- Article
- Global trend of review articles focused on cardiopulmonary bypass: Perspectives from bibliometrics.World journal of methodology · 2025Article
- Multidisciplinary early activity team collaboration practice in ICUs: A qualitative study.PloS one · 2025Article
- Implementation of Early Mobilization in Post-CABG Patients: A Constructivist Grounded Theory Study.Patient preference and adherence · 2025Article
- First initiation of mobilization out of bed after cardiac surgery - an observational cross-sectional study in Sweden.Journal of cardiothoracic surgery · 2024Observational
- Enhancing early functional independence following cardiac surgery: a quality improvement programme.BMJ open quality · 2023Article
- Unveiling the Enigma of Post-implantation Syndrome Following Aortic Dissection Repair: A Case Report.Cureus · 2023Article
- Factors Determining the Functional State of Cardiac Surgery Patients with Complicated Postoperative Period.International journal of environmental research and public health · 2022Observational
- Relationship between Perme ICU Mobility Score and length of stay in patients after cardiac surgery.Colombia medica (Cali, Colombia)Observational
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12 authors.
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Abstract
Early mobilisation following cardiac surgery is vital for improved patient outcomes, as it has a positive effect on a patient's physical and psychological recovery following surgery. We observed that patients admitted to the cardiothoracic intensive care unit (CTICU) following cardiac surgery had only bed exercises and were confined to bed until the chest tubes were removed, which may have delayed patients achieving functional independence. Therefore, the CTICU team implemented a quality improvement (QI) project aimed at the early mobilisation of patients after cardiac surgery.A retrospective analysis was undertaken to define the current mobilisation practices in the CTICU. The multidisciplinary team identified various practice gaps and tested several changes that led to the implementation of a successful early mobility programme. The tests were carried out and reported using rapid cycle changes. A model for improvement methodology was used to run the project. The outcomes of the project were analysed using standard 'run chart rules' to detect changes in outcomes over time and Welch's t-test to assess the significance of these outcomes.This project was implemented in 2015. Patient compliance with early activity and mobilisation gradually reached 95% in 2016 and was sustained over the next 3 years. After the programme was implemented, the mean hours required for initiating out-of-bed-mobilisation was reduced from 22.77 hours to 11.74 hours. Similarly, functional independence measures and intensive care unit mobility scores also showed a statistically significant (p<0.005) improvement in patient transfers out of the CTICU.Implementing an early mobility programme for post-cardiac surgery patients is both safe and feasible. This QI project allowed for early activity and mobilisation, a substantial reduction in the number of hours required for initiating out-of-bed mobilisation following cardiac surgery, and facilitated the achievement of early ambulation and functional milestones in our patients.
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