ArticleFrontiers in neurology2025
Early progressive ambulation in neurosurgical patients with tracheostomy: clinical application and evaluation.
Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Summary of the best evidence for the prevention and management of postoperative tracheostomy complications in laryngeal cancer patients.Frontiers in oncology · 2026Pooled it
- Postoperative early ambulation in neurosurgical patients: influencing factors and nursing strategies.Frontiers in neurology · 2025Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Tracheostomy is a common procedure among neurosurgical patients, and preventing pulmonary infection while accelerating recovery is crucial for improving their clinical outcomes. Objectives: The objective of this study was to systematically assess the efficacy and safety of early progressive ambulation in neurosurgical patients who have undergone tracheostomy, to provide evidence-based insights to guide clinical treatment and nursing practices. Methods: Neurosurgical patients undergoing tracheostomy at our hospital between September 1, 2023, and January 31, 2025 were included. Patients were randomly assigned to either the progressive ambulation group or the routine care group. We established a multidisciplinary team (MDT) led by neurosurgical nurses to develop and implement an early progressive ambulation protocol for neurosurgical patients. Results: A total of 59 neurosurgical patients who underwent tracheostomy were enrolled, with 29 patients assigned to the progressive ambulation group and 30 patients to the standard routine nursing care group. The findings demonstrate that progressive ambulation offers substantial clinical benefits for neurosurgical patients following tracheostomy. Specifically, this intervention significantly reduces the incidence of pulmonary infections, decreases antimicrobial use density (AUD), and shortens the duration of antibiotic therapy. Furthermore, it is associated with a reduction in the duration of tracheostomy dependency and overall hospital stay, as well as a notable decrease in hospitalization costs. However, no statistically significant difference in mortality was observed. Conclusion: These findings highlight the potential of progressive ambulation as a clinically valuable intervention for improving outcomes in neurosurgical patients undergoing tracheostomy. Further research is necessary to explore its broader applicability across diverse patient populations, identify optimal implementation strategies, and assess long-term effects.
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