Evidence map›Paper›PMID 41997707›Full record

ReviewBMJ open2026

Early mobilisation after abdominal surgery: a concept analysis.

Anna Schandl, Katinka Siesage, Anna-Karin Kroksmark, Ewa Gruber-De Sousa, Johanna Lilliecrona, Monika Fagevik Olsén

Abstract readReview
In one paragraph

Review in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anna SchandlDepartment of Perioperative and Intensive Care, Södersjukhuset, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-3603-1912
Katinka SiesageDepartment of Perioperative and Intensive Care, Södersjukhuset, Stockholm, Sweden katinka.siesage@ki.se.ORCID http://orcid.org/0000-0002-8091-3031
Anna-Karin KroksmarkDepartment of Neuroscience and Physiology/Health and Rehabilitation, University of Gothenburg, Gothenburg, Sweden.
Ewa Gruber-De SousaDepartment of Neuroscience and Physiology/Health and Rehabilitation, University of Gothenburg, Gothenburg, Sweden.
Johanna LilliecronaDepartment of Occupational Therapy and Physical Therapy, University of Gothenburg, Gothenburg, Sweden.
Monika Fagevik OlsénDepartment of Neuroscience and Physiology/Health and Rehabilitation, University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo clarify and define the clinical practice concept of early mobilisation after abdominal surgery.

designA concept analysis guided by Walker and Avant's method. DATA SOURCES: MEDLINE (Ovid), AMED-(Ovid), Embase (Elsevier) and CINAHL (EBSCO) were searched through 5 December 2024. ELIGIBILITY CRITERIA: Relevant studies that included combinations of the terms 'early mobilisation', 'early ambulation', 'early acceleration', 'abdominal surgery' and 'surgical procedures' were selected. We restricted the search to English full-text publications involving adult patients, limited to the year 2000 and onward. Inclusion criteria were original research articles describing the timing and/or type of mobilisation. DATA EXTRACTION AND SYNTHESIS: The study derives its defining attributes, antecedents and consequences through data analysis. To enhance understanding of the model, we constructed related and contrary cases of the concept and outlined relevant empirical referents.

resultsIn total, 140 studies were included in the analysis. Early mobilisation is characterised by the key defining attributes of initiating active physical movement, including standing, sitting in a chair or walking, within the first 24 hours of surgery. Antecedents include haemodynamic and respiratory stability, adequate pain management, and the patient's cognitive and physical readiness. Contextual antecedents include competent and adequately staffed healthcare teams. Consequences include improved physiological recovery and enhanced postoperative outcomes.

conclusionsThis analysis provides a clarified, practice-focused definition of early mobilisation after abdominal surgery. By delineating its key attributes and contextual prerequisites, the study offers a conceptual foundation that can support clinical guidelines, promote consistent implementation and inform future research aimed at optimising postoperative recovery.

Indexed as

AbdomenEarly AmbulationPostoperative CareHumansAdult surgeryHospitalsNursing CarePhysical Therapy ModalitiesRehabilitation medicine

Identifiers

PMID41997707
PMCPMC13110540

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Registered trials

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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.