Evidence map›Paper›PMID 41998647›Full record

ArticleBMC surgery2026

Timeframes for "early" mobilisation after abdominal and cardiothoracic surgery: evidence- and consensus-based suggestions of definitions.

Monika Fagevik Olsén, Maria Sehlin, Elisabeth Westerdahl, Anna Svensson-Raskh, Linda Block, Cecilia Engström, Malin Nygren-Bonnier, Anna Schandl

Registry-linked trialAbstract readConsensus Statement
In one paragraph

Article in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04729634 (Survey Of Mobilisation and Breathing Exercises After Thoracic and Abdominal Surgery), which is not on this 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.

NCT04729634 nacompletednot on this map

Survey Of Mobilisation and Breathing Exercises After Thoracic and Abdominal Surgery

TypeinterventionalSponsorGöteborg UniversityRan2021 to 2022Enrolled1,492ConditionsAbdominal Cancer, Heart DiseasesArmsMobilization
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

8 authors.

Monika Fagevik OlsénDepartment of Neuroscience and Physiology/Health and Rehabilitation, Gothenburg University, Gothenburg, Sweden. monika.fagevik-olsen@gu.se.
Maria SehlinDepartment of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
Elisabeth WesterdahlUniversity Health Care Research Centre, Faculty of Medicine, and Health, Örebro University, Örebro, Sweden.
Anna Svensson-RaskhDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge, Sweden.
Linda BlockDepartment of Anaesthesia and Intensive Care, Institute for Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Cecilia EngströmDepartment of Surgery, Institute for Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Malin Nygren-BonnierDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Huddinge, Sweden.
Anna SchandlDepartment of Perioperative- and Intensive Care, Södersjukhuset, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimThere is currently no consensus on how to define “early” mobilisation following surgery. The aim of this study was to develop definitions of early mobilisation after cardiothoracic and abdominal surgery.

methodsWe conducted a study with multiple methods designs, including a survey, clinical observations and consensus discussions. A national survey investigated Swedish healthcare professionals’ opinions on the typical timeframe for first mobilisation for eight defined categories of surgery, and timeframes for “early” mobilisation. The following consensus discussions were based on the results of the survey and earlier observational data of time to first mobilisation after surgery in 736 patients who had undergone the eight defined surgical procedures.

resultsIn total, 503 healthcare professionals completed the survey and 48 healthcare professionals, and 12 patients participated in eight consensus discussions. In the survey, the earliest time range for typical timeframe for first mobilisation (3–6 h) was estimated for patients undergoing cardiac, pulmonary, or minor upper or lower abdominal open surgery and the latest time range (6–9 h) for patients who underwent oesophageal surgery. Across all surgical categories, “early” mobilisation was consistently perceived to occur earlier than the estimated typical timeframe. From the eight consensus discussions, “early” mobilisation was defined as “occurring within 6 hours after surgery, regardless of procedure type”.

conclusionIn this multiple design national study, “early” mobilisation was defined to be performed within a 6-h time frame after eight categories of abdominal and cardiothoracic surgery. However, the generalisability to other countries is yet to be explored. The findings also highlight the variability in mobilisation times, underscoring the need for tailored preoperative and postoperative care protocols to optimise recovery.

trial registrationFoU in Sweden” (Research and Development in Sweden) id: 275327 and Clinical Trials NCT04729634 (Registration date: 01/27/2021).

Indexed as

AbdomenCardiac Surgical ProceduresEarly AmbulationThoracic Surgical ProceduresHumansSurveys and QuestionnairesSwedenTime FactorsAmbulationEarly mobilisationPhysiotherapyPostoperativeRehabilitationSurgery

Identifiers

PMID41998647
PMCPMC13091274

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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.