Skip to main content
Key Specialties
Anesthesiology Cardiology Dermatology Diabetology Endocrinology Gastroenterology General Medicine Geriatrics Hematology Infectious Diseases Internal Medicine Nephrology Neurology Obstetrics and Gynecology Oncology Pediatrics Psychiatry Radiology Respiratory Medicine Rheumatology Surgery Urology
Congress Coverage
2024 ESMO Congress 2024 ERS Congress 2024 EASD Congress 2024 ESC Congress 2024 EAN Congress 2024 ASCO Annual Meeting 2024 ACC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on modern management of frailty

LIVE: Thursday 17th October 2024, 18:00-19:30 (CEST)

Frailty has a significant impact on health and wellbeing, especially in older adults. Join our experts to understand the factors that contribute to the development of frailty and find out how to manage the condition and reduce the risk of disability, dependency, and mortality.
ADVANCED SEARCH
Log in
Top
Irish Journal of Medical Science (1971 -)

27-09-2024 | Heart Surgery | Original Article

Effects of early mobilization in elderly patients undergoing cardiac surgery

Authors: İsmail Ceylan, Azhar Hassan Mhmood, Raed Qadri Khudhair Al-Janabi

Published in: Irish Journal of Medical Science (1971 -)

Login to get access

Abstract

Background

Although early mobilization is associated with improved outcomes in postoperative cardiac patients, implementation of early mobilization in elderly patients is still a challenge.

Aims

In this study, we aimed to design and assess an early mobilization program for cardiac rehabilitation.

Methods

We conducted a clinical trial in elderly patients aged over 65 years after coronary artery bypass graft surgery. Patients were randomly assigned to an early mobilization group (Group A) or a routine therapy group (Group B). Short-Form International Physical Activity Questionnaire (SF-IPAQ), to assessment balance Time Up and Go (TUG), to assessment functional capacity the 2-min walking test (2MWT) and the short physical performance battery (SPPB) were used as a reference to formulate and monitor the early mobilization regimen.

Results

A total of 100 patients were enrolled (n = 50 per group). The mean walking distance in Group A was significantly higher at 135.6 ± 9.29 than the mean walking distance in Group B which was lower at 123.4 ± 8.48. Also, the patients in Group B had a mean SF-IPAQ of 389.44 with an SD of 85.7, P < 0.001, whereas the mean SF-IPAQ amount in Group A was 556.16 with an SD of 91.47. In early mobilization group, a strong positive connection was indicated by the correlation coefficient of r = 0.957 between the amount of SF-IPAQ and 2 MWT and there was a significant negative association r =  − 0.768 between 2MWT and TUG.

Conclusion

Our study’s findings suggest that early mobilization and functional exercises enhanced balance, functionality, and life quality for older cardiac patients.
Literature
1.
Menezes AR, Lavie CJ, Milani RV et al (2012) Cardiac rehabilitation and exercise therapy in the elderly: should we invest in the aged? J Geriatr Cardiol: JGC 9(1):68CrossRefPubMedPubMedCentral
2.
Vincent J-L, Wan S, Underwood M. Cardiovascular surgery in the aging world. Intensive Care Medicine: 2007 Annual Update: Springer; 2007. p. 417–30
3.
Mccarthy A, Robinson K, Dockery F et al (2024) Long-term outcomes of older adults with acute COVID-19 following inpatient geriatric rehabilitation: a prospective cohort study from the Republic of Ireland. Ir J Med Sci (1971-) 1–9
4.
Fontes-Oliveira M, Trêpa M, Rodrigues P et al (2020) Cardiovascular rehabilitation in patients aged 70-year-old or older: benefits on functional capacity, physical activity and metabolic profile in younger vs. older patients. J Geriatr Cardiol JGC 17(9):544
5.
Parks AL, Fang MC (2016) Anticoagulation in older adults with multimorbidity. Clin Geriatr Med 32(2):331–346CrossRefPubMed
6.
Nicolini F, Contini GA, Fortuna D et al (2015) Coronary artery surgery versus percutaneous coronary intervention in octogenarians: long-term results. Ann Thorac Surg 99(2):567–574CrossRefPubMed
7.
Nicolini F, Molardi A, Verdichizzo D and others (2012) Coronary artery surgery in octogenarians: evolving strategies for the improvement in early and late results. Heart Vessels 27:559–567CrossRefPubMed
8.
Harskamp RE, Puskas JD, Tijssen JG and others (2014) Comparison of hybrid coronary revascularization versus coronary artery bypass grafting in patients≥ 65 years with multivessel coronary artery disease. Am J Cardiol 114(2):224–229CrossRefPubMed
9.
Zaninotto P, Huang Y-T, Di Gessa G et al (2020) Polypharmacy is a risk factor for hospital admission due to a fall: evidence from the English Longitudinal Study of Ageing. BMC Public Health 20:1–7CrossRef
10.
Ceylan İ, Al-Jaddah HAS, Al-Janabi RQK (2024) Correlation between functionality and quality of life in patients after cardiac surgery. J Clin Med Kaz 21(4):26–32CrossRef
11.
Gholami M, Zohrabi Salari F, Yarahmadi R et al (2024) Effects of balance training on cognitive function and activities of daily living in older adult patients with heart failure: a randomized controlled trial. Irish J Med Sci (1971-) 193(1):111–21
12.
Pereira DE, Welch SA, Montgomery CD et al (2021) Low hospital mobility—resurgence of an old epidemic within a new pandemic and future solutions. Age Ageing 50(5):1439–1441CrossRefPubMed
13.
Li M, Zhang J, Gan TJ and others (2018) Enhanced recovery after surgery pathway for patients undergoing cardiac surgery: a randomized clinical trial. Eur J Cardiothorac Surg 54(3):491–497CrossRefPubMed
14.
Liu VX, Rosas E, Hwang J et al (2017) Enhanced recovery after surgery program implementation in 2 surgical populations in an integrated health care delivery system. JAMA Surgery 152(7):e171032-e
15.
Cui Z, Li N, Gao C and others (2020) Precision implementation of early ambulation in elderly patients undergoing off-pump coronary artery bypass graft surgery: a randomized-controlled clinical trial. BMC Geriatr 20:1–10CrossRef
16.
Ettema RG, Van Koeven H, Peelen LM et al (2014) Preadmission interventions to prevent postoperative complications in older cardiac surgery patients: a systematic review. Int J Nurs Stud 51(2):251–260CrossRefPubMed
17.
Firat M, Vardar-Yagli N, Saglam M et al (2023) Quality of life and physical activity level in patients with chronic kidney disease during COVID-19 pandemic. Psychol Health Med 28(3):640–647CrossRefPubMed
18.
Yuksel E, Kalkan S, Cekmece S et al (2017) Assessing minimal detectable changes and test-retest reliability of the timed up and go test and the 2-minute walk test in patients with total knee arthroplasty. J Arthroplasty 32(2):426–430CrossRefPubMed
19.
Kahraman BO, Ozsoy I, Akdeniz B and others (2020) Test-retest reliability and validity of the timed up and go test and 30-second sit to stand test in patients with pulmonary hypertension. Int J Cardiol 304:159–163CrossRef
20.
Lin Y-T, Song C-Y (2024) Reliability and minimal detectable change of the Short Physical Performance Battery in older adults with mild cognitive impairment. Geriatr Nurs 57:91–95CrossRefPubMed
21.
Saeidi M, Mostafavi S, Heidari H, Masoudi S (2013) Effects of a comprehensive cardiac rehabilitation program on quality of life in patients with coronary artery disease. ARYA atherosclerosis 9(3):179PubMedPubMedCentral
22.
Kanejima Y, Shimogai T, Kitamura M et al (2020) Effect of early mobilization on physical function in patients after cardiac surgery: a systematic review and meta-analysis. Int J Environ Res Public Health 17(19):7091CrossRefPubMedPubMedCentral
23.
Fiorina C, Vizzardi E, Lorusso R et al (2007) The 6-min walking test early after cardiac surgery. Reference values and the effects of rehabilitation programme. Eur J Cardio-Thoracic Surg 32(5):724–9
24.
Hirschhorn AD, Richards DA, Mungovan SF et al (2012) Does the mode of exercise influence recovery of functional capacity in the early postoperative period after coronary artery bypass graft surgery? A randomized controlled trial. Int Cardiovasc Thorac Surg 15(6):995–1003CrossRef
25.
Mungovan SF, Singh P, Gass GC et al (2017) Effect of physical activity in the first five days after cardiac surgery. J Rehabil Med 49(1):71–77CrossRefPubMed
26.
Molino-Lova R, Pasquini G, Vannetti F and others (2013) Effects of a structured physical activity intervention on measures of physical performance in frail elderly patients after cardiac rehabilitation: a pilot study with 1-year follow-up. Intern Emerg Med 8:581–589CrossRefPubMed
27.
Ferronato L, Vieira D, Rodrigues A et al (2022) Short physical performance battery in the pre and postoperative myocardial revascularization surgery in older adults: reliability, hemodynamic responses, subjective perceived exertion, and adverse events. Physiother Theor Pr 1–11
28.
Afilalo J, Karunananthan S, Eisenberg MJ et al (2009) Role of frailty in patients with cardiovascular disease. Am J Cardiol 103(11):1616–1621CrossRefPubMed
29.
Bandeen-Roche K, Xue Q-L, Ferrucci L and others (2006) Phenotype of frailty: characterization in the women’s health and aging studies. J Gerontol A Biol Sci Med Sci 61(3):262–266CrossRefPubMed
30.
Büyükturan Ö, Demirci S, Büyükturan B, Yakut Y. Effects of using insoles of different thicknesses in older adults: which thickness has the best effect on postural stability and risk of falling? J Am Podiatr Med Assoc. 2020;110(6)
31.
Büyükturan Ö, Ekici G, Yıldırım NÜ (2011) Yaşlı Bireylerde İzole Kas Kuvveti ve Oranı ile Denge ve Yaşam Kalitesi Arasındaki İlişkiler. Ergoterapi ve Rehabilitasyon Dergisi 3(2):87–94
Metadata
Title
Effects of early mobilization in elderly patients undergoing cardiac surgery
Authors
İsmail Ceylan
Azhar Hassan Mhmood
Raed Qadri Khudhair Al-Janabi
Publication date
27-09-2024
Publisher
Springer International Publishing
Published in
Irish Journal of Medical Science (1971 -)
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-024-03811-5

2024 ESC Congress

Noise pollution dangerous for heart health

Two studies underscore the adverse impact of noise pollution on the risk for and prognosis after myocardial infarction.

Read more

Post-TAVI follow up: deploying virtual assistants

Antihypertensives: more effective at morning or night?

Low Lp(a) levels unlikely to increase the risk of diabetes

» View more highlights on the 2024 ESC Congress hub page

A quick guide to ECGs

Improve your ECG interpretation skills with this comprehensive, rapid, interactive course. Expert advice provides detailed feedback as you work through 50 ECGs covering the most common cardiac presentations to ensure your practice stays up to date. 

PD Dr. Carsten W. Israel
Developed by: Springer Medizin
Start the cases

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine
Read more
Image Credits