The impact of mobilization protocols on the length of postoperative hospitalization among cardiac surgery patients

Authors

  • V. V. Vitomskyi GI “Scientific and Practical Medical Center for Pediatric Cardiology and Cardiac Surgery of the Ministry of Health of Ukraine” (Ukrainian Children’s Cardiac Center), Kyiv, Ukraine, Ukraine
  • O. B. Lazarieva National University of Ukraine on Physical Education and Sport, Kyiv, Ukraine
  • E. Yu. Doroshenko Zaporizhzhia State Medical University, Ukraine, Ukraine
  • M. V. Vitomskа National University of Ukraine on Physical Education and Sport, Kyiv, Ukraine, Ukraine
  • T. М. Kovalenko National University of Ukraine on Physical Education and Sport, Kyiv, Ukraine, Ukraine
  • A. М. Hertsyk Ukrainian Catholic University, Lviv, Ukraine, Ukraine
  • S. V. Gavreliuk National University of Ukraine on Physical Education and Sport, Kyiv, Ukraine, Ukraine

DOI:

https://doi.org/10.14739/2310-1210.2021.2.228781

Keywords:

exercise therapy, mobilization, cardiac surgery

Abstract

The aim. To determine the impact of implementing the extra early mobilization protocol (EEM) on the length of intensive care unit (LICU) stay and postoperative unit (LPOU) stay and to assess the role of age, heart contractility, functional class and surgical outcomes.

Materials and methods. Participants – adult patients of 2018–2019 with less than 24-hour artificial lung ventilation (ALV). The first group were treated according to the early mobilization protocol (EM, patients of 2018); the second group were treated according to the EEM protocol (patients of 2019). Design: a retrospective analysis. Settings: cardiosurgical unit. Interventions: the major difference is that the resources of patient mobilization team have expanded since 2019, namely it included a physical therapist, which made it possible to modify the EM protocol (standing on the 2 postoperative day (POD), activation with the help of medical staff, respiratory exercise) to the EEM protocol (standing on the 1 POD following consultation with an anesthesiologist, exercises with a physical therapist, respiratory exercise). The main outcomes: LICU, LPOU and total postoperative hospitalization (LTPO) (number of nights).

Results. There were no differences between the EEM and EM groups in LICU (3 (2; 4) vs. 2 (2; 4); P = 0.182), LPOU (7 (6; 10) vs. 8 (6; 10); P = 0.118), LTPO (10 (8; 13) vs. 10 (9; 13); P = 0.308). Correlation analysis revealed absence, weak and very weak relations between the LICU, LPOU, LTPO indicators and other criteria, including age, ejection fraction, ALV.

Conclusions. The effectiveness of the EEM protocol seems doubtful to reduce LICU, LPOU, and LTPO as compared to the EM protocol. The obtained results also raise the importance of physical therapist time management.

Author Biographies

V. V. Vitomskyi, GI “Scientific and Practical Medical Center for Pediatric Cardiology and Cardiac Surgery of the Ministry of Health of Ukraine” (Ukrainian Children’s Cardiac Center), Kyiv, Ukraine

PhD, Lecturer of the Department of Physical Therapy and Ergotherapy, National University of Ukraine on Physical Education and Sport; Physical therapist

O. B. Lazarieva, National University of Ukraine on Physical Education and Sport, Kyiv

PhD, DSc, Professor, Head of the Department of Physical Therapy and Ergotherapy

E. Yu. Doroshenko, Zaporizhzhia State Medical University, Ukraine

PhD, DSc, Professor of the Department of Physical Rehabilitation, Sports Medicine, Physical Training and Health

M. V. Vitomskа, National University of Ukraine on Physical Education and Sport, Kyiv, Ukraine

Lecturer of the Department of Physical Therapy and Ergotherapy, Postgraduate student of the Department of Physical Therapy and Ergotherapy

T. М. Kovalenko, National University of Ukraine on Physical Education and Sport, Kyiv, Ukraine

MD, PhD, Associate Professor of the Department of Physical Therapy and Ergotherapy

A. М. Hertsyk, Ukrainian Catholic University, Lviv, Ukraine

PhD, DSc, Professor of the Department of Physical Therapy and Ergotherapy

S. V. Gavreliuk, National University of Ukraine on Physical Education and Sport, Kyiv, Ukraine

MD, PhD, Associate Professor of the Department of Physical Therapy and Ergotherapy

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Published

2021-04-16

How to Cite

1.
Vitomskyi VV, Lazarieva OB, Doroshenko EY, Vitomskа MV, Kovalenko TМ, Hertsyk AМ, Gavreliuk SV. The impact of mobilization protocols on the length of postoperative hospitalization among cardiac surgery patients. Zaporozhye Medical Journal [Internet]. 2021Apr.16 [cited 2024Nov.24];23(2):259-65. Available from: http://zmj.zsmu.edu.ua/article/view/228781

Issue

Vol. 23 No. 2 (2021)

Section

Original research

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