Safety of Mobilizing Hospitalized Adults.doc

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Table 1. Safety of Mobilizing Hospitalized Adults Author Study design Population Objective Conclusion Medical Bernhardt et al. (2008) Prospective, open, randomized, controlled- trial, blinded outcome assessment Stroke patients (n=71) To test whether a very early rehabilitation protocol, with a focus on mobilization, was safe and feasible to administer across multiple sites No difference in safety measures between the standard care group and the early mobilization group among stroke patients. Junger et al. (2006) Randomized study DVT patients prescribed strict bed rest for at least five days (n=51), and DVT patients instructed to ambulate around the unit during the same five days (n=52). To evaluated the outcomes of pulmonary embolism, progression of thrombosis, nosocomial infections, serious events, and death between the best rest and ambulation groups (13.5%) of the mobile group and (28.0%) of the immobile group developed at least one of the evaluated outcomes. No significant differences were found between those who ambulated and those who remained on bed rest, indicating that prescribing bed rest for this patient population is not a necessity. Langhorne et al. (2010) Observer- blinded, pilot randomized controlled Stroke patients within 36 hours of symptom onset To study the safety of early mobilization in patients hospitalized Stroke patients in the early mobilization group had no significant increase in falls, fatigue, or stroke progression 1
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trial (n=32). with an acute stroke compared to the control group, indicating the safety of early mobilization of acute stroke patients. Trujillo- Santos et al. (2005) Observational study Deep Vein Thrombosis (DVT) patients (n=2,038) and pulmonary embolism (PE) patients (n=612) To explore whether ambulation of acute DVT and PE patients posed increased risk of developing new events of pulmonary embolism There was no significant difference in the development of new PE, fatal PE, or bleeding complications between patients on bed rest and those allowed to ambulate. Cardiac Procedure Best et al. (2010) Prospective non- concurrent design with a retrospective control. Left heart catheterization (LHC) sheath removal patients. Traditional three- to four-hour ambulation protocol group (n=402). 90 minute group (n=193). To determine the safety of ambulating patients at 90 minutes post-LHC sheath removal compared to the current practice of ambulation at three to four hours post- sheath removal. There was no difference in complication rates for the two groups. The results suggest that early ambulation for selected patients at 90 minutes is safe Boztosun et al.
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  • Winter '18
  • Cardiology, Atherosclerosis, Randomized controlled trial, Cardiac catheterization, Angiography

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