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Background: Early mobilization (EM) in ICU is crucial to improve functional status and reduce mortality. EM within Italian Cardio-Surgical ICUs (CSICU) population seems to be not standardized. This study aimed to gather data from a CSICU to support future research on the benefits of standardized CSICU Early Mobilization. Methods: Prospective transversal study. Adult subjects who underwent elective or emergency heart surgery were enrolled in the Niguarda Hospital’s CSICU, Milan, Italy. Data were collected from October to November 2019. We excluded subjects who underwent major thoracic surgery, pure vascular surgery, and Transcatheter Aortic Valve Implantation surgery. Outcomes assessed: type and duration of mobilization activities, type, and duration of ventilatory supports, length of stay (LOS) at CSICU, days from surgery to EM, pain, delirium, sleep quality, handgrip force, limbs muscle force, heart ejection fraction (HEF). Results: Out of 125 patients, 31 subjects met our inclusion criteria. The mean age was 62 ± 11 years, BMI 26 ± 4,46. Mean LOS was 12 ± 19 days, mean days for the first mobilization were 6 ± 13, and mean patient’s walking distance: 57 ± 33 meters. Table 1 presents the outcomes measured. Conclusion: Considering the feasibility of EM interventions applied in this patient setting, this study reinforces the integration of EM activities within CSICUs. |
