Early Ambulation Shortened the Length of Hospital Stay in ICU Patients after Abdominal Surgery
The optimal time to ambulation remains unclear for intensive care unit (ICU) patients following abdominal surgery. While previous studies have explored various mobilization techniques, a direct comparison between ambulation and other early mobilization methods is lacking. Additionally, the impact of...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-12-01
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| Series: | Clinics and Practice |
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| Online Access: | https://www.mdpi.com/2039-7283/13/6/141 |
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| author | Takashi Amari Daiki Matta Yukiho Makita Kyosuke Fukuda Hiroki Miyasaka Masami Kimura Yuta Sakamoto Satoshi Shimo Kenichiro Yamaguchi |
| author_facet | Takashi Amari Daiki Matta Yukiho Makita Kyosuke Fukuda Hiroki Miyasaka Masami Kimura Yuta Sakamoto Satoshi Shimo Kenichiro Yamaguchi |
| author_sort | Takashi Amari |
| collection | DOAJ |
| description | The optimal time to ambulation remains unclear for intensive care unit (ICU) patients following abdominal surgery. While previous studies have explored various mobilization techniques, a direct comparison between ambulation and other early mobilization methods is lacking. Additionally, the impact of time to ambulation on complications and disuse syndrome prevention requires further investigation. This study aimed to identify the optimal time to ambulation for ICU patients after abdominal surgery and considered its potential influence on complications and disuse syndrome. We examined the relationship between time to ambulation and hospital length of stay (LOS). Patients were categorized into the nondelayed (discharge within the protocol time) and delayed (discharge later than expected) groups. Data regarding preoperative functioning, postoperative complications, and time to discharge were retrospectively collected and analyzed. Of the 274 postsurgical patients managed in the ICU at our hospital between 2018 and 2020, 188 were included. Time to ambulation was a significant prognostic factor for both groups, even after adjusting for operative time and complications. The area under the curve was 0.72, and the cutoff value for time to ambulation was 22 h (sensitivity, 68%; specificity, 77%). A correlation between time to ambulation and complications was observed, with both impacting the hospital LOS (model 1: <i>p</i> < 0.01, r = 0.22; model 2: <i>p</i> < 0.01, r = 0.29). Specific cutoff values for time to ambulation will contribute to better surgical protocols. |
| first_indexed | 2024-03-08T20:54:14Z |
| format | Article |
| id | doaj.art-f1396c5c1bef4ee1a300929026165010 |
| institution | Directory Open Access Journal |
| issn | 2039-7283 |
| language | English |
| last_indexed | 2024-03-08T20:54:14Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-f1396c5c1bef4ee1a3009290261650102023-12-22T14:01:01ZengMDPI AGClinics and Practice2039-72832023-12-011361612162310.3390/clinpract13060141Early Ambulation Shortened the Length of Hospital Stay in ICU Patients after Abdominal SurgeryTakashi Amari0Daiki Matta1Yukiho Makita2Kyosuke Fukuda3Hiroki Miyasaka4Masami Kimura5Yuta Sakamoto6Satoshi Shimo7Kenichiro Yamaguchi8Department of Rehabilitation, Health Science University, 7187 Kodachi, Fujikawaguchiko, Yamanashi 401-0380, JapanDepartment of Rehabilitation, Ageo Central General Hospital, 1-10-10 Kashiwaza, Ageo, Saitama 362-8588, JapanDepartment of Rehabilitation, Ageo Central General Hospital, 1-10-10 Kashiwaza, Ageo, Saitama 362-8588, JapanDepartment of Rehabilitation, Health Science University, 7187 Kodachi, Fujikawaguchiko, Yamanashi 401-0380, JapanDepartment of Rehabilitation, Ageo Central General Hospital, 1-10-10 Kashiwaza, Ageo, Saitama 362-8588, JapanDepartment of Rehabilitation, Ageo Central General Hospital, 1-10-10 Kashiwaza, Ageo, Saitama 362-8588, JapanDepartment of Rehabilitation, Health Science University, 7187 Kodachi, Fujikawaguchiko, Yamanashi 401-0380, JapanDepartment of Rehabilitation, Health Science University, 7187 Kodachi, Fujikawaguchiko, Yamanashi 401-0380, JapanDepartment of Rehabilitation, Sainokuni Higashi Omiya Medical Center, 1522 Toro-cho, Kita-ku, Saitama-shi 331-8577, JapanThe optimal time to ambulation remains unclear for intensive care unit (ICU) patients following abdominal surgery. While previous studies have explored various mobilization techniques, a direct comparison between ambulation and other early mobilization methods is lacking. Additionally, the impact of time to ambulation on complications and disuse syndrome prevention requires further investigation. This study aimed to identify the optimal time to ambulation for ICU patients after abdominal surgery and considered its potential influence on complications and disuse syndrome. We examined the relationship between time to ambulation and hospital length of stay (LOS). Patients were categorized into the nondelayed (discharge within the protocol time) and delayed (discharge later than expected) groups. Data regarding preoperative functioning, postoperative complications, and time to discharge were retrospectively collected and analyzed. Of the 274 postsurgical patients managed in the ICU at our hospital between 2018 and 2020, 188 were included. Time to ambulation was a significant prognostic factor for both groups, even after adjusting for operative time and complications. The area under the curve was 0.72, and the cutoff value for time to ambulation was 22 h (sensitivity, 68%; specificity, 77%). A correlation between time to ambulation and complications was observed, with both impacting the hospital LOS (model 1: <i>p</i> < 0.01, r = 0.22; model 2: <i>p</i> < 0.01, r = 0.29). Specific cutoff values for time to ambulation will contribute to better surgical protocols.https://www.mdpi.com/2039-7283/13/6/141ambulationintensive care unitlength of staypatient dischargepostoperative complications |
| spellingShingle | Takashi Amari Daiki Matta Yukiho Makita Kyosuke Fukuda Hiroki Miyasaka Masami Kimura Yuta Sakamoto Satoshi Shimo Kenichiro Yamaguchi Early Ambulation Shortened the Length of Hospital Stay in ICU Patients after Abdominal Surgery Clinics and Practice ambulation intensive care unit length of stay patient discharge postoperative complications |
| title | Early Ambulation Shortened the Length of Hospital Stay in ICU Patients after Abdominal Surgery |
| title_full | Early Ambulation Shortened the Length of Hospital Stay in ICU Patients after Abdominal Surgery |
| title_fullStr | Early Ambulation Shortened the Length of Hospital Stay in ICU Patients after Abdominal Surgery |
| title_full_unstemmed | Early Ambulation Shortened the Length of Hospital Stay in ICU Patients after Abdominal Surgery |
| title_short | Early Ambulation Shortened the Length of Hospital Stay in ICU Patients after Abdominal Surgery |
| title_sort | early ambulation shortened the length of hospital stay in icu patients after abdominal surgery |
| topic | ambulation intensive care unit length of stay patient discharge postoperative complications |
| url | https://www.mdpi.com/2039-7283/13/6/141 |
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