The impact of Early Mobilization for Post-Coronary Artery Bypass Grafting (CABG) Surgery Patients: A Retrospective Study

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Norhaziela Hashim, Parwathi Alagirisamy, Nur Aainaa Mohd Rasid
Purpose:

This study aims to evaluate the effectiveness of early mobilization (within 24 to 48 hours) using the ICU Mobility Scale (IMS) for CABG patients. The secondary objective is to assess its impact on outcomes, including length of stay (LOS), complication rates, and readmission rates.

Methods:

A retrospective study was conducted using data from Electronic Medical Records (KCIST) and postoperative rehabilitation records at KPJ Damansara Specialist Hospital. Postoperative assessments included IMS scores, LOS, incidence of complications, and readmission rates.

Results:

The study included 24 patients who underwent CABG from 2021 to 2024, with 21 (87.5%) males and 3 (12.5%) females, aged 37 to 69 years. A paired t-test showed a significant difference between early mobilization at 24 hours (M = 4.13, SD = 2.33) and at 48 hours (M = 7.00, SD = 1.72; t = 7.926, p .001, d = 23). Early mobilization within 24 hours was significantly negatively correlated with LOS (p 0.05), indicating a shorter hospital stay


Conclusion(s):

Early mobilization within 24 hours after CABG surgery enhances recovery, shortens the hospital stay, and leads to better overall outcomes for patients.


Implications:

These findings suggest that early mobilization post-CABG should be incorporated into clinical guidelines. Educating patients on the benefits of early mobilization may increase adherence to postoperative care plans and improve outcomes.

Funding acknowledgements:
This research was unfunded.
Keywords:
Early mobilization
Post CABG
Primary topic:
Cardiorespiratory
Second topic:
Critical care
Third topic:
Other
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
We obtain internal ethics approval from KPJ Damansara Specialist Hospital and consent from the patients to conduct the research.
Provide the ethics approval number:
17/1/2024
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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