Effect of Early Mobilization on Length of Stay, Recovery and Readmission Rate of Patients After CABG or AVR/MVR Surgery
Effect of Early Mobilization on Length of Stay, Recovery and Readmission Rate of Patients After CABG or AVR/MVR Surgery
The present study will investigate the volume and extent of the expected physiological
 effects of "early mobilization" on the prevention of the clinical illness' detrimental
 sequelae and on the functional recovery promotion of CABG, AVR and MVR patients.
 Consequently, it will investigate if the improved health outcomes may limit the number and
 intensity of complications and thus if it may speed up hospital discharge.
Although the effects of "early mobilization" have been studied mainly in the intensive care
 unit setting, the findings could be applied to the surgical units' patients too, since they
 share common physiological and clinical characteristics. In the literature the effectiveness
 of "early mobilization" in the length of hospital stay and recovery of the patients operated
 for coronary artery bypass graft and heart valve replacement in the cardiac surgery setting,
 is unknown.

 The term "early mobilization" is not restricted to a time factor procedure but contains the
 provision of a customized dynamic set of physical therapy techniques which in studies are
 variably determined in terms of duration, intensity, frequency and content.

 The aim of the study is to determine the clinical effectiveness of the intensive early
 mobilization physical therapy intervention compared with standard care of physical therapy in
 the cardio-thoracic surgery clinic of Papageorgiou General Hospital of Thessaloniki.

 The present study will investigate the volume and extend of the expected physiological
 effects of "early mobilization" on the prevention of the clinical illness' detrimental
 sequelae and on the functional recovery promotion, hospital mortality and readmission rate of
 CABG, AVR and MVR patients. Consequently, it will investigate if the improved health outcomes
 may limit the number and intensity of complications and thus may speed up hospital discharge.
 In the first group of the experimental design, patients will be treated with an intensive
 early mobilization protocol and the patients of the second group will receive a standard care
 physical therapy treatment. Controlling for the detailed baseline characteristics that will
 be assessed during medical history at admission, potential bias will be limited from
 unmeasured confounders of the study.
Inclusion Criteria:

 -  Elective CABG or AVR or MVR surgery

 -  No previous CABG or valve surgery

 -  Isolated / multivessel CABG

 Exclusion Criteria:

 -  Current neurological disorders

 -  Previous cerebral vascular accident with residual neurological deficit significant
 enough to limit exercise

 -  Significant limiting comorbidities that would prevent full participation