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Background and Aim <p>There is currently no consensus on how to define “early” mobilisation following surgery. The aim of this study was to develop definitions of early mobilisation after cardiothoracic and abdominal surgery.</p> Methods <p>We conducted a study with multiple methods designs, including a survey, clinical observations and consensus discussions. A national survey investigated Swedish healthcare professionals’ opinions on the typical timeframe for first mobilisation for eight defined categories of surgery, and timeframes for “early” mobilisation. The following consensus discussions were based on the results of the survey and earlier observational data of time to first mobilisation after surgery in 736 patients who had undergone the eight defined surgical procedures.</p> Results <p>In total, 503 healthcare professionals completed the survey and 48 healthcare professionals, and 12 patients participated in eight consensus discussions. In the survey, the earliest time range for typical timeframe for first mobilisation (3–6&#xa0;h) was estimated for patients undergoing cardiac, pulmonary, or minor upper or lower abdominal open surgery and the latest time range (6–9&#xa0;h) for patients who underwent oesophageal surgery. Across all surgical categories, “early” mobilisation was consistently perceived to occur earlier than the estimated typical timeframe. From the eight consensus discussions, “early” mobilisation was defined as “occurring within 6 hours after surgery, regardless of procedure type”.</p> Conclusion <p>In this multiple design national study, “early” mobilisation was defined to be performed within a 6-h time frame after eight categories of abdominal and cardiothoracic surgery. However, the generalisability to other countries is yet to be explored. The findings also highlight the variability in mobilisation times, underscoring the need for tailored preoperative and postoperative care protocols to optimise recovery.</p> Trial registration <p>FoU in Sweden” (Research and Development in Sweden) id: 275327 and Clinical Trials NCT04729634 (Registration date: 01/27/2021).</p>

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Timeframes for “early” mobilisation after abdominal and cardiothoracic surgery: evidence- and consensus-based suggestions of definitions

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年4月18日

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  • Monika Fagevik Olsén,
  • Maria Sehlin,
  • Elisabeth Westerdahl,
  • Anna Svensson-Raskh,
  • Linda Block,
  • Cecilia Engström,
  • Malin Nygren-Bonnier,
  • Anna Schandl

摘要

Background and Aim

There is currently no consensus on how to define “early” mobilisation following surgery. The aim of this study was to develop definitions of early mobilisation after cardiothoracic and abdominal surgery.

Methods

We conducted a study with multiple methods designs, including a survey, clinical observations and consensus discussions. A national survey investigated Swedish healthcare professionals’ opinions on the typical timeframe for first mobilisation for eight defined categories of surgery, and timeframes for “early” mobilisation. The following consensus discussions were based on the results of the survey and earlier observational data of time to first mobilisation after surgery in 736 patients who had undergone the eight defined surgical procedures.

Results

In total, 503 healthcare professionals completed the survey and 48 healthcare professionals, and 12 patients participated in eight consensus discussions. In the survey, the earliest time range for typical timeframe for first mobilisation (3–6 h) was estimated for patients undergoing cardiac, pulmonary, or minor upper or lower abdominal open surgery and the latest time range (6–9 h) for patients who underwent oesophageal surgery. Across all surgical categories, “early” mobilisation was consistently perceived to occur earlier than the estimated typical timeframe. From the eight consensus discussions, “early” mobilisation was defined as “occurring within 6 hours after surgery, regardless of procedure type”.

Conclusion

In this multiple design national study, “early” mobilisation was defined to be performed within a 6-h time frame after eight categories of abdominal and cardiothoracic surgery. However, the generalisability to other countries is yet to be explored. The findings also highlight the variability in mobilisation times, underscoring the need for tailored preoperative and postoperative care protocols to optimise recovery.

Trial registration

FoU in Sweden” (Research and Development in Sweden) id: 275327 and Clinical Trials NCT04729634 (Registration date: 01/27/2021).