title: Effects of early mobilisation in patients after cardiac surgery: a systematic review.
abstract: BACKGROUND
  Early mobilisation is prescribed after cardiac surgery to prevent postoperative complications, decrease length of hospital stay, and augment return to daily activities.
  
  
  OBJECTIVE
  To evaluate the evidence for the effects of early mobilisation in patients after cardiac surgery on length of hospital stay, functional capacity and postoperative complications.
  
  
  METHODS
  The data sources used were Medline, Embase, CINAHL, PEDro, Web of Science and Cochrane Central Register of Controlled Trials.
  
  
  METHODS
  Randomised controlled trials of early mobilisation after cardiac surgery. Study selection was not restricted by language or publication time.
  
  
  METHODS
  The methodological quality of each article was appraised with the PEDro scale. All review phases (selection, data extraction and appraisal) were conducted by two investigators, and a third investigator provided consensus.
  
  
  RESULTS
  Nine trials were selected. The PEDro scale showed that the studies had a low risk of bias (range 5 to 9 points). The trials revealed diversity in techniques used for mobilisation, as well as periods considered early for the start of the intervention. Early mobilisation groups had improved outcomes compared with control groups without treatment. Generally, these advantages did not differ when groups of interventions were compared.
  
  
  CONCLUSIONS
  It was not possible to perform a meta-analysis due to the variability of the interventions proposed as early mobilisation.
  
  
  CONCLUSIONS
  Regardless of the techniques used as mobilisation, the essential point is to avoid bed rest. Early mobilisation seems to be important to prevent postoperative complications, improve functional capacity and reduce length of hospital stay in patients after cardiac surgery.
authors.affiliation: Masters and Doctoral Programmes in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil.
authors.forename: P M
authors.initials: PM
authors.lastname: Ramos Dos Santos
authors.affiliation: Masters and Doctoral Programmes in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil.
authors.forename: N
authors.initials: N
authors.lastname: Aquaroni Ricci
authors.affiliation: Masters and Doctoral Programmes in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil.
authors.forename: É
authors.initials: É
authors.lastname: Aparecida Bordignon Suster
authors.affiliation: Research Institute, Hospital do Coração, São Paulo, Brazil.
authors.forename: D
authors.initials: D
authors.lastname: de Moraes Paisani
authors.affiliation: Masters and Doctoral Programmes in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil; Pulmonary Division, Universidade Federal de São Paulo, São Paulo, Brazil. Electronic address: lu_chiavegato@uol.com.br.
authors.forename: L
authors.initials: L
authors.lastname: Dias Chiavegato
mesh_terms: D006348:Cardiac Surgical Procedures / Q000534:rehabilitation*; D004434:Early Ambulation / Q000379:methods*; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data*; D026741:Physical Therapy Modalities; D011183:Postoperative Complications / Q000453:epidemiology*; D016032:Randomized Controlled Trials as Topic
keywords: Cardiac surgery; Early mobilisation; Postoperative complications; Randomised control trials