Program


A scoping review of early mobility in the intensive care unit following cardiac surgery

May 25, 2024 from 10:05am MST to 10:35am MST

Concurrent Session: A scoping review of early mobility in the intensive care unit following cardiac surgery

Mobilization in the intensive care unit (ICU) within the first 24 hours following cardiac surgery (CS) is safe, supports improved health outcomes, and is recommended by ICU and CS guidelines. Despite this, there is a lack of integration of early mobility into CS ICU clinical care. A previous systematic review explored the modes of mobility used, only randomized controlled trials were included, excluding pilot and quality improvement studies and the grey literature. Additionally, no standardized methods were used, nor were findings reported disaggregated by sex and gender for exercise programs in clinical trials nor reported findings disaggregated by sex and gender. This scoping review aims to map the CS ICU early mobility literature to understand the extent, range, and nature of early mobility interventions in the extant literature using a standardized reporting method while exploring sex and gender differences. In this scoping review, consultation will occur through collaboration with two people who have lived experience with CS as co-authors and will be engaged in all stages of the review process. We will follow Arskey and O’Malley’s six-stage framework with adaptions from Levac and colleagues. Medline, Embase, PsycINFO, Scopus, and CINAHL databases will be searched for relevant articles, with a grey literature search of (ClinicalTrials.org and Google Scholar). Full-text articles written in English involving adult patients undergoing elective or emergent CS with mobility occurring in the CS ICU will be included. The results of this review will inform the development of two trial early mobility interventions for CS ICUs.

Speakers / Panelists

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    Emily Phillips
    RN, MN, PhD candidate, CCN(c)