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Early Mobility After Cardiac Surgery: A Quality Improvement Project

Ansley Cook1, Faith Grill2, Cole Taylor3

  • 1Ansley Cook is an acute care nurse practitioner, University of South Alabama Hospital, Mobile, Alabama.

Critical Care Nurse
|November 30, 2024
PubMed

Insights

Implementing an early mobility protocol for patients undergoing coronary artery bypass graft surgery reduced hospital length of stay by over a day, potentially minimizing complications from prolonged bed rest.

Area of Science:

  • Cardiovascular Surgery
  • Quality Improvement
  • Patient Mobility

Background:

  • Coronary artery bypass graft (CABG) surgery is a common procedure worldwide.
  • Prolonged bed rest post-CABG increases complication risks and length of hospital stay.
  • The authors' institution exceeded the national average length of stay for CABG patients.

Purpose of the Study:

  • To implement an early mobility protocol for CABG patients.
  • To reduce the postoperative length of stay for CABG patients.
  • To improve patient outcomes by increasing postoperative mobility.

Main Methods:

  • Retrospective data collection on mobility and length of stay pre- and post-intervention.
  • Implementation of a nurse-driven early mobility protocol.
  • Mobilizing patients to chair on postoperative day 0, aiming for a Johns Hopkins Highest Level of Mobility Scale score of 4.

Main Results:

  • Postoperative length of stay decreased by 1.04 days after protocol implementation.
  • 36 of 134 patients in the intervention group achieved mobility score 4, versus 0 of 103 pre-intervention.
  • The reduction in length of stay was clinically significant but not statistically significant (P = 1.95).

Conclusions:

  • Early mobility protocols show potential for improving patient outcomes after CABG surgery.
  • Increased patient mobility may reduce hospital length of stay.
  • Minimizing complications associated with immobility is a key benefit of early mobilization.
Abstract

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