A review article on the benefits of early mobilization following spinal surgery and other medical/surgical procedures

Surgical Neurology International, 2014 · DOI: 10.4103/2152-7806.130674 · Published: April 16, 2014

Simple Explanation

This review explores the advantages of getting patients moving soon after spinal surgery, similar to practices in other medical fields. Early mobilization, along with supportive measures like pre-surgery rehab and nutrition, can lower complication rates and shorten hospital stays. The review suggests hospitals should change their approach to prioritize early mobilization for better patient outcomes and lower costs.

Study Duration

Not specified

Participants

Multiple studies reviewed

Evidence Level

Review Article

Key Findings

1
Early mobilization protocols in various medical/surgical settings correlate with reduced complications like respiratory issues, DVT/PE, and infections.
2
Early mobilization is associated with a reduced average length of stay (LOS) in hospitals.
3
Prehabilitation (rehab before surgery), protein supplements, better pain control, and early tracheostomy can be useful adjuncts to early mobilization protocols for spinal patients.

Research Summary

This review examines early mobilization protocols for hospitalized patients, finding that getting patients out of bed soon after surgery can decrease perioperative morbidity and length of stay (LOS). The paper emphasizes the need to change the hospital culture to prioritize early mobilization, which includes educating patients, families, nurses, and surgeons. Several factors can improve outcomes and reduce LOS in spine surgery, including prehabilitation, protein drinks, and earlier rehabilitation.

Practical Implications

Implement Early Mobilization Protocols

Hospitals should adopt and standardize early mobilization protocols for spinal surgery patients to reduce complications and LOS.

Focus on Prehabilitation and Nutrition

Incorporate prehabilitation programs and nutritional support (e.g., protein drinks) into the standard of care for spinal surgery patients.

Address Comorbidities Proactively

Manage patient comorbidities like diabetes and obesity aggressively to minimize complications and LOS after spinal surgery.

Study Limitations

1
The review relies on studies from various medical/surgical subspecialties, which may not be directly applicable to all spinal surgery patients.
2
The definition of 'early mobilization' varies across the reviewed studies, making it difficult to draw definitive conclusions.
3
The review acknowledges that comorbid factors significantly impact outcomes, but does not offer specific guidelines for managing these factors within an early mobilization protocol.

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