1. Early ambulation after general and digestive surgery: a retrospective single-center study
- Author
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Ryutaro Tokai, Kenta Murotani, Katsuhisa Hirano, Koshi Matsui, Mizuki Nishijima, Shozo Hojo, Toru Watanabe, Kazuto Shibuya, Hayato Baba, Isaku Yoshioka, Tomoyuki Okumura, and Tsutomu Fujii
- Subjects
Male ,medicine.medical_specialty ,Prehabilitation ,Single Center ,03 medical and health sciences ,0302 clinical medicine ,Postoperative Complications ,Risk Factors ,Medicine ,Humans ,Digestive System Surgical Procedures ,Early Ambulation ,Aged ,Retrospective Studies ,business.industry ,Incidence (epidemiology) ,Perioperative ,Vascular surgery ,Cardiac surgery ,Cardiothoracic surgery ,030220 oncology & carcinogenesis ,Anesthesia ,030211 gastroenterology & hepatology ,Surgery ,Female ,business ,Abdominal surgery - Abstract
Postoperative early ambulation contributes to the improvement of postoperative outcomes; however, the definition of “early” ambulation is unclear. In this study, we aimed to define desirable “early” ambulation after digestive surgery in terms of short-term outcomes and to identify the risk factors for delayed ambulation. We retrospectively analyzed 718 patients who underwent major digestive surgery between January 2016 and May 2019 in our hospital. The timing of first ambulation after surgery was reviewed and correlated with short-term postoperative outcomes and perioperative patient characteristics. Of 718 patients, 55% underwent first ambulation at postoperative day (POD) 1, 31% at POD 2, and the remaining patients at POD 3 or later. Whereas short-term outcomes were equivalent among patients with first ambulation at POD 1 and those at POD 2, patients who delayed ambulation until POD 3 or after had an increased incidence of infectious complications (P = 0.004), longer hospitalization (P
- Published
- 2020