{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T09:28:09Z","timestamp":1784366889102,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T00:00:00Z","timestamp":1707782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The level of post\u2010operative mobilization according to Enhanced Recovery After Surgery (ERAS) guidelines is not always achieved. We investigated whether immediate mobilization increases postoperative physical activity. The objective was to evaluate the effects of immediate postoperative mobilization in the post\u2010anesthesia care unit (PACU) compared to standard care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This randomized controlled trial, involved 144 patients, age \u226518\u00a0years, undergoing elective colorectal surgery. Patients were randomized to mobilization starting 30\u00a0min after arrival in the PACU, or to standard care. Standard care consisted of mobilization a few hours later at the ward according to ERAS guidelines. The primary outcome was physical activity, in terms of number of steps, measured with an accelerometer during postoperative days (PODs) 1\u20133. Secondary outcomes were physical capacity, functional mobility, time to readiness for discharge, complications, compliance with the ERAS protocol, and physical activity 1\u00a0month after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>With the intention\u2010to\u2010treat analysis of 144 participants (median age 71, 58% female) 47% underwent laparoscopic\u2010or robotic\u2010assisted surgery. No differences in physical activity during hospital stay were found between the participants in the intervention group compared to the standard care group (adjusted mean ratio 0.97 on POD 1 [95% CI, 0.75\u20131.27], <jats:italic>p<\/jats:italic>\u00a0=\u00a00.84; 0.89 on POD 2 [95% CI, 0.68\u20131.16], <jats:italic>p<\/jats:italic>\u00a0=\u00a00.39, and 0.90 on POD 3 [95% CI, 0.69\u20131.17], <jats:italic>p<\/jats:italic>\u00a0=\u00a00.44); no differences were found in any of the other outcome measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Addition of the intervention of immediate mobilization to standard care did not make the patients more physically active during their hospital stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial registration<\/jats:title><jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/ClinicalTrials.gov\">ClinicalTrials.gov<\/jats:ext-link> Identifier: NTC 03357497.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12102","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T11:39:05Z","timestamp":1707824345000},"page":"956-966","source":"Crossref","is-referenced-by-count":14,"title":["Immediate mobilization in post\u2010anesthesia care unit does not increase overall postoperative physical activity after elective colorectal surgery: A randomized, double\u2010blinded controlled trial within an enhanced recovery protocol"],"prefix":"10.1002","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2216-6366","authenticated-orcid":false,"given":"Rose\u2010Marie","family":"Wilnerzon Th\u00f6rn","sequence":"first","affiliation":[{"name":"Department of Physiotherapy Faculty of Medicine and Health \u00d6rebro University  \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anette","family":"Forsberg","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy 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