{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:39:05Z","timestamp":1788187145083,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T00:00:00Z","timestamp":1634601600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T00:00:00Z","timestamp":1634601600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T00:00:00Z","timestamp":1634601600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003509","name":"\u00d6rebro Universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003509","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006736","name":"\u00d6rebro University Hospital Research Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006736","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Research Committee of \u00d6rebro County Council"},{"DOI":"10.13039\/501100003509","name":"\u00d6rebro University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003509","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Early mobilization is a significant part of the ERAS<jats:sup>\u00ae<\/jats:sup> Society guidelines, in which patients are recommended to spend 2 h out of bed on the day of surgery. However, it is not yet known how early patients can safely be mobilized after completion of colorectal surgery. The aim of this study was to evaluate the feasibility, and safety of providing almost immediate structured supervised mobilization starting 30\u00a0min post\u2010surgery at the postoperative anesthesia care unit (PACU), and to describe reactions to this approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This feasibility study includes 42 patients aged\u2009\u226518 years who received elective colorectal surgery at \u00d6rebro University Hospital. They underwent a structured mobilization performed by a specialized physiotherapist using a modified Surgical ICU Optimal Mobilization Score (SOMS). SOMS determines the level of mobilization at four levels from no activity to ambulating. Mobilization was considered successful at SOMS\u2009\u2265\u20092, corresponding to sitting on the edge of the bed as a proxy of sitting in a chair due to lack of space.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 71% (<jats:italic>n<\/jats:italic>\u2009=\u200930) of the patients reached their highest level of mobilization between the second and third hour of arrival in the PACU. Before discharge to the ward, 43% (<jats:italic>n<\/jats:italic>\u2009=\u200918) could stand at the edge of the bed and 38% (<jats:italic>n<\/jats:italic>\u2009=\u200916) could ambulate. Symptoms that delayed advancement of mobilization were pain, somnolence, hypotension, nausea, and patient refusal. No serious adverse events occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Supervised mobilization is feasible and can safely be initiated in the immediate postoperative care after colorectal surgery.<\/jats:p><jats:p><jats:italic>Trial registration Clinical trials.gov identifier<\/jats:italic>: NTC03357497.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-021-06347-2","type":"journal-article","created":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T22:34:05Z","timestamp":1634682845000},"page":"34-42","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Supervised Immediate Postoperative Mobilization After Elective Colorectal Surgery: A Feasibility Study"],"prefix":"10.1002","volume":"46","author":[{"given":"Rose\u2010Marie W.","family":"Th\u00f6rn","sequence":"first","affiliation":[{"name":"Department of Physiotherapy \u00d6rebro University Hospital \u00d6rebro 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October 2021","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 October 2021","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Olle Ljungqvist is the co-founder and current chairman of the ERAS<sup>\u00ae<\/sup> Society and founder and shareholder of Encare AB, Sweden, which manages the ERAS<sup>\u00ae<\/sup> Interactive Audit System. Hans Hjelmqvist is member of the Swedish Chapter of the ERAS<sup>\u00ae<\/sup> Society. The other authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Informed consent was obtained from individual participants in this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Study was approved by the Regional Ethics Board of Uppsala, Sweden (ref: 2017\/223).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}