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Although early mobilization is a vital component of postoperative care, for preventing complications and enhancing physical recovery, there is limited data on routine practices and optimal strategies for early mobilization after cardiac surgery. The aim of the study was to define the timing for the first initiation of out of bed mobilization after cardiac surgery and to describe the type of mobilization performed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In this observational study, the first mobilization out of bed was studied in a subset of adult cardiac surgery patients (<jats:italic>n<\/jats:italic>\u2009=\u2009290) from five of the eight university hospitals performing cardiothoracic surgery in Sweden. Over a five-week period, patients were evaluated for mobilization routines within the initial 24\u00a0h after cardiac surgery. Data on the timing of the first mobilization after the end of surgery, as well as the duration and type of mobilization, were documented. Additionally, information on patient characteristics, anesthesia, and surgery was collected.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 277 patients (96%) were mobilized out of bed within the first 24\u00a0h, and 39% of these patients were mobilized within 6\u00a0h after surgery. The time to first mobilization after the end of surgery was 8.7\u2009\u00b1\u20095.5\u00a0h; median of 7.1 [4.5\u201313.1] hours, with no significant differences between coronary artery bypass grafting, valve surgery, aortic surgery or other procedures (<jats:italic>p<\/jats:italic>\u2009=\u20090.156). First mobilization session lasted 20\u2009\u00b1\u200941\u00a0min with median of 10 [1\u201311]. Various kinds of first-time mobilization, including sitting on the edge of the bed, standing, and sitting in a chair, were revealed. A moderate association was found between longer intubation time and later first mobilization (\u03c1\u2009=\u20090.487, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Additionally, there was a moderate correlation between the first timing of mobilization duration of the first mobilization session (\u03c1\u2009=\u20090.315, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This study demonstrates a median time to first mobilization out of bed of 7\u00a0h after cardiac surgery. A moderate correlation was observed between earlier timing of mobilization and shorter duration of the mobilization session. Future research should explore reasons for delayed mobilization and investigate whether earlier mobilization correlates with clinical benefits.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Trial registration<\/jats:title>\n                <jats:p>FoU in VGR (Id 275,357) and Clinical Trials (NCT04729634).<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-024-02915-4","type":"journal-article","created":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T03:58:10Z","timestamp":1720065490000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["First initiation of mobilization out of bed after cardiac surgery \u2013 an observational cross-sectional study in Sweden"],"prefix":"10.1186","volume":"19","author":[{"given":"Elisabeth","family":"Westerdahl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"Lilliecrona","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Sehlin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Svensson-Raskh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malin","family":"Nygren-Bonnier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika Fagevik","family":"Olsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,4]]},"reference":[{"issue":"2","key":"2915_CR1","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1159\/000056314","volume":"69","author":"JA Hardie","year":"2002","unstructured":"Hardie JA, Morkve O, Ellingsen I. 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The study was conducted in accordance with the Declaration of Helsinki. Since the study protocol involved the registration of ordinary routines for mobilization, and no intervention or change in clinical practice or patient involvement was needed, patient consent was waived by the Ethical Committee. After being collected at bedside, the data were deidentified and could not be linked to any patient either during or after the analysis.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"420"}}