Perioperative medicine & outcomes
Association Between Mobilization and Composite Postoperative Complications Following Major Elective Surgery
Main finding · Composite postoperative complicationsResult — go to the resultHazard ratio 0.75 95% CI 0.67–0.84Authors' conclusion
In this study, mobilization measured by wearable accelerometers was associated with fewer postoperative complications and shorter hospital length of stay.
Study context
- Population
- Adults after elective surgery lasting ≥2 hours with ≥48 hours of hospitalization, single quaternary US referral center, February 2017–October 2020of 16,203 potential participants
- Participants
- 8,653 adults
- Exposure
- Amount of postoperative mobilization per hour over 48 postoperative hours (per 4-minute increase)
- Primary outcomen = 633
- Outcome
- Composite of:
- Myocardial injury
- Ileus
- Stroke
- VTE
- Pulmonary complications
- All-cause in-hospital mortality
Methodological detailssingle-centre, wearable accelerometer monitoring
- Single-centre
- Wearable accelerometer monitoring
Main finding
Composite postoperative complications
Hazard ratio
0.75
95% CI 0.67–0.84
P < 0.001
Each 4-minute increase in mobilization
HR 0.75 (95% CI 0.67–0.84); P < 0.001
Each 4-minute increase in mobilization, as printed
As reported in the abstract
- Patients experiencing the primary outcome
- 633 (7.3%)
Observational data: associations, not effects.
Secondary outcomes
Mobilization time (minutes per monitored hour) · first 48 postoperative hours
| Outcome | Estimated median reduction (days) (95% CI) | P value |
|---|---|---|
| Hospital LOS | 0.12 (0.09–0.15) | P < 0.001 |
- Mobilization time (minutes per monitored hour) — Overall median mobilization time
- 3.9 (1.7-7.8)
Pain score and 30-day readmission
- No associations between mobilization and pain score or 30-day readmission
Original publication
Association Between Mobilization and Composite Postoperative Complications Following Major Elective Surgery. JAMA Surg. Published 1 August 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →