Perioperative medicine & outcomes
Comprehensive assessment of postoperative mobility during the first days after mini-invasive lung surgery: A prospective observational study
Authors' conclusion
Our findings suggest that daily steps may not be the only relevant indicator of early mobility following thoracic surgery and that accelerometry is suitable to follow patients' early postoperative activity.
Study context
- Population
- Patients undergoing mini-invasive lung surgery56 with ≥1 day valid data
- Participants
- 60 patients
- Outcome
- Number of daily steps (accelerometer, ActiGraph GT3X)
- Follow-up
- First five PODs
Main finding
As reported in the abstract
Number of daily steps · first four PODs
- No significant change in number of daily steps or mean cadence during the first four PODs
Observational data: associations, not effects.
Secondary outcomes
One-minute cadence peak, total activity counts, light-intensity physical activity duration
- One-minute cadence peak increased over time
- P = 0.032
- Total activity counts increased over time
- P = 0.001
- Duration of light-intensity physical activity increased over time
- P = 0.001
Sedentary patterns
- Decrease in prolonged sedentary bouts (≥ 60 consecutive min)
- P < 0.001
- Increase in shorter bouts (< 10 min)
- P = 0.001
- Similar results when adjusted for day of week of surgery
Acceptability of wearing the accelerometer (10-point Likert scale)
- Median acceptability (IQR), excellent
- 10 [9-10]
Safety
- Patients with major complications
- 3
Original publication
Comprehensive assessment of postoperative mobility during the first days after mini-invasive lung surgery: A prospective observational study. J Clin Anesth. Published 28 January 2023. doi:10.
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