scholarly journals Mobilization and early hospital discharge for patients with acute myocardial infarction: literature review

2008 ◽  
Vol 21 (2) ◽  
pp. 345-350 ◽  
Author(s):  
Juliana de Lima Lopes ◽  
Juliana Turca dos Santos ◽  
Sheila Cristina de Lima ◽  
Alba Lúcia Bottura Leite de Barros

OBJECTIVE: This study was a literature review with the purpose of analyzing articles comparing early and late mobilization and those comparing early and late discharge for patients with acute myocardial infarction. METHODS: The literature review was performed using the Lilacs and Medline databases (1966-2007), and the length of the resting period, the hospitalization and possible complications were analyzed. RESULTS: We selected 18 articles; 11 of them compared early and late mobilization and 7 compared early and late discharge. The length of the resting period in the early mobilization group varied from 2 to 10 days and 5 to 28 days for the longest resting period. The early discharge group stayed in the hospital from 3 to 14 days and the late discharge group stayed in the hospital from 5 to 21 days. CONCLUSION: The studies show that there is no evidence of complications related to short periods of bed rest and hospitalization.

1996 ◽  
Vol 27 (2) ◽  
pp. 377
Author(s):  
Otto Kamp ◽  
Fransisca Nijland ◽  
Evelijn Beuerle ◽  
Jan Martijn Oosterveen ◽  
Frans C. Visser ◽  
...  

1995 ◽  
Vol 35 (3) ◽  
pp. 187-190 ◽  
Author(s):  
J. Timothy Hanlon ◽  
D. Thomas Combs ◽  
Bruce A. McLellan ◽  
Laura Railsback ◽  
Sue Haugen

2019 ◽  
Vol 5 (3) ◽  
pp. 99-103
Author(s):  
Diana Opincariu ◽  
Roxana Hodas

Abstract The significant raise in the number of patients surviving an acute myocardial infarction (AMI) has increased the burden of morbidity and disability due to acute coronary events. This has led to an increasing awareness on the need to develop specific rehabilitation programs, both during the acute phase, as well as in out-patient settings. In the pre-revascularization era, AMI was treated in bed. Regardless of the known therapeutic benefits of bed rest, there are scarce data regarding a standardized protocol for the early rehabilitation of patients with AMI. An extensive group of AMI patients are still exposed to prolonged immobilization, with current data showing a disparity in the length of post-MI bed rest, with a time of immobilization reported to be from 2 to 12 days and 2 to 28 days. The growing body of evidence on the effects of early cardiac rehabilitation programs following an AMI suggests that early mobilization after the index event could improve the inflammatory response and further modulate the ventricular remodeling process. The timing, duration, and intensity of cardiac mobilization has not yet been established, and further research on the effects of mobilization as early as the first 12 to 24 hours after the acute event could be beneficial for both short- and long-term outcomes, inflammation, and ventricular remodeling with subsequent heart failure.


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