Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review

10.20944/preprints202104.0235.v2 ◽

2021 ◽

Author(s):

Aprisunadi Aprisunadi ◽

Moses Glorino Rumambo Pandin

Keyword(s):

Literature Review ◽

Lower Extremity ◽

Health Workers ◽

Lower Extremities ◽

Early Mobilization ◽

Bed Rest ◽

Vein Thrombosis ◽

Hospitalization Costs ◽

Tract Infections ◽

Deep Vein

Background: The incidence of fracture and surgery of the hip and lower extremities is still high. Long postoperative bed rest has the potential to increase the incidence of various complications that may increase the morbidity and mortality rate of patients after hip and lower extremities surgery. Aim: This literature review aimed to identify the effects of early mobilization in hip and lower extremity postoperative. Method: Search for articles on several databases such as ProQuest, ScienceDirect, CINAHL, Medline, Wiley Online and Scopus, using the Boolean operator by combining several keywords according to the literature review topic, with inclusion criteria are published in the last 3 years (2019-2021), used a quantitative design, written in English and full text articles. A total of 435 articles were obtained, then screened and reviewed, so that there were 16 (sixteen) eligible articles.Result: There were 11 (eleven) effects of early mobilization, i.e. reducing length of stay, reducing the risk of deep vein thrombosis (DVT), reducing pulmonary infections (pneumonia), reducing urinary tract infections, reducing the risk of wound infection, improving extremity function and ability to walk, reducing postoperative pain, reducing the risk of pressure sores, reducing postoperative delirium, reducing readmission and lowering hospitalization costs. Conclusion: This literature review showed that early mobilization is safe and effective in postoperative patients to reduce the risk of complications and adverse events. Nurses and health workers who care for patients could implement early mobilization and motivate patients to be cooperative in undergoing early mobilization.

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Early mobilization versus bed rest for deep vein thrombosis

Medwave ◽

10.5867/medwave.2016.6478 ◽

2016 ◽

Vol 16 (Suppl2) ◽

pp. e6478-e6478 ◽

Cited By ~ 2

Author(s):

Ariel Izcovich ◽

Federico Popoff ◽

Gabriel Rada

Keyword(s):

Deep Vein Thrombosis ◽

Early Mobilization ◽

Bed Rest ◽

Vein Thrombosis ◽

Deep Vein

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The Use of Doppler Ultrasound to Diagnose Deep Vein Thrombosis of the Lower Limbs

Journal of Biomedical Engineering and Medical Imaging ◽

10.14738/jbemi.94.9302 ◽

2021 ◽

Vol 8 (4) ◽

pp. 7-13

Author(s):

Nagla Hussein ◽

Mohamed Khalid

Keyword(s):

Deep Vein Thrombosis ◽

Lower Extremity ◽

Femoral Vein ◽

Lower Extremities ◽

Duplex Ultrasound ◽

Imaging Method ◽

Colour Doppler ◽

Vein Thrombosis ◽

Age Range ◽

Deep Vein

In most cases of pulmonary embolism, death occurs as a result of deep vein thrombosis (DVT) of the lower extremities. Therefore, to avoid DVT complications and sequel, DVT must be diagnosed as early as possible and this can be achieved via B-mode and colour Doppler imaging. The present paper seeks to investigate the suitability of the imaging method of ultrasound for lower extremity DVT diagnosis and to explore the outcomes of the use of this method in DVT cases. To this end, the paper undertakes a retrospective descriptive study of 50 cases of ultrasound-based diagnosis of DVT at King Khalid Hospital in the period between January 2019 and August 2020. Half of the cases were subjected to compression, colour, and duplex ultrasound, 14 cases were subjected to compression and duplex ultrasound, and 11 cases were subjected to compression and colour Doppler. The mean age across all cases was 46.2±19.9 years. The majority of cases (56%) were in the age range 22-41 years old (n=28), while 28% of cases were in the age range 42-61 years old (n=14), 6% of cases were in the age range 62-81 years old (n=3), and 10% of cases were in the age range 82-102 years old (n=5). Regarding sex, females accounted for 60% of cases, while males accounted for the rest of 40%. Furthermore, in 90% of cases (n=45), just one lower extremity was affected, whereas in 10% of cases (n=5), both lower extremities were affected. Regarding thrombus location, it was found mostly in the area above the knee, particularly the popliteal vein (34%), common femoral vein (18%), and superficial femoral vein (20%). Moreover, 2% of cases presented thrombus in the calf vein. In 26% of cases, multiple veins were affected. DVT was acute in 76% of cases (n=38) and chronic in 24% of cases (n=12). It is concluded that symptomatic and at-risk cases benefit from the use of ultrasound for DVT diagnosis. The suitability of this method stems from its lack of invasiveness and capability to assess thrombus location, magnitude, and stage.

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Ultrasound diagnosis of the lower extremity deep vein thrombosis in the patients with multiple fractures of the bones of the lower extremities

European Science Review ◽

10.20534/esr-16-7.8-162-164 ◽

2016 ◽

pp. 162-164

Author(s):

E. Shukurov

Keyword(s):

Deep Vein Thrombosis ◽

Lower Extremity ◽

Lower Extremities ◽

Ultrasound Diagnosis ◽

Multiple Fractures ◽

Vein Thrombosis ◽

Deep Vein

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No correlation between lower extremity deep vein thrombosis and pulmonary embolism proportions in trauma: a systematic literature review

European Journal of Trauma and Emergency Surgery ◽

10.1007/s00068-018-1043-3 ◽

2018 ◽

Vol 44 (6) ◽

pp. 843-850 ◽

Cited By ~ 1

Author(s):

Hiba Abdel Aziz ◽

Barbara M. Hileman ◽

Elisha A. Chance

Keyword(s):

Pulmonary Embolism ◽

Deep Vein Thrombosis ◽

Literature Review ◽

Lower Extremity ◽

Systematic Literature Review ◽

Vein Thrombosis ◽

Deep Vein

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Relevance of immobility as a risk factor for symptomatic proximal and isolated distal deep vein thrombosis in acutely ill medical inpatients

Vascular Medicine ◽

10.1177/1358863x21996825 ◽

2021 ◽

pp. 1358863X2199682

Author(s):

Michelangelo Sartori ◽

Elisabetta Favaretto ◽

Benilde Cosmi

Keyword(s):

Risk Factor ◽

Cohort Study ◽

Deep Vein Thrombosis ◽

Lower Extremity ◽

Bed Rest ◽

Surgical Patients ◽

Vein Thrombosis ◽

Medical Inpatients ◽

Medical Wards ◽

Deep Vein

Immobility is a well-recognized risk factor for deep vein thrombosis (DVT) in surgical patients, whereas the level of DVT risk conferred by immobility is less defined in patients on medical wards. The aim of this study was to establish whether immobility and its duration are associated with the risk of DVT in acutely ill medical inpatients. We conducted a cohort study in acutely ill medical inpatients. Patients underwent whole leg ultrasound for suspected lower extremity DVT and were divided into two groups according to presence or absence of immobility, defined as total bed rest or sedentary without bathroom privileges. The endpoint was the detection of proximal DVT or isolated distal DVT (IDDVT). Among the 252 acutely ill medical inpatients with immobility (age 82.6 ± 10.3 years, female 63.9%), ultrasound showed 36 (14.3%) proximal DVTs and 39 (15.5%) IDDVTs, while there were 11 (4.4%) proximal DVTs and 26 (10.5%) IDDVTs among the 248 inpatients without immobility (age 73.6 ± 14.2 years, female 54.8%). The risk of proximal DVT was higher in immobile than in mobile patients (OR 3.59, 95% CI: 1.78–7.23, p = 0.0001), whereas the risk of IDDVT was similar between the two groups (OR 1.56, 95% CI: 0.92–2.66, p = 0.111). During the first 3 days of hospitalization, the frequency of all DVTs was similar in patients with and without immobility, but it was 0.26 ± 0.03 vs 0.18 ± 0.03, respectively, after 4 days. In conclusion, immobility for more than 3 days is a risk factor for proximal DVT in acutely ill medical inpatients.

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