We read with great interest the article by Semsar-Kazerooni et al., which discussed the importance of early mobilization in people with acute cardiovascular disease.
1This was a historical cohort study with no major confounding by indication and involved a large sample size. In addition, approximately 90% of the participants were on an early mobilization program, which was feasible, safe, and impressive. We have also reported that early mobilization in patients with acute heart failure reduced the rate of decline in activities of daily living by half the odds ratio.
- Semsar-Kazerooni K
- Dima D
- Valiquette J
- Berube-Dufour J
- Goldfarb M.
Early mobilization in people with acute cardiovascular disease.
Can J Cardiol. 2021; 37: 232-240
2In Japan, early rehabilitation in intensive care units (ICUs) for patients with cardiac disease has been getting a great deal of attention in recent years because of the incentive of reimbursement for early rehabilitation in the ICU.
- Suzuki S
- Momosaki R
- Watanabe T
- Abo M.
Effectiveness of early rehabilitation for acute heart failure: a retrospective cohort study.
J Cardiopulm Rehabil Prev. 2019; 39: E23-E25
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- Early mobilization in people with acute cardiovascular disease.Can J Cardiol. 2021; 37: 232-240
- Effectiveness of early rehabilitation for acute heart failure: a retrospective cohort study.J Cardiopulm Rehabil Prev. 2019; 39: E23-E25
- Effectiveness, safety, and barriers to early mobilization in the intensive care unit.Crit Care Res Pract. 2020; 20207840743
- Strong quasi-experimental designs for research on the effectiveness of rehabilitation.Am J Phys Med Rehabil. 1995; 74: 383-392
Accepted: March 8, 2021
Received: March 2, 2021
© 2021 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
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- Reply to Tsuge et al.—Early Mobilization in People With Acute Cardiovascular DiseaseCanadian Journal of CardiologyVol. 37Issue 8
- PreviewWe thank Tsuge and colleagues for their interest in our study and for their contribution to understanding the role of early mobilization in acute cardiac care.1 The emerging evidence for early mobilization in the acute cardiac setting is promising. However, the current evidence base, including our current study, is mainly observational or retrospective in nature and is thus subject to the corresponding biases.2 To address potential biases in our study, we included consecutive admissions to the cardiac intensive care unit, compared consecutive time periods (pre- and postintervention), and adjusted for potential confounders, including admission for heart failure.