We 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.
1The 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.
- Tsuge S
- Kameda I
- Ito T
- et al.
Barriers and strategies for early mobilization in acute cardiovascular disease.
Can J Cardiol. 2021; 37: 1300
2To 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. The intervention group had a higher rate of primary admission for heart failure, which is associated with older age and higher levels of frailty, than the usual mobility care group (15% vs 11%, respectively) yet still had a higher rate of discharge home. Nonetheless, we acknowledge that unmeasured confounders inherent to the study methodology may have affected our results. There remains a strong unmet need for high-quality, multicentre randomized studies to explore whether early mobilization in acute cardiovascular care improves clinical and person-centred outcomes.
- Goldfarb M
- Afilalo J
- Chan A
- Herscovici R
- Cercek B.
Early mobility in frail and non-frail older adults admitted to the cardiovascular intensive care unit.
J Crit Care. 2018; 47: 9-14
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- Barriers and strategies for early mobilization in acute cardiovascular disease.Can J Cardiol. 2021; 37: 1300
- Early mobility in frail and non-frail older adults admitted to the cardiovascular intensive care unit.J Crit Care. 2018; 47: 9-14
- Overcoming nursing barriers to intensive care unit early mobilisation: a quality improvement project.Intens Crit Care Nurs. 2017; 40: 44-50
Published online: April 29, 2021
Accepted: April 22, 2021
Received: April 21, 2021
© 2021 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
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- Barriers and Strategies for Early Mobilization in Acute Cardiovascular DiseaseCanadian Journal of CardiologyVol. 37Issue 8
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