The Effect of Early Mobilization on ICU and Hospital Length of Stay and Its Impact on the Cost of Care in Post-Open Heart Surgery Patients: A Randomized Control Trial (RCT)

Introduction: Early Mobilization (EM) of patients in Intensive Care Unit (ICU) has received considerable attention in scientific literature over the past several years. It has been reported that EM decrease Hospital Length of Stay (LOS). Aim of the study: To explore the effect of early mobilization for post open heart surgery patients on hospital and ICU length of stay and its influence on cost effectiveness. Methods: 41 male and female patients with mean age (45.95 ± 13.3) were recruited from King Faisal Specialist Hospital and Research Center (KFSHRC). Participant were randomly assigned to one of the two groups; Group I (n=21), Early intervention group program started 4-6 hours post extubation as early Cardiac Rehabilitation (CR) intervention, or Group II (n=20), The standard care group to be seen 9-24 hours post extubation as usual standard care of the hospital. Intervention: Both groups had the same intervention of cardiac rehabilitation program that included; Aerobic exercises, strengthen exercises, gait training and education. This program was modified from the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR).