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Early mobilization post-myocardial infarction: A scoping review

Munir, Haroon ; Fromowitz, Jake ; Goldfarb, Michael Salinas, Pablo

PloS one, 2020-08, Vol.15 (8), p.e0237866-e0237866 [Peer Reviewed Journal]

United States: Public Library of Science

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Title:
Early mobilization post-myocardial infarction: A scoping review
Author: Munir, Haroon ; Fromowitz, Jake ; Goldfarb, Michael
Salinas, Pablo
Subjects: Attitude of Health Personnel ; Biology and Life Sciences ; Cardiology ; Care and treatment ; Catheterization ; Clinical trials ; Early Ambulation ; Engineering and Technology ; Heart attack ; Heart attacks ; Hemodynamics ; Hospitals ; Humans ; Immobilization ; Information sources ; Intensive care ; Intervention ; Medical research ; Medicine and Health Sciences ; Medicine, Experimental ; Mobility ; Mortality ; Myocardial infarction ; Myocardial Infarction - physiopathology ; Oxygen saturation ; Patient outcomes ; Patients ; People and Places ; Practice Guidelines as Topic ; Professional associations ; Professionals ; Recovery of function ; Societies, Medical ; Studies ; Systematic review
Is Part Of: PloS one, 2020-08, Vol.15 (8), p.e0237866-e0237866
Notes: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
Competing Interests: The authors have declared that no competing interests exist.
Description: Bedrest and immobilization following a myocardial infarction (MI) can lead to functional impairment that can persist following hospitalization. Early mobilization (EM) is associated with good functional and clinical outcomes in critical care, medical and surgical settings. However, the impact and current role of EM in post-MI care has not been well-defined. Our objective was to assess the evidence for post-MI mobilization, define current post-MI mobilization practice, and understand perspectives of cardiovascular professionals toward mobilization. A scoping review related to "early mobilization" and "myocardial infarction" was performed using the Joanna Briggs Institute Methodology. Pubmed, Embase, Google Scholar, Cochrane Library and CINAHL databases were included. Results were categorized into six topic areas. There were 59 references included in the analysis. There was evidence for the effectiveness and safety of earlier mobilization in experimental studies of the pre-revascularization era, but there was a lack of strong evidence for EM in contemporary post-MI care. Mobilization appears to be safe following arterial catheterization and is associated with minimal hemodynamic and respiratory compromise. Most people are delayed in mobilizing post-MI and spend the majority of the initial hospitalization period lying in bed. Only 1 of 7 current major cardiovascular professional societies guidelines recommend EM post-MI. There were no studies exploring the perspectives of cardiovascular professionals toward mobilization. EM may be beneficial in the post-MI care. However, there is an evidence gap for the impact of EM post-MI in the contemporary literature. More robust evidence from randomized clinical trials is required to inform clinicians and influence practice.
Publisher: United States: Public Library of Science
Language: English

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Early mobilization post-myocardial infarction: A scoping review

Munir, Haroon ; Fromowitz, Jake ; Goldfarb, Michael Salinas, Pablo

United States: Public Library of Science

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