Table 3

Feasibility of the mobilization protocol after acute high-risk abdominal surgery based on 4 prespecified progression criteria

GoalPOD 1POD 2POD 3POD 4POD 5POD 6POD 8
No. (%) of patients who achieved goalTotalNo. (%) of patients who achieved goalTotalNo. (%) of patients who achieved goalTotalNo. (%) of patients who achieved goalTotalNo. (%) of patients who achieved goalTotalNo. (%) of patients who achieved goalTotalNo. (%) of patients who achieved goalTotal
Mobilized ≤ 24 hours after surgery*44 (92)48
Mobilized ≥ 4 times per day 14 (82)1737 (90)4139 (89)4532 (89)3628 (88)3225 (83)3019 (86)22
Time out of bed§15 (88)1735 (85)4135 (81)4324 (69)3518 (58)3115 (52)2912 (55)22
Walking distance*33 (70)4740 (85)4740 (85)4726 (70)3722 (67)3321 (68)3117 (71)24
Achieved all 3 progression criteria**13 (77)1730 (75)4033 (77)4322 (63)3514 (45)3114 (48)2910 (48)21
  • POD = postoperative day.

  • * Based on data from the data recording sheets completed by the health care staff.

  • Based on data from the accelerometers (data from the day of attachment and removal were excluded; error occurred in 2 accelerometers and 2 others were thrashed by mistake, resulting in missing data for 4 participants).

  • Standing or walking for ≥ 4 separate periods during a day.

  • § Time out of bed: Sitting (> 45° elevation of the chest), standing and walking for ≥ 1 hour (POD1), ≥ 2 hours (POD2), ≥ 3 hours (POD3), ≥ 4 hours (POD4) and ≥ 6 hours (POD5–7).

  • Walking distance: walks ≥ 10 m (POD1), 25 m (POD2), 50 m (POD3), ≥ 100 m (POD4), ≥ 200 m (POD5), ≥ 300 m (POD6) and ≥ 400 m (POD7).

  • ** Participants achieving all 3 goals (mobilized ≥ 4 separate periods during a day, time out of bed, walking distance).