Table 3 compares postoperative outcomes between the pre- and post-implementation
periods. For the total group, PPCs occurred in 10% of patients who received enforced
mobilisation, and 24% of patients who received traditional mobilisation [odds ratio (OR) 0.38,
95% confidence interval (CI) 0.12 to 1.20, P=0.098]. PPCs were most common in patients who underwent oesophageal resection (nine out of 14; 64%) and least common in patients
who unerwent colorectal surgery (three out of 40; 8%). In addition, mean LOS was 6.9
[standard deviation (SD 4.3] days for patients who received enforced mobilisation and 9.1
(SD 8.2) days for patients who received traditional mobilisation (P=0.082). No significant
differences in re-admission rate and change in 6MWT were found.
The results of the analyses when patients who underwent oesophageal resection were
excluded showed a significant reduction in the occurrence of PPCs (OR 0.08, 95% CI 0.01 to
0.71, P=0.023) after implementation of enforced mobilisation (4% vs 17% preimplementation).
No significant differences in LOS, re-admission rate and change in 6MWT
were found, although analyses still showed a trend for shorter LOS after implementation of
enforced mobilisation (P=0.072).
Table 3 compares postoperative outcomes between the pre- and post-implementationperiods. For the total group, PPCs occurred in 10% of patients who received enforcedmobilisation, and 24% of patients who received traditional mobilisation [odds ratio (OR) 0.38,95% confidence interval (CI) 0.12 to 1.20, P=0.098]. PPCs were most common in patients who underwent oesophageal resection (nine out of 14; 64%) and least common in patientswho unerwent colorectal surgery (three out of 40; 8%). In addition, mean LOS was 6.9[standard deviation (SD 4.3] days for patients who received enforced mobilisation and 9.1(SD 8.2) days for patients who received traditional mobilisation (P=0.082). No significantdifferences in re-admission rate and change in 6MWT were found.The results of the analyses when patients who underwent oesophageal resection wereexcluded showed a significant reduction in the occurrence of PPCs (OR 0.08, 95% CI 0.01 to0.71, P=0.023) after implementation of enforced mobilisation (4% vs 17% preimplementation).No significant differences in LOS, re-admission rate and change in 6MWTwere found, although analyses still showed a trend for shorter LOS after implementation ofenforced mobilisation (P=0.072).
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