Early Mobilization for Cardiovascular Disease

RM
DM
Overseen ByDiana M Zidarov
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to improve the mobility of patients with heart problems during their hospital stay. The researchers seek to determine if early movement aids in better recovery, earlier discharge, and reduced hospital time. The study will compare patient mobility before, during, and after implementing the Early Mobilization Program. It targets patients admitted to the cardiovascular unit at the Jewish General Hospital who speak English or French. As an unphased trial, this study allows patients to contribute to innovative care practices that could enhance recovery for future patients.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this early mobilization program is safe for cardiac patients?

Research has shown that early movement programs are generally safe and offer several benefits for people with heart conditions. One study found that starting movement soon after a heart attack reduces problems from prolonged bed rest. Another study found that early movement leads to better outcomes, such as shorter hospital stays and improved ability to perform daily activities. Additionally, early movement may lower the chances of hospital readmission.

Overall, these findings suggest that early movement is well-tolerated and can be a helpful part of recovery for people with heart issues.12345

Why are researchers excited about this trial?

Researchers are excited about the Early Mobilization Program for cardiovascular disease because it could transform patient recovery after cardiovascular events. Unlike traditional treatments that often focus on medication and rest, this program emphasizes getting patients moving early in their recovery process. The hope is that early mobilization can improve heart health and speed up recovery by enhancing physical function and reducing hospital stays. This approach could lead to better long-term outcomes and a more active lifestyle for patients, setting it apart from the standard care methods.

What evidence suggests that the Early Mobilization Program is effective for cardiovascular disease?

Research has shown that early movement after a heart attack can greatly aid recovery. For instance, getting out of bed early reduces complications from prolonged bed rest. This trial will implement an Early Mobilization Program to assess its impact on patient recovery. Studies indicate that such approaches can significantly decrease the likelihood of hospital readmission. Specifically, one study found that patients who began cardiac rehabilitation—structured exercise and education—early on had lower death rates within 90 days and improved ability to perform daily activities. Overall, these programs enhance health outcomes and support faster, more effective recovery.12346

Who Is on the Research Team?

SA

Sara Ahmed

Principal Investigator

McGill univeristy

Are You a Good Fit for This Trial?

This trial is for hospitalized patients with cardiovascular disease. It's aimed at those who can participate in an early mobilization program to improve their functional status and potentially shorten their hospital stay.

Inclusion Criteria

All healthcare professionals working in the cardiovascular unit at the Jewish General Hospital
All patients admitted to the cardiovascular unit at the Jewish General Hospital

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Adaptation Phase

Qualitative design to adapt an early mobilization program

3 months

Implementation Phase

Mixed methods repeated measures design to assess barriers and facilitators to implementing the program and develop implementation strategies

3 months

Evaluation Phase

Interrupted time series design to assess the implementation and the impact of the program

3 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Applying the Early Mobilization Program
Trial Overview The study is testing the effectiveness of an early mobilization program designed specifically for cardiac patients in a hospital setting, aiming to enhance recovery and enable more patients to return home sooner.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Active Control
Group I: ImplementationExperimental Treatment1 Intervention
Group II: pre-implementationActive Control1 Intervention
Group III: Post-implementationActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal

Lead Sponsor

Trials
17
Recruited
3,400+

Jewish General Hospital

Collaborator

Trials
144
Recruited
283,000+

Citations

Impact of early mobilization on clinical and functional ...Conclusion: Early mobilization is associated with improvement in clinical outcomes such as MV time, ICU stay, hospital and functional outcomes, on the FIM scale ...
The Effect of Early Mobilization Programs on the Heart ...Early Mobilization (EM) after a myocardial infarction is an effective strategy to reduce complications associated with immobility.
Review Early mobilization for acute heart failure: A scoping ...Early mobilization may result in a large reduction in the readmission rate compared with the control (two studies, 283 participants): odds ratio 0.25, 95 % CI ...
Association of early cardiac rehabilitation on mortality in ...The results showed a lower 90-day mortality and higher ADL scores at discharge in the early CR group compared to the delayed or no CR group.
Benefits of Cardiac Rehabilitation: Mechanisms to Restore ...Early outpatient, phase 2 CR reduces CVD mortality and hospital readmission, improves QoL and seems to be a cost-effective intervention in ...
Effects, Feasibility, and Safety of an Early Mobilization ...In this study, an early mobilization protocol with the addition of passive immersive VR failed to significantly change the dyspnea perception of ...
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