Early Mobilization for Cardiovascular Disease

Overseen By Diana M Zidarov

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal

Disqualifiers: Non-English/French speakers

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

350 Participants Needed

Trial Summary

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 data supports the effectiveness of the treatment Applying the Early Mobilization Program for cardiovascular disease?

Research shows that early mobilization is safe and feasible for older adults with acute cardiovascular disease and may improve their quality of life after hospitalization. Additionally, early mobilization in critical care settings can enhance recovery and overall patient outcomes by reducing the risks associated with immobility. ^{1 2 3 4 5}

Is early mobilization safe for people with cardiovascular disease?

Early mobilization is generally safe for hospitalized adults, including those with cardiovascular disease, and is associated with good outcomes in various medical settings. ^{1 2 5 6 7}

How does the Early Mobilization Program treatment differ from other treatments for cardiovascular disease?

The Early Mobilization Program is unique because it focuses on getting patients moving soon after a cardiovascular event, which can help prevent post-hospital syndrome and improve recovery. Unlike traditional cardiac rehabilitation, which may start later, this program emphasizes early physical activity to enhance functional capacity and quality of life, especially in older and frail patients. ^{8 9 10 11 12}

What is the purpose of this trial?

Insufficient mobility contributes to functional decline in hospitalized cardiac patients. Early mobilization programs were shown to improve functional status, increase the likelihood of home discharges, and reduce the length of stay \[1\]. Therefore, there is a need to adapt and implement early mobilization programs in Quebec hospitals. The overall goal of this study is to adapt and implement an early mobilization program in the Cardiovascular units of the Jewish General Hospital (JGH).

Research Team

Sara Ahmed

Principal Investigator

McGill univeristy

Eligibility Criteria

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

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

Treatment Details

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.

Participant Groups

Group I: Implementation Experimental Treatment 1 Intervention

The proportion of patients mobilized during the intervention implementation period

Group II: pre-implementation Active Control 1 Intervention

The proportion of patients mobilized pre-intervention period

Group III: Post-implementation Active Control 1 Intervention

The proportion of patients mobilized post-intervention period

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+

References

1. England pubmed.ncbi.nlm.nih.gov

Early Mobilization in Older Adults with Acute Cardiovascular Disease. [2021]

2. United States pubmed.ncbi.nlm.nih.gov

Health-Related Quality of Life in Older Adults With Acute Cardiovascular Disease Undergoing Early Mobilization. [2022]

3. United States pubmed.ncbi.nlm.nih.gov

Impact of Early Mobilization in the Intensive Care Unit on Psychological Issues. [2020]

4. Germany pubmed.ncbi.nlm.nih.gov

[Early mobilization after myocardial infarction. Hemodynamic and metabolic studies]. [2007]

5. England pubmed.ncbi.nlm.nih.gov

Early Mobilization in People With Acute Cardiovascular Disease. [2021]

6. United States pubmed.ncbi.nlm.nih.gov

Early mobilization post-myocardial infarction: A scoping review. [2020]

7. United States pubmed.ncbi.nlm.nih.gov

Safety of mobilizing hospitalized adults: review of the literature. [2013]

8. United States pubmed.ncbi.nlm.nih.gov

Outpatient Cardiac Rehabilitation Services, Participants and Workforce in North Carolina: Results of a 2019 Survey of Cardiac Rehabilitation Program Directors. [2022]

9. Turkey pubmed.ncbi.nlm.nih.gov

[Cardiac rehabilitation in the elderly patient]. [2018]

10. United States pubmed.ncbi.nlm.nih.gov

Barriers to participation in and adherence to cardiac rehabilitation programs: a critical literature review. [2022]

11. Italy pubmed.ncbi.nlm.nih.gov

Cardiac rehabilitation protocols in the elderly. [2021]

12. United States pubmed.ncbi.nlm.nih.gov

Hospital-based versus hybrid cardiac rehabilitation program in coronary bypass surgery patients in western Iran: effects on exercise capacity, risk factors, psychological factors, and quality of life. [2022]