Early ambulation may avert atrial fibrillation after cardiac surgery
10.3760/cma.j.cn421666-20240228-00150
- VernacularTitle:早期下床康复训练对心脏术后患者新发心房颤动的影响
- Author:
Tan LYU
1
;
Xiaoqing WU
1
Author Information
1. 浙江大学医学院附属邵逸夫医院，杭州 310000
- Publication Type:Journal Article
- Keywords:
Cardiac surgery;
Ambulation rehabilitation training;
Atrial fibrillation;
Retrospective studies
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(5):419-424
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore any impact of early ambulation on new-onset atrial fibrillation (NOAF) after cardiac surgery.Methods:This was a retrospective study covering 364 patients who had survived cardiac surgery. They were divided into an early-activity group (114 cases) whose rehabilitation began within 24 hours after their surgery and a control group (250 cases) whose rehabilitation training began later. Cox proportional hazards regression models were evaluated seeking evidence of any association between early ambulation and postoperative NOAF.Results:The incidence of NOAF during hospitalization was significantly lower in the early-activity group (14.9%) compared to the control group (32.8%). Multivariate analysis revealed that ambulation within 24 hours after surgery may be a protective factor against NOAF. Additionally, the early-activity group exhibited shorter durations of endotracheal intubation and aortic cross-clamping, and tended to have shorter ICU and total hospitalization stays, on average.Conclusions:Initiating ambulation within 24 hours after cardiac surgery predicts less risk of NOAF and improves short-term prognosis, suggesting a protective and preventive effect. However, further studies are needed to validate these findings.
