JORR

The Journal of Orthopedics Research and Rehabilitation welcomes scholarly papers inorthopaedic surgery, physical therapy and rehabilitation, neurosurgery, neurology and clinic anesthesiology and reanimation.

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Original Article
The effect of early mobilization on complications after chronic subdural hematoma surgery
Aims: Chronic subdural hematoma is a common condition in the elderly population that often requires hospitalization. While some patients are discharged without surgery, others require surgical intervention due to symptoms such as loss of strength and consciousness. Preventing postoperative complications is as important as the surgical procedure itself. Early mobilization facilitate patients’ return to routine daily life, thereby reducing complications associated with immobility. This study will examine the effect of early mobilization on postoperative complications.
Methods: This study included 34 patients diagnosed with chronic subdural hematoma who underwent surgical intervention at our institution between 2020 and 2024. Data collection encompassed findings from preoperative and postoperative neurological examinations, comorbid conditions, the extent of midline shift, time to postoperative mobilization, duration of intensive care unit stay, length of ward stay and overall hospitalization, as well as the incidence of postoperative complications. Patients in satisfactory general condition commenced oral feeding on the morning following surgery and were monitored under controlled conditions. The patients were divided into two groups: those who were mobilized and those who were not. These groups were then compared in terms of time to mobilization, postoperative complications, length of hospital stay, and mortality rates.
Results: A comparison of postoperative complications between mobilized and non-mobilized patients revealed a significantly lower incidence of complications in the mobilized group (p<0.001). Analysis of intensive care unit (ICU) stay duration (p<0.001) and total hospital length of stay (p<0.001) also indicated that both ICU and overall hospital stays were significantly shorter in the mobilized group. Mortality rates were notably higher in the non-mobilized group (p=0.005). Furthermore, when analyzing only the mobilized group, patients who experienced postoperative complications had a significantly later mobilization time compared to those without complications (p=0.041). A strong, positive correlation was also found within the mobilized group between the timing of mobilization and total hospital stay duration.
Conclusion: Early mobilization following chronic subdural hematoma surgery facilitate patients' reintegration into daily activities. Additionally, these measures minimize complications associated with immobilization and significantly reduce the length of hospitalization.


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Volume 3, Issue 1, 2025
Page : 1-4
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