Objective: The objective of this study was to confirm that early mobilization (EM) could reduce pneumonia in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE) for thoracic esophageal squamous cell carcinoma (TESCC). Methods: Postoperative pneumonia was defined as physician-diagnosed pneumonia using the Esophagectomy Complications Consensus Group definition of pneumonia with a Clavien–Dindo classification grade II–V on postoperative day (POD) 3–5. EM was defined as achieving an ICU Mobility Scale (IMS) ≥7 by POD 2. Patients were divided into EM (n = 36) and non-EM (n = 35) groups. Barriers to EM included pain, orthostatic intolerance (OI), and orthostatic hypotension. Results: The overall incidence of postoperative pneumonia was 12.7%, with a significant difference between the EM (2.8%) and non-EM (22.9%) groups (P = 0.014). The odds ratio was 0.098 in the EM group compared to the non-EM group. A significant difference was found between the two groups in terms of the barriers to EM at POD 2 only for OI, with a higher incidence in the non-EM group. Multivariate logistic regression analysis showed that patients with OI were more likely to be unable to achieve EM than those without OI (odds ratio, 7.030; P = 0.006). Conclusion: EM within POD 2 may reduce the incidence of postoperative pneumonia in patients undergoing RAMIE for TESCC. Furthermore, it was suggested that OI can have a negative impact on the EM after RAMIE.
"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410302569386807681","@type":"Researcher","foaf:name":[{"@language":"en","@value":"NOZAWA Yasuaki"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Physical Medicine and Rehabilitation, Okayama University Hospital, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410302569386807683","@type":"Researcher","foaf:name":[{"@language":"en","@value":"HARADA Kazuhiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Graduate School of Health Science Studies, Kibi International University, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410302569386807685","@type":"Researcher","foaf:name":[{"@language":"en","@value":"NOMA Kazuhiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Gastroenterological Surgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410302569386807680","@type":"Researcher","foaf:name":[{"@language":"en","@value":"KATAYAMA Yoshimi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Physical Medicine and Rehabilitation, Okayama University Hospital, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410302569386807684","@type":"Researcher","foaf:name":[{"@language":"en","@value":"HAMADA Masanori"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Physical Medicine and Rehabilitation, Okayama University Hospital, Japan"}]},{"@id":"https://cir.nii.ac.jp/crid/1410302569386807682","@type":"Researcher","foaf:name":[{"@language":"en","@value":"OZAKI Toshifumi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Physical Medicine and Rehabilitation, Okayama University Hospital, Japan"}]}],"publication":{"publicationIdentifier":[{"@type":"EISSN","@value":"21898448"},{"@type":"LISSN","@value":"21898448"},{"@type":"ISSN","@value":"21898448"}],"prism:publicationName":[{"@language":"ja","@value":"Physical Therapy Research"},{"@language":"en","@value":"Physical Therapy Research"},{"@language":"ja","@value":"Phys Ther Res"},{"@language":"en","@value":"Phys Ther Res"}],"dc:publisher":[{"@language":"en","@value":"Japanese Society of Physical Therapy"},{"@language":"ja","@value":"一般社団法人日本理学療法学会連合"}],"prism:publicationDate":"2024","prism:volume":"27","prism:number":"3","prism:startingPage":"121","prism:endingPage":"127"},"reviewed":"false","url":[{"@id":"https://ousar.lib.okayama-u.ac.jp/69175"},{"@id":"https://www.jstage.jst.go.jp/article/ptr/27/3/27_E10293/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2025314683"}],"availableAt":"2024","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Early%20mobilization","dc:title":"Early mobilization"},{"@id":"https://cir.nii.ac.jp/all?q=Postoperative%20pneumonia","dc:title":"Postoperative pneumonia"},{"@id":"https://cir.nii.ac.jp/all?q=Orthostatic%20intolerance","dc:title":"Orthostatic intolerance"},{"@id":"https://cir.nii.ac.jp/all?q=Thoracic%20esophageal%20squamous%20cell%20carcinoma","dc:title":"Thoracic esophageal squamous cell carcinoma"},{"@id":"https://cir.nii.ac.jp/all?q=Robot-assisted%20minimally%20invasive%20esophagectomy","dc:title":"Robot-assisted minimally invasive esophagectomy"}],"dcterms:subject":[{"subjectScheme":"Other","notation":[{"@value":"Early mobilization"}]},{"subjectScheme":"Other","notation":[{"@value":"Postoperative pneumonia"}]},{"subjectScheme":"Other","notation":[{"@value":"Orthostatic intolerance"}]},{"subjectScheme":"Other","notation":[{"@value":"Thoracic esophageal squamous cell carcinoma"}]},{"subjectScheme":"Other","notation":[{"@value":"Robot-assisted minimally invasive esophagectomy"}]}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1050564285764116608","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Orthostatic intolerance during early mobilization following video-assisted thoracic surgery."}]},{"@id":"https://cir.nii.ac.jp/crid/1050568772217151872","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Incidence of orthostatic hypotension and cardiovascular response to postoperative early mobilization in patients undergoing cardiothoracic and abdominal surgery"}]},{"@id":"https://cir.nii.ac.jp/crid/1360011144058618624","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"International Consensus on Standardization of Data Collection for Complications Associated With Esophagectomy"}]},{"@id":"https://cir.nii.ac.jp/crid/1360011144541390976","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The Impact of Postoperative Complications on Survivals After Esophagectomy for Esophageal Cancer"}]},{"@id":"https://cir.nii.ac.jp/crid/1360011145668348672","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Influence of Postoperative Pneumonia on Esophageal Cancer Survival and Recurrence"}]},{"@id":"https://cir.nii.ac.jp/crid/1360011146139973248","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"A Risk Model for Esophagectomy Using Data of 5354 Patients Included in a Japanese Nationwide Web-Based Database"}]},{"@id":"https://cir.nii.ac.jp/crid/1360016866564926336","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Out-of-bed mobilization of patients undergoing mechanical ventilation with orotracheal tubes: A survey study"}]},{"@id":"https://cir.nii.ac.jp/crid/1360016870034734592","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Comparison of Clinical Outcomes of Robot-Assisted, Video-Assisted, and Open Esophagectomy for Esophageal Cancer"}]},{"@id":"https://cir.nii.ac.jp/crid/1360020310305644544","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Pain and Opioid Consumption and Mobilization after Surgery: Post Hoc Analysis of Two Randomized Trials"}]},{"@id":"https://cir.nii.ac.jp/crid/1360020313835416704","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Evaluation of International Contemporary Operative Outcomes and Management Trends Associated With Esophagectomy"}]},{"@id":"https://cir.nii.ac.jp/crid/1360298343461926784","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Reporting National Outcomes After Esophagectomy and Gastrectomy According to the Esophageal Complications Consensus Group (ECCG)"}]},{"@id":"https://cir.nii.ac.jp/crid/1360301783635640064","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Enhanced postoperative recovery: good from afar, but far from good?"}]},{"@id":"https://cir.nii.ac.jp/crid/1360301786987166336","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Orthostatic intolerance in enhanced recovery laparoscopic colorectal resection"}]},{"@id":"https://cir.nii.ac.jp/crid/1360574096109753984","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Postoperative orthostatic intolerance: a common perioperative problem with few available solutions"}]},{"@id":"https://cir.nii.ac.jp/crid/1360580239841854976","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Comparison of Esophagectomy outcomes between a National Center, a National Audit Collaborative, and an International database using the Esophageal Complications Consensus Group (ECCG) standardized definitions"}]},{"@id":"https://cir.nii.ac.jp/crid/1360580624799627264","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Feasibility of early postoperative mobilisation after colorectal surgery: A retrospective cohort study"}]},{"@id":"https://cir.nii.ac.jp/crid/1360583260945889408","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"A novel nomogram predicting the risk of postoperative pneumonia for esophageal cancer patients after minimally invasive esophagectomy"}]},{"@id":"https://cir.nii.ac.jp/crid/1360861292438619008","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Comparison of short-term clinical outcomes between robot- assisted minimally invasive esophagectomy and video-assisted minimally invasive esophagectomy: a systematic review and meta-analysis"}]},{"@id":"https://cir.nii.ac.jp/crid/1360864735243216640","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Robotic Esophagectomy. A Systematic Review with Meta-Analysis of Clinical Outcomes"}]},{"@id":"https://cir.nii.ac.jp/crid/1360864737245547648","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Postoperative pneumonia in the acute phase is an important prognostic factor in patients with esophageal cancer"}]},{"@id":"https://cir.nii.ac.jp/crid/1360864738506680704","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Impact of Facilitation of Early Mobilization on Postoperative Pulmonary Outcomes After Colorectal Surgery"}]},{"@id":"https://cir.nii.ac.jp/crid/1360864738737201280","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The impact of orthostatic intolerance on early ambulation following abdominal surgery in an enhanced recovery programme"}]},{"@id":"https://cir.nii.ac.jp/crid/1360864738739564928","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Association between out-of-bed mobilization during the ICU stay of elderly patients and long-term autonomy: A cohort study"}]},{"@id":"https://cir.nii.ac.jp/crid/1361699994505665024","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Prognostic Impact of Postoperative Morbidity After Esophagectomy for Esophageal Cancer"}]},{"@id":"https://cir.nii.ac.jp/crid/1361981470615679360","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"The quantity of early upright mobilisation performed following upper abdominal surgery is low: an observational study"}]},{"@id":"https://cir.nii.ac.jp/crid/1362544419344222592","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Common Syndromes of Orthostatic Intolerance"}]},{"@id":"https://cir.nii.ac.jp/crid/1362544419719577216","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome"}]},{"@id":"https://cir.nii.ac.jp/crid/1362544419848952960","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERAS®) Society Recommendations"}]},{"@id":"https://cir.nii.ac.jp/crid/1362825895236923136","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics"}]},{"@id":"https://cir.nii.ac.jp/crid/1363107369385733248","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Feasibility and inter-rater reliability of the ICU Mobility Scale"}]},{"@id":"https://cir.nii.ac.jp/crid/1363107369946416256","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Epidural analgesia and postoperative orthostatic haemodynamic changes"}]},{"@id":"https://cir.nii.ac.jp/crid/1363670318724611840","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Association of postoperative pulmonary complications with delayed mobilisation following major abdominal surgery: an observational cohort study"}]},{"@id":"https://cir.nii.ac.jp/crid/1364233268680582400","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Classification of Surgical Complications"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204444390784","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"集中治療における早期リハビリテーション ～根拠に基づくエキスパートコンセンサス～"},{"@language":"en","@value":"Evidence based expert consensus for early rehabilitation in the intensive care unit"}]},{"@id":"https://cir.nii.ac.jp/crid/1390290473083909632","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Effects of Early Physical Therapist-supervised Walking on Clinical Outcomes after Liver Resection: Propensity Score Matching Analysis"}]},{"@id":"https://cir.nii.ac.jp/crid/1522825129834801408","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Effect of early mobilization on postoperative pulmonary complications in patients undergoing video-assisted thoracoscopic surgery on the esophagus"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2013597849"},{"@type":"IRDB","@value":"oai:irdb.nii.ac.jp:01081:0006909995"},{"@type":"CROSSREF","@value":"10.1298/ptr.e10293"}]}