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Efficacy of Prehabilitation Before Cardiac Surgery: A Systematic Review and Meta-analysis
Patients awaiting cardiac surgery seem to benefit from exercise-based prehabilitation, but the impact on different perioperative outcomes compared with standard care is still unclear. DESIGN: Eligible nonrandomized/randomized controlled studies investigating the impact of exercise-based prehabilitat...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10010695/ https://www.ncbi.nlm.nih.gov/pubmed/36149383 http://dx.doi.org/10.1097/PHM.0000000000002097 |
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author | Steinmetz, Carolin Bjarnason-Wehrens, Birna Walther, Thomas Schaffland, Tim Fabian Walther, Claudia |
author_facet | Steinmetz, Carolin Bjarnason-Wehrens, Birna Walther, Thomas Schaffland, Tim Fabian Walther, Claudia |
author_sort | Steinmetz, Carolin |
collection | PubMed |
description | Patients awaiting cardiac surgery seem to benefit from exercise-based prehabilitation, but the impact on different perioperative outcomes compared with standard care is still unclear. DESIGN: Eligible nonrandomized/randomized controlled studies investigating the impact of exercise-based prehabilitation in adults scheduled for elective cardiac surgery were searched on December 16, 2020, from electronic databases, including MEDLINE, CENTRAL, and CINAHL. The data were pooled and a meta-analysis was conducted. RESULTS: Of 1490 abstracts, six studies (n = 665) were included into the review and meta-analysis. At postintervention interval and at postsurgery interval, 6-min-walking distance improved significantly in exercise-based prehabilitation group compared with controls (mean difference, 75.4 m; 95% confidence interval, 13.7 to 137.1 m, P = 0.02, and 30.5 m, 95% confidence interval, 8.5 to 52.6 m, P = 0.007, respectively). Length of hospital stay was significantly shorter in exercise-based prehabilitation group (mean difference, −1.00 day; 95% confidence interval, −1.78 to −0.23 day, P = 0.01). Participation in exercise-based prehabilitation revealed a significant decrease in the risk of postoperative atrial fibrillation in patients 65 yrs or younger (risk ratio, 0.34; 95% confidence interval, 0.14 to 0.83, P = 0.02). CONCLUSIONS: The participation in exercise-based prehabilitation significantly improves postintervention and postsurgery 6-min walking distance, length of hospital stay, and decreases the risk of postoperative atrial fibrillation in patients 65 yrs or younger compared with controls. |
format | Online Article Text |
id | pubmed-10010695 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-100106952023-03-14 Efficacy of Prehabilitation Before Cardiac Surgery: A Systematic Review and Meta-analysis Steinmetz, Carolin Bjarnason-Wehrens, Birna Walther, Thomas Schaffland, Tim Fabian Walther, Claudia Am J Phys Med Rehabil Original Research Articles Patients awaiting cardiac surgery seem to benefit from exercise-based prehabilitation, but the impact on different perioperative outcomes compared with standard care is still unclear. DESIGN: Eligible nonrandomized/randomized controlled studies investigating the impact of exercise-based prehabilitation in adults scheduled for elective cardiac surgery were searched on December 16, 2020, from electronic databases, including MEDLINE, CENTRAL, and CINAHL. The data were pooled and a meta-analysis was conducted. RESULTS: Of 1490 abstracts, six studies (n = 665) were included into the review and meta-analysis. At postintervention interval and at postsurgery interval, 6-min-walking distance improved significantly in exercise-based prehabilitation group compared with controls (mean difference, 75.4 m; 95% confidence interval, 13.7 to 137.1 m, P = 0.02, and 30.5 m, 95% confidence interval, 8.5 to 52.6 m, P = 0.007, respectively). Length of hospital stay was significantly shorter in exercise-based prehabilitation group (mean difference, −1.00 day; 95% confidence interval, −1.78 to −0.23 day, P = 0.01). Participation in exercise-based prehabilitation revealed a significant decrease in the risk of postoperative atrial fibrillation in patients 65 yrs or younger (risk ratio, 0.34; 95% confidence interval, 0.14 to 0.83, P = 0.02). CONCLUSIONS: The participation in exercise-based prehabilitation significantly improves postintervention and postsurgery 6-min walking distance, length of hospital stay, and decreases the risk of postoperative atrial fibrillation in patients 65 yrs or younger compared with controls. Lippincott Williams & Wilkins 2023-04 2022-09-23 /pmc/articles/PMC10010695/ /pubmed/36149383 http://dx.doi.org/10.1097/PHM.0000000000002097 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Original Research Articles Steinmetz, Carolin Bjarnason-Wehrens, Birna Walther, Thomas Schaffland, Tim Fabian Walther, Claudia Efficacy of Prehabilitation Before Cardiac Surgery: A Systematic Review and Meta-analysis |
title | Efficacy of Prehabilitation Before Cardiac Surgery: A Systematic Review and Meta-analysis |
title_full | Efficacy of Prehabilitation Before Cardiac Surgery: A Systematic Review and Meta-analysis |
title_fullStr | Efficacy of Prehabilitation Before Cardiac Surgery: A Systematic Review and Meta-analysis |
title_full_unstemmed | Efficacy of Prehabilitation Before Cardiac Surgery: A Systematic Review and Meta-analysis |
title_short | Efficacy of Prehabilitation Before Cardiac Surgery: A Systematic Review and Meta-analysis |
title_sort | efficacy of prehabilitation before cardiac surgery: a systematic review and meta-analysis |
topic | Original Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10010695/ https://www.ncbi.nlm.nih.gov/pubmed/36149383 http://dx.doi.org/10.1097/PHM.0000000000002097 |
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