Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Steinmetz, Carolin, Bjarnason-Wehrens, Birna, Walther, Thomas, Schaffland, Tim Fabian, Walther, Claudia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
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
_version_ 1784906226278072320
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
work_keys_str_mv AT steinmetzcarolin efficacyofprehabilitationbeforecardiacsurgeryasystematicreviewandmetaanalysis
AT bjarnasonwehrensbirna efficacyofprehabilitationbeforecardiacsurgeryasystematicreviewandmetaanalysis
AT waltherthomas efficacyofprehabilitationbeforecardiacsurgeryasystematicreviewandmetaanalysis
AT schafflandtimfabian efficacyofprehabilitationbeforecardiacsurgeryasystematicreviewandmetaanalysis
AT waltherclaudia efficacyofprehabilitationbeforecardiacsurgeryasystematicreviewandmetaanalysis