TY - JOUR
T1 - Efficacy of prehabilitation prior to cardiac surgery
T2 - a systematic review and meta-analysis
AU - Steinmetz, Carolin
AU - Bjarnason-Wehrens, Birna
AU - Walther, Thomas
AU - Schaffland, Tim Fabian
AU - Walther, Claudia
N1 - Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc.
PY - 2022/9/23
Y1 - 2022/9/23
N2 - OBJECTIVE: Patients awaiting cardiac surgery seem to benefit from exercise-based-prehabilitation (EBPrehab) but the impact on different perioperative outcomes compared to standard care is still unclear.DESIGN: Eligible non-/randomized controlled studies investigating the impact of EBPrehab in adults scheduled for elective cardiac surgery were searched on 16th december 2020 from electronic databases, including MEDLINE, CENTRAL and CINAHL. The data were pooled and a meta-analysis was conducted.RESULTS: Out of 1.490 abstracts six studies (n = 665) were included into the review and meta-analysis. At post-intervention-interval and at post-surgery-interval, 6-minute-walking-distance (6MWD) improved significantly in EBPrehab-group compared to controls (mean difference (MD) = 75.4 m, 95% CI, 13.7-137.1 m; p = 0.02 and 30.5 m, 95% CI, 8.5-52.6 m; p = 0.007, respectively). Length of hospital stay (LOS) was significantly shorter in EBPrehab-group (MD = -1.00 day, 95% CI, -1.78 to -0.23; p = 0.01). Participation in EBPrehab revealed a significant decrease in the risk of postoperative atrial fibrillation (AF) in patients ≤65 years (risk ratio = 0.34, 95% CI, 0.14-0.83; p = 0.02).CONCLUSION: The participation in EBPrehab significantly improves post-intervention and post-surgery 6MWD, LOS and decreases the risk of postoperative AF in patients ≤65 years compared to controls.
AB - OBJECTIVE: Patients awaiting cardiac surgery seem to benefit from exercise-based-prehabilitation (EBPrehab) but the impact on different perioperative outcomes compared to standard care is still unclear.DESIGN: Eligible non-/randomized controlled studies investigating the impact of EBPrehab in adults scheduled for elective cardiac surgery were searched on 16th december 2020 from electronic databases, including MEDLINE, CENTRAL and CINAHL. The data were pooled and a meta-analysis was conducted.RESULTS: Out of 1.490 abstracts six studies (n = 665) were included into the review and meta-analysis. At post-intervention-interval and at post-surgery-interval, 6-minute-walking-distance (6MWD) improved significantly in EBPrehab-group compared to controls (mean difference (MD) = 75.4 m, 95% CI, 13.7-137.1 m; p = 0.02 and 30.5 m, 95% CI, 8.5-52.6 m; p = 0.007, respectively). Length of hospital stay (LOS) was significantly shorter in EBPrehab-group (MD = -1.00 day, 95% CI, -1.78 to -0.23; p = 0.01). Participation in EBPrehab revealed a significant decrease in the risk of postoperative atrial fibrillation (AF) in patients ≤65 years (risk ratio = 0.34, 95% CI, 0.14-0.83; p = 0.02).CONCLUSION: The participation in EBPrehab significantly improves post-intervention and post-surgery 6MWD, LOS and decreases the risk of postoperative AF in patients ≤65 years compared to controls.
U2 - 10.1097/PHM.0000000000002097
DO - 10.1097/PHM.0000000000002097
M3 - Journal articles
C2 - 36149383
SN - 1537-7385
JO - American journal of physical medicine & rehabilitation / Association of Academic Physiatrists
JF - American journal of physical medicine & rehabilitation / Association of Academic Physiatrists
ER -