Feasibility of a prehabilitation program before major abdominal surgery: a pilot prospective study.
Details
State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_1D7EB0C12DDF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Feasibility of a prehabilitation program before major abdominal surgery: a pilot prospective study.
Journal
The Journal of international medical research
ISSN
1473-2300 (Electronic)
ISSN-L
0300-0605
Publication state
Published
Issued date
11/2021
Peer-reviewed
Oui
Volume
49
Number
11
Pages
3000605211060196
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
To assess the feasibility of a prehabilitation program and its effects on physical performance and outcomes after major abdominal surgery.
In this prospective pilot study, patients underwent prehabilitation involving three training sessions per week for 3 weeks preoperatively. The feasibility of delivering the intervention was assessed based on recruitment and adherence to the program. Its impacts on fitness (oxygen uptake (VO <sub>2</sub> )) and physical performance (Timed Up and Go Test, 6-Minute Walk Test) were evaluated.
From May 2017 to January 2020, 980 patients were identified and 44 (4.5%) were invited to participate. The main obstacles to patient recruitment were insufficient time (<3 weeks) prior to scheduled surgery (n = 276, 28%) and screening failure (n = 312, 32%). Of the 44 patients, 24 (55%) declined to participate, and 20 (23%) were included. Of these, six (30%) were not adherent to the program. Among the remaining 14 patients, VO <sub>2</sub> at ventilatory threshold significantly increased from 9.7 to 10.9 mL/min/kg. No significant difference in physical performance was observed before and after prehabilitation.
Although prehabilitation seemed to have positive effects on exercise capacity, logistic and patient-related difficulties were encountered. The program is not feasible in its current form for all-comers.
In this prospective pilot study, patients underwent prehabilitation involving three training sessions per week for 3 weeks preoperatively. The feasibility of delivering the intervention was assessed based on recruitment and adherence to the program. Its impacts on fitness (oxygen uptake (VO <sub>2</sub> )) and physical performance (Timed Up and Go Test, 6-Minute Walk Test) were evaluated.
From May 2017 to January 2020, 980 patients were identified and 44 (4.5%) were invited to participate. The main obstacles to patient recruitment were insufficient time (<3 weeks) prior to scheduled surgery (n = 276, 28%) and screening failure (n = 312, 32%). Of the 44 patients, 24 (55%) declined to participate, and 20 (23%) were included. Of these, six (30%) were not adherent to the program. Among the remaining 14 patients, VO <sub>2</sub> at ventilatory threshold significantly increased from 9.7 to 10.9 mL/min/kg. No significant difference in physical performance was observed before and after prehabilitation.
Although prehabilitation seemed to have positive effects on exercise capacity, logistic and patient-related difficulties were encountered. The program is not feasible in its current form for all-comers.
Keywords
Feasibility Studies, Humans, Pilot Projects, Postural Balance, Preoperative Care, Preoperative Exercise, Prospective Studies, Time and Motion Studies, Prehabilitation, adherence, major abdominal surgery, outcome, physical activity, pilot study, recruitment
Pubmed
Web of science
Open Access
Yes
Create date
25/04/2021 12:55
Last modification date
17/05/2023 5:56
Usage data
