Feasibility of a prehabilitation program before major abdominal surgery: a pilot prospective study.

Détails

Ressource 1Télécharger: piso_feasibility.pdf (677.96 [Ko])
Etat: Public
Version: de l'auteur⸱e
Licence: Non spécifiée
ID Serval
serval:BIB_1D7EB0C12DDF
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Feasibility of a prehabilitation program before major abdominal surgery: a pilot prospective study.
Périodique
The Journal of international medical research
Auteur⸱e⸱s
Martin D., Besson C., Pache B., Michel A., Geinoz S., Gremeaux-Bader V., Larcinese A., Benaim C., Kayser B., Demartines N., Hübner M.
ISSN
1473-2300 (Electronic)
ISSN-L
0300-0605
Statut éditorial
Publié
Date de publication
11/2021
Peer-reviewed
Oui
Volume
49
Numéro
11
Pages
3000605211060196
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
25/04/2021 12:55
Dernière modification de la notice
21/11/2022 8:27
Données d'usage