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November 20, 2023Journal of Vascular Societies Great Britain and IrelandOpen Access

Changes in functional health status following open abdominal aortic aneurysm repair and the role of exercise-based rehabilitation: a systematic review

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Key result

Backward walking rehabilitation reduces functional decline vs routine physiotherapy after open AAA repair.

  • P=0.027
  • n=65

Why the study?

Physical quality-of-life domains decline after AAA repair, but changes in objective functional status and the role of exercise-based rehabilitation remain to be systematically established.

Does exercise-based rehabilitation improve functional status in patients following open abdominal aortic aneurysm repair?

Population

Patients undergoing open AAA repair across prospective randomised and non-randomised trials

Comparison

Exercise-based rehabilitation vs routine care or alternative exercise programmes

Design

Systematic review

Authors

BRBharadhwaj RavindhranUniversity of HullRLRoss LathanUniversity of HullTST StanilandHull Royal Infirmary

Discussion

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Implication

Supports backward walking in post-open AAA repair rehab to limit functional decline; extends limited evidence on exercise interventions.

Study Design

Type

Systematic Review (n=65)

Structured PICO

Does exercise-based rehabilitation improve functional status in patients following open abdominal aortic aneurysm repair?

P
Population
Patients undergoing open abdominal aortic aneurysm (AAA) repair
I
Intervention
Exercise-based rehabilitation
C
Comparator
Routine care physiotherapy or other exercise programmes
O
Outcome
Changes in objective measures of functional status following AAA repair and changes in these measures following exercise-based rehabilitationsurrogate

Main Result

p-value: p=0.027

There is a lack of high-quality evidence quantifying functional decline after open AAA repair, with limited evidence suggesting potential benefits of exercise-based rehabilitation.

Limitations

  • Lack of available data with only one eligible study identified
  • Included study had purposeful patient sampling
  • Included study lacked blinding
  • Included study was underpowered
  • No evidence to quantify functional decline following AAA repair
  • Limited low quality evidence to support exercise-based rehabilitation

Cite This Study

Ravindhran et al. (2023) conducted a systematic review in Abdominal aortic aneurysm (n=65). Walking-based rehabilitation (forward or backward) vs. Routine postoperative physiotherapy was evaluated on Changes in objective measures of functional status (6-minute walk distance) (p=0.027). Backward walking-based rehabilitation significantly reduced the decline in functional status compared to routine physiotherapy following open abdominal aortic aneurysm repair.

synapsesocial.com/papers/6a0c660dd48675e49423672chttps://doi.org/10.54522/jvsgbi.2022.101
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Functional Status and Out-of-Hospital Outcomes in Different Types of Vascular Surgery Patients2021 · 13 citations
  2. 2Exercise-Based Cardiac Rehabilitation: Secondary Data Analyses of Mortality and Working Capacity in Germany, 2010–20172021 · 10 citations
  3. 3The role of cardiac rehabilitation in improving cardiovascular outcomes2021 · 574 citations
  4. 4Risk Factors for Abdominal Aortic Aneurysms2009 · 469 citations
  5. 5Exercise-based cardiac rehabilitation for coronary heart disease2011 · 1,831 citations