Key result
Prehabilitation exercise therapy before elective abdominal aortic aneurysm repair showed uncertain effects on 30-day mortality compared to usual care (RR 1.33; 95% CI 0.31 to 5.77).
Why the study?
Studies evaluating preoperative exercise interventions for people waiting for AAA repair have reported conflicting results.
Does prehabilitation exercise therapy reduce perioperative and postoperative morbidity and mortality in patients awaiting elective abdominal aortic aneurysm repair?
Population
232 participants with clinically diagnosed AAA deemed suitable for elective intervention across 4 RCTs
Comparison
Prehabilitation exercise therapy vs usual care (no exercise)
Design
Systematic review and meta-analysis of RCTs
Authors
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Uncertain mortality effects advise against routine adoption; leaves open potential complication benefits pending higher-certainty trials.
Systematic Review (n=232)
Does prehabilitation exercise therapy reduce perioperative and postoperative morbidity and mortality in patients awaiting elective abdominal aortic aneurysm repair?
Relative Risk: 1.33 (95% CI 0.31–5.77)
Prehabilitation exercise therapy before elective AAA repair may reduce cardiac and renal complications, but the evidence is of low certainty and its effect on mortality remains uncertain.
Fenton et al. (2021) conducted a systematic review in Abdominal aortic aneurysm (AAA) (n=232). Prehabilitation exercise therapy vs. Usual care (no exercise) was evaluated on 30-day mortality post-AAA repair (RR 1.33, 95% CI 0.31 to 5.77). Prehabilitation exercise therapy before elective abdominal aortic aneurysm repair showed uncertain effects on 30-day mortality compared to usual care (RR 1.33; 95% CI 0.31 to 5.77).
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