Key result
A multi-faceted prehabilitation program before major surgery significantly improved functional performance, including a 41.7 meter increase in the six-minute walk test (P≤0.007).
Why the study?
Frail patients face increased risk for poor surgical outcomes, and while postoperative rehabilitation improves outcomes, the feasibility and impact of prehabilitation before surgery remained to be examined.
Does a multi-faceted prehabilitation intervention improve functional performance in frail patients preparing for major surgery?
Population
43 frail patients (Risk Analysis Index ≥30) preparing for major surgery at a Veterans Affairs hospital
Comparison
Supervised transitioning to home-based multi-faceted prehabilitation intervention
Design
Single arm clinical trial
Follow-up
90 days after surgery
Authors
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Prehabilitation feasible before surgery in frail patients; leaves open outcome benefits pending randomized trials.
Does a multi-faceted prehabilitation intervention improve functional performance in frail patients preparing for major surgery?
p-value: p=≤0.007
A multi-faceted prehabilitation program is feasible and significantly improves functional performance in frail patients awaiting major surgery.
Hall et al. (2022) studied Frailty in patients preparing for major surgery (n=43). Multi-faceted prehabilitation was evaluated on Functional performance (timed-up-and-go, gait speed, six-minute walk test, chair rises) (p=≤0.007). A multi-faceted prehabilitation program before major surgery significantly improved functional performance, including a 41.7 meter increase in the six-minute walk test (P≤0.007).
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