Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
March 16, 2018European Journal of Preventive CardiologyOpen Access

Poor functional capacity before thoracic surgery is associated with increased mortality (RR 18.7; 95% CI 5.9-59), highlighting the potential value of comprehensive prehabilitation before cardiac surgery.

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does comprehensive prehabilitation reduce postoperative complications and hospital length of stay in patients awaiting cardiac surgery?

Population

Patients awaiting cardiac surgery, particularly those who are older, frail, or deconditioned

Comparison

Prehabilitation vs Standard preoperative care

Design

Editorial

Key result

Poor functional capacity before thoracic surgery is associated with increased mortality (RR 18.7; 95% CI 5.9-59), highlighting the potential value of comprehensive prehabilitation before cardiac surgery.

Authors

AAAna Abreu

Discussion

Loading...

Member takes

Overview

May identify high-risk patients for prehabilitation; leaves open reduction in complications or length of stay.

Structured PICO

Does comprehensive prehabilitation reduce postoperative complications and hospital length of stay in patients awaiting cardiac surgery?

P
Population
Patients awaiting cardiac surgery, particularly those who are older, frail, or deconditioned
I
Intervention
Prehabilitation (comprehensive preoperative program including physical exercise, nutritional support, psychological intervention, and pharmacological optimization)
C
Comparator
Standard preoperative care (inactivity on the waiting list)
O
Outcome
Postoperative complications and hospital length of stay

Comprehensive prehabilitation before cardiac surgery has the potential to reduce postoperative complications and length of stay, particularly in frail and deconditioned patients, though larger randomized trials are needed to confirm these benefits.

Limitations

  • Small number of patients in existing prehabilitation studies
  • Lack of comparisons between different subsets defined by age, gender, cardiac disease, and surgical intervention
  • Selection bias in existing studies where prehabilitation patients are often those who are motivated and able to travel to the center
  • Small number of patients in existing studies
  • Inability to compare different subsets defined by age, gender, cardiac disease, and surgical intervention
  • Selection bias in existing studies (patients who participate in prehabilitation are often those who are motivated and mobile enough to attend)

Cite This Study

Ana Abreu (2018) conducted an editorial in Cardiac surgery. Prehabilitation was evaluated. Poor functional capacity before thoracic surgery is associated with increased mortality (RR 18.7; 95% CI 5.9-59), highlighting the potential value of comprehensive prehabilitation before cardiac surgery.

synapsesocial.com/papers/6a9ee2081b743820a6b7d7dfhttps://doi.org/10.1177/2047487318763666
View Full Paper
Ask AI
Bookmark
Share

Also Consider

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

  1. 1Prehabilitation2020 · 12 citations
  2. 2Perioperative prehabilitation2021 · 4 citations
  3. 3Prehabilitation in Cardiovascular Surgery: Concepts, Evidence, and Future Direction2026
  4. 4Prehabilitation for frailty in cardiac surgery: time to move from promise to practice2026
  5. 5Exercise-Based Prehabilitation Before Cardiac Surgery: A Systematic Review, Meta-Analysis, Meta-Regression, and Proposal for a Clinical Implementation Model2025