ReviewHealthcare (Basel, Switzerland)2021
Effects of Prehabilitation on Functional Capacity in Aged Patients Undergoing Cardiothoracic Surgeries: A Systematic Review.
Review in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Multi-Component Prehabilitation Program for Older Adults Undergoing Major Elective Surgery: A Pilot and Feasibility Study.Journal of the American Geriatrics Society · 2025Trial
- Prehabilitation in older adults with cancer: scoping review of surgical outcomes.BMJ supportive & palliative care · 2026Article
- Preoperative prehabilitation in adults: A concept analysis.International journal of nursing studies advances · 2026Review
- Prehabilitation in cardiac surgery.JTCVS open · 2026Article
- Article
- Effect of prehabilitation for patients undergoing gastric cancer surgery: a protocol of a systematic review and meta-analysis.BMJ open · 2024Article
- Prehabilitation: tertiary prevention matters.The British journal of surgery · 2024Article
- Cardiac rehabilitation after cardiac surgery: An important underutilized treatment strategy.World journal of cardiology · 2024Article
- PreScheck Team Study: prehabilitation clinic as an effective patient management tool in elective cardiac surgery.Anaesthesiology intensive therapy · 2024Observational
- Reasons and predictors of non-participation in a personalized digital prehabilitation care trial for patients undergoing elective cardiothoracic surgery.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
- [Enhanced recovery after surgery (ERAS®) in cardiac anesthesia].Die Anaesthesiologie · 2022Review
- Factors Determining the Functional State of Cardiac Surgery Patients with Complicated Postoperative Period.International journal of environmental research and public health · 2022Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
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Abstract
backgroundan increasing number of advanced age patients are considered for cardiothoracic surgeries. Prehabilitation optimizes the patients' functional capacity and physiological reserve. However, the effectiveness of prehabilitation on physical functioning and postoperative recovery in the scope of cardiothoracic surgery is still uncertain.
objectiveto assess the effectiveness of prehabilitation on pre- and/or postoperative functional capacity and physiological reserve in aged patients that are considered for cardiothoracic surgeries.
methodsthis systematic review was registered in PROSPERO (CRD42021247117). The searches were conducted in PubMed, Web of Science, Scopus, and Cochrane CENTRAL until 18 April 2021. Randomized clinical trials that compared different prehabilitation strategies with usual care on the pre- and-postoperative results in aged patients undergoing cardiothoracic surgeries were included. Methodological quality was assessed by means of the Jadad scale, and the effectiveness of the interventions according to the Consensus on Therapeutic Exercise Training.
resultsnine studies with 876 participants aged from 64 to 71.5 years old were included. Risk of bias was moderate due to the absence of double-blinding. The content of the interventions (multimodal prehabilitation n = 3; based on physical exercises n = 6) and the result measures presented wide variation, which hindered comparison across the studies. In general, the trials with better therapeutic quality (n = 6) reported more significant improvements in physical functioning, cardiorespiratory capacity, and in the postoperative results in the participants under-going prehabilitation.
conclusionsprehabilitation seems to improve functional capacity and postoperative recovery in aged patients undergoing cardiothoracic surgeries. However, due to the significant heterogeneity and questionable quality of the trials, both the effectiveness of prehabilitation and the optimum content are still to be determined.
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