Preoperative Rehabilitation Is Feasible in the Weeks Prior to Surgery and Significantly Improves Functional Performance.

ABSTRACT:

Background

Frailty is a multidimensional state of increased vulnerability. Frail patients are at increased risk for poor surgical outcomes. Prior research demonstrates that rehabilitation strategies deployed after surgery improve outcomes by building strength.

Objectives

Examine the feasibility and impact of a novel, multi-faceted prehabilitation intervention for frail patients before surgery.

Design

Single arm clinical trial.

Setting

Veterans Affairs hospital.

Participants

Patients preparing for major abdominal, urological, thoracic, or cardiac surgery with frailty identified as a Risk Analysis Index≥30.

Intervention

Prehabilitation started in a supervised setting to establish safety and then transitioned to home-based exercise with weekly teleph

SUBMITTER: Hall DE 

PROVIDER: S-EPMC10683858 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature