Physical Prehabilitation in Patients who Underwent Major Abdominal Surgery: A Comprehensive Systematic Review and Component Network Meta-Analysis Using GRADE and CINeMA Approach.

ABSTRACT:

Background

Physical prehabilitation is recommended before major abdominal surgery to ameliorate short-term outcomes.

Methods

A frequentist, random-effects network meta-analysis (NMA) was performed to clarify which type of preoperative physical activity among aerobic exercise (AE), inspiratory muscle training (IMT), and resistance training produces benefits in patients who underwent major abdominal surgery. The surface under the P-score, odds ratio (OR), or mean difference (MD) with a 95% confidence interval (CI) were reported. The results were adjusted by using the component network approach. The critical endpoints were overall and major morbidity rate and mortality rate. The important but not critical endpoints were the length of stay (LOS) and pneumonia.

Results

The

SUBMITTER: Ricci C 

PROVIDER: S-EPMC10838229 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature