Feasibility of a prehabilitation program before major abdominal surgery: a pilot prospective study

Objective To assess the feasibility of a prehabilitation program and its effects on physical performance and outcomes after major abdominal surgery. Methods In this prospective pilot study, patients underwent prehabilitation involving three training sessions per week for 3 weeks preoperatively. The...

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Autores principales:	David Martin, Cyril Besson, Basile Pache, Anna Michel, Sandrine Geinoz, Vincent Gremeaux-Bader, Anna Larcinese, Charles Benaim, Bengt Kayser, Nicolas Demartines, Martin Hübner
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/bb5a630ab57a42a3a2cad1f265100820
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spelling	oai:doaj.org-article:bb5a630ab57a42a3a2cad1f2651008202021-12-02T08:05:03ZFeasibility of a prehabilitation program before major abdominal surgery: a pilot prospective study1473-230010.1177/03000605211060196https://doaj.org/article/bb5a630ab57a42a3a2cad1f2651008202021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211060196https://doaj.org/toc/1473-2300Objective To assess the feasibility of a prehabilitation program and its effects on physical performance and outcomes after major abdominal surgery. Methods In this prospective pilot study, patients underwent prehabilitation involving three training sessions per week for 3 weeks preoperatively. The feasibility of delivering the intervention was assessed based on recruitment and adherence to the program. Its impacts on fitness (oxygen uptake (VO 2 )) and physical performance (Timed Up and Go Test, 6-Minute Walk Test) were evaluated. Results From May 2017 to January 2020, 980 patients were identified and 44 (4.5%) were invited to participate. The main obstacles to patient recruitment were insufficient time (<3 weeks) prior to scheduled surgery (n = 276, 28%) and screening failure (n = 312, 32%). Of the 44 patients, 24 (55%) declined to participate, and 20 (23%) were included. Of these, six (30%) were not adherent to the program. Among the remaining 14 patients, VO 2 at ventilatory threshold significantly increased from 9.7 to 10.9 mL/min/kg. No significant difference in physical performance was observed before and after prehabilitation. Conclusion Although prehabilitation seemed to have positive effects on exercise capacity, logistic and patient-related difficulties were encountered. The program is not feasible in its current form for all-comers.David MartinCyril BessonBasile PacheAnna MichelSandrine GeinozVincent Gremeaux-BaderAnna LarcineseCharles BenaimBengt KayserNicolas DemartinesMartin HübnerSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 David Martin Cyril Besson Basile Pache Anna Michel Sandrine Geinoz Vincent Gremeaux-Bader Anna Larcinese Charles Benaim Bengt Kayser Nicolas Demartines Martin Hübner Feasibility of a prehabilitation program before major abdominal surgery: a pilot prospective study
description	Objective To assess the feasibility of a prehabilitation program and its effects on physical performance and outcomes after major abdominal surgery. Methods In this prospective pilot study, patients underwent prehabilitation involving three training sessions per week for 3 weeks preoperatively. The feasibility of delivering the intervention was assessed based on recruitment and adherence to the program. Its impacts on fitness (oxygen uptake (VO 2 )) and physical performance (Timed Up and Go Test, 6-Minute Walk Test) were evaluated. Results From May 2017 to January 2020, 980 patients were identified and 44 (4.5%) were invited to participate. The main obstacles to patient recruitment were insufficient time (<3 weeks) prior to scheduled surgery (n = 276, 28%) and screening failure (n = 312, 32%). Of the 44 patients, 24 (55%) declined to participate, and 20 (23%) were included. Of these, six (30%) were not adherent to the program. Among the remaining 14 patients, VO 2 at ventilatory threshold significantly increased from 9.7 to 10.9 mL/min/kg. No significant difference in physical performance was observed before and after prehabilitation. Conclusion Although prehabilitation seemed to have positive effects on exercise capacity, logistic and patient-related difficulties were encountered. The program is not feasible in its current form for all-comers.
format	article
author	David Martin Cyril Besson Basile Pache Anna Michel Sandrine Geinoz Vincent Gremeaux-Bader Anna Larcinese Charles Benaim Bengt Kayser Nicolas Demartines Martin Hübner
author_facet	David Martin Cyril Besson Basile Pache Anna Michel Sandrine Geinoz Vincent Gremeaux-Bader Anna Larcinese Charles Benaim Bengt Kayser Nicolas Demartines Martin Hübner
author_sort	David Martin
title	Feasibility of a prehabilitation program before major abdominal surgery: a pilot prospective study
title_short	Feasibility of a prehabilitation program before major abdominal surgery: a pilot prospective study
title_full	Feasibility of a prehabilitation program before major abdominal surgery: a pilot prospective study
title_fullStr	Feasibility of a prehabilitation program before major abdominal surgery: a pilot prospective study
title_full_unstemmed	Feasibility of a prehabilitation program before major abdominal surgery: a pilot prospective study
title_sort	feasibility of a prehabilitation program before major abdominal surgery: a pilot prospective study
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/bb5a630ab57a42a3a2cad1f265100820
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Feasibility of a prehabilitation program before major abdominal surgery: a pilot prospective study

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