Start Strong, Finish Strong: A Review of Prehabilitation in Cardiac Surgery
- PMID: 39063586
- PMCID: PMC11277598
- DOI: 10.3390/life14070832
Start Strong, Finish Strong: A Review of Prehabilitation in Cardiac Surgery
Abstract
Cardiac surgery constitutes a significant surgical insult in a patient population that is often marred by significant comorbidities, including frailty and reduced physiological reserve. Prehabilitation programs seek to improve patient outcomes and recovery from surgery by implementing a number of preoperative optimization initiatives. Since the initial trial of cardiac prehabilitation twenty-four years ago, new data have emerged on how to best utilize this tool for the perioperative care of patients undergoing cardiac surgery. This review will explore recent cardiac prehabilitation investigations, provide clinical considerations for an effective cardiac prehabilitation program, and create a framework for future research studies.
Keywords: cardiac prehabilitation; exercise; nutrition; psychobehavioral.
Conflict of interest statement
The authors declare no conflicts of interest.
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References
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- Prehabilitation, rehabilitation, and revocation in the Army. Br. Med. J. 1946;1:192–197. - PubMed
-
- Steinmetz C., Bjarnason-Wehrens B., Baumgarten H., Walther T., Mengden T., Walther C. Prehabilitation in patients awaiting elective coronary artery bypass graft surgery–effects on functional capacity and quality of life: A randomized controlled trial. Clin. Rehabil. 2020;34:1256–1267. doi: 10.1177/0269215520933950. - DOI - PMC - PubMed
-
- Molenaar C.J.L., Minnella E.M., Coca-Martinez M., Ten Cate D.W.G., Regis M., Awasthi R., Martínez-Palli G., López-Baamonde M., Sebio-Garcia R., Feo C.V. Effect of multimodal prehabilitation on reducing postoperative complications and enhancing functional capacity following colorectal cancer surgery: The PREHAB randomized clinical trial. JAMA Surg. 2023;158:572–581. doi: 10.1001/jamasurg.2023.0198. - DOI - PMC - PubMed
-
- Minnella E.M., Awasthi R., Loiselle S.-E., Agnihotram R.V., Ferri L.E., Carli F. Effect of exercise and nutrition prehabilitation on functional capacity in esophagogastric cancer surgery: A randomized clinical trial. JAMA Surg. 2018;153:1081–1089. doi: 10.1001/jamasurg.2018.1645. - DOI - PMC - PubMed
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