Prehabilitation before elective coronary artery bypass grafting surgery: a scoping review protocol

Abstract

Objective:The objective of this scoping review is to identify and map existing preoperative interventions, referred to as prehabilitation, in adult patients at home awaiting coronary bypass grafting (CABG) surgery. This scoping review also seeks to examine the feasibility and patient experiences in order to inform clinical practice and underpin a future systematic review.Introduction:As patients age, comorbidities become more common. Strategies to improve postoperative outcomes and to accelerate recovery are required in patients undergoing CABG. Prehabilitation refers to a proactive process of increasing functional capacity before surgery to improve the patient's capacity to withstand upcoming physiologic stress and thus avoid postoperative complications.Inclusion criteria:This scoping review will consider any studies including adult patients at home awaiting CABG surgery. Studies will provide information on any prehabilitation intervention to optimize preoperative physical and psychological health status. Studies conducted in any setting will be included.Methods:The methodology will follow the JBI recommendations for scoping reviews. Any published or unpublished source of information will be considered. Studies published in English, German, Danish, Swedish, and Norwegian will be included, with no geographical or cultural limitations. Retrieved papers will be screened by two independent reviewers, and a standardized tool will be used to extract data from each included source. The results will be presented as a map of the data extracted in a tabular form together with a narrative summary to provide a description of the existing evidence.

Prehabilitation before elective coronary artery bypass grafting surgery: a scoping review

“…This scoping review was conducted in accordance with JBI methodology for scoping reviews, 30,34 and in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) 35 . This review was conducted in accordance with an a priori protocol 36 …”

“…The protocol for this scoping review 36 proposed the inclusion of systematic reviews, but ultimately, we chose to exclude them due to the nature of scoping reviews, which focus on broadly collecting information 37 . The overlap of original research studies included in systematic reviews or literature reviews was rigorously checked.…”

Preoperative optimization and rapid discharge after coronary artery bypass grafting

“…Surgical revascularization, coronary artery bypass grafting (CABG), has been shown to have a survival benefit over medical therapy in many patients and provides symptom relief thereby improving their functional capacity and quality of life [1,2]. Cardiac surgery inevitably causes varying degrees of physiologic stress, affecting multiple organ systems, and psychological strain [3,4,5 ▪▪ ]. Patients referred for CABG increasingly present with advanced age, frailty and important comorbidities, which may contribute to complications in the postoperative phase [3,5 ▪▪ ].…”

“…Cardiac surgery inevitably causes varying degrees of physiologic stress, affecting multiple organ systems, and psychological strain [3,4,5 ▪▪ ]. Patients referred for CABG increasingly present with advanced age, frailty and important comorbidities, which may contribute to complications in the postoperative phase [3,5 ▪▪ ]. Frailty, independent of chronological age, is an important risk factor not only for mortality and morbidity after CABG, but also for prolonged lengths of stay and nonhome discharge [6–8].…”

A Influência Da Estabilização Central Utilizando Os Princípios Do Core Na Hemiparesia: Uma Revisão Sistemática

“…Estas características, associada ao impacto cirúrgico, podem levar a distúrbios psicológicos e funcionais importantes. Por isso, a adoção de estratégias que diminuam essas disfunções são cada vez mais necessárias (OLSEN;PEDERSEN;NOERGAARD, 2020).…”