The effects of preoperative exercise therapy on postoperative outcome: a systematic review

Valkenet, Karin; Port, Ingrid G. L. van de; Dronkers, Jaap; Vries, W. R. de; Lindeman, Eline; Backx, Frank

doi:10.1177/0269215510380830

Cited by 380 publications

(249 citation statements)

References 59 publications

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“…Conversely, it can be presumed that a preoperative hospital stay has several effects on the patient. Firstly, it has been shown that preoperative mobility decreases the risk of postoperative complications [29][30][31]. Secondly, a longer Similarly with the current study, some data has shown that hypertension is an independent risk factor for developing SSI.…”

Section: Discussionsupporting

confidence: 74%

“…The risk factors with continuous scales were dichotomized for statistical purposes. The BMI abnormality original classification included underweight (< 18.5), overweight (25)(26)(27)(28)(29)(30), class I obese (30)(31)(32)(33)(34)(35), class II obese (35)(36)(37)(38)(39)(40) and class III obese (> 40) groups as per pre-defined NSQIP BMI ranges. The altered classification classified BMI levels below 18.5 and above 25 as abnormal (under/overweight) and those between 18.5 and 25 as normal [27].…”

Section: Risk Factorsmentioning

confidence: 99%

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Development of Risk Scoring Tool to Predict Surgical Site Infections

Sampalis¹

2015

SOJS

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Section: Discussionsupporting

confidence: 74%

Section: Risk Factorsmentioning

confidence: 99%

Development of Risk Scoring Tool to Predict Surgical Site Infections

Sampalis¹

2015

SOJS

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“…For radiculopathy patients, PT prior to surgery, in general, has been associated with beneficial effects on postoperative patient outcomes. [19][20][21][22][23][24] In the current study, the difference in baseline functioning, age, and smoking history between those patients receiving PT and those who did not could account for some of the postoperative differences observed. These factors could influence surgical outcomes independently of the use of PT.…”

Section: Discussionmentioning

confidence: 99%

Trends in Nonoperative Treatment Modalities Prior to Cervical Surgery and Impact on Patient-Derived Outcomes: Two-Year Analysis of 1522 Patients From the Prospective Spine Treatment Outcome Study

et al. 2018

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Background: Effects of nonoperative treatments on surgical outcomes for patients who failed conservative management for cervical spine pathologies remain unknown. The objective is to describe conservative modality use in patients indicated for surgery for degenerative cervical spine conditions and its impact on perioperative outcomes.Methods: The current study comprises a retrospective review of a prospective multicenter database. A total of 1522 patients with 1-to 2-level degenerative cervical pathology who were undergoing surgical intervention were included. Outcome measures used were health-related quality-of-life scores, length of hospitalization, estimated blood loss, length of surgery, and return-to-work status at 2 weeks, 6 months, 1 year, and 2 years postoperatively. Patients were grouped by diagnosis (radiculopathy vs. myelopathy), then divided based on epidural injection(s), physical therapy (PT), or opioid use prior to enrollment. Univariate t-tests and v 2 tests were performed to determine differences between groups and impact on outcomes.Results: Among 1319 radiculopathy patients, 25.7% received preoperative epidural injections, 35.3% received PT, and 35.5% received opioids. Radiculopathy patients who received epidurals and PT had higher 1-year postoperative returnto-work rates (P , .05). Radiculopathy patients without preoperative PT had longer hospitalization times, whereas those who received PT had higher 36-Item Short Form Health Survey (SF-36) physical functioning and physical component scores, lower 2-year visual analog scale (VAS) neck/arm pain scores, and higher 2-year return-to-work incidence (P , .05). Of myelopathy patients (n ¼ 203), 14.8% received epidural injections, 25.1% received opioids, and 41.5% received PT. Myelopathy patients with preoperative PT had worse VAS arm pain scores 2 years postoperatively (P , .05). Patients receiving opioids were younger and had greater baseline-2-year Neck Disability Index improvement (P , .05).Conclusions: Radiculopathy patients receiving epidurals returned to work after 1 year more frequently. PT was associated with shorter hospitalizations, greater SF-36 bodily pain norm and physical component score improvements, and increased return-to-work rates after 1 and 2 years. No statistically significant nonoperative treatment was associated with return-to-work rate in myelopathy patients.Clinical Relevance: These findings suggest certain preoperative conservative treatment modalities are associated with improved outcomes in radiculopathy patients.

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“…Эффекты такого вида преабилитации прояви-лись и в сокращении сроков пребывания пациен-тов в послеоперационном периоде в отделении реанимации, а также общего времени госпита-лизации [42,43]. Рандомизированное исследо-вание Arthur H.M. с соавторами [42] показало, что пациенты, занимавшиеся физическими тре-нировками два раза в неделю в период подготов-ки к КШ, провели меньше времени в отделении интенсивной терапии и в стационаре в целом в послеоперационном периоде.…”

Section: аналитические обзорыunclassified

Potential Benefits of Exercise Training as a Factor of Ischemic Preconditioning Prior to Coronary Artery Bypass Grafting (Review)

Argunova¹,

Помешкина²,

Иноземцева³

2017

Kompleks. probl. serdečno-sosud. zabol.

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Коронарное шунтирование (КШ) сохраняет ведущую позицию в хирургическом лечении ишемической болезни сердца (ИБС). Предоперационная подготовка (преабилитация) и послеоперационная реабилита-ция имеют важное значение в реализации положительных эффектов реваскуляризации миокарда. Одним из методов кардиопротекции в предоперационном периоде КШ выступает ишемическое прекондициони-рование. Перспективным методом достижения эффектов ишемического прекондиционирования в предо-перационном периоде могут рассматриваться физические тренировки, обладающие инфаркт-лимитирую-щим, антиаритмическим эффектами, улучшающие функцию эндотелия, что положительно сказывается на результатах оперативного лечения.Ключевые слова: коронарное шунтирование, преабилитация, ишемическое прекондиционирование, физические тренировки. Coronary artery bypass grafting (CABG) remains the gold-standard treatment for coronary artery disease (CAD). Preoperative management (prehabilitation) and postoperative rehabilitation are pivotal for positive effects of myocardial revascularization. Ischemic preconditioning is one of the methods for cardioprotection in the preoperative period. Exercise trainings may have beneficial effects on ischemic preconditioning in the preoperative period, limiting infarct size, producing antiarrhythmic effects, and improving endothelial function. Exercise trainings produce beneficial effects on the outcomes of surgical treatment. POTENTIAL BENEFITS OF EXERCISE TRAINING ASKeywords: coronary artery bypass grafting, prehabilitation, ischemic preconditioning, exercise training. НИИ КПССЗ имеет большой опыт в разработке изделий для сердечно-сосудистой хирургии, в частности биопротезов кла-нов сердца и сосудов. С 2010 года под руководством академика РАН л. С. Барбараша начаты исследования по созданию био-зорбируемых сосудистых протезов малого диаметра. Основная цель -создание полимерных конструкций с бионаправленным йствием, способных заменить отдельные структуры живого организма, в частности сердечно-сосудистой системы. Научная но-зна поставленной задачи заключается в использовании нового подхода создания органа непосредственно в организме пациента счет биофункциональности и биорезорбируемости полимерных конструкций. доказана долгосрочная проходимость полимерных судистых графтов на основе поликапролактона и композиции полигидроксибутирата/валерата и поликапролактона. В экспери-нтах in vitro доказано, что ростовые факторы, инкорпорируемые в состав биодеградируемых графтов, сохраняют свою био-гическую активность. В долгосрочных экспериментах in vivo доказано, что сосудистый эндотелиальный фактор роста ускоряет дотелизацию и улучшает проходимость биодеградируемых полимерных сосудистых графтов.Ключевые слова: биодеградируемые полимеры, сосудистый графт, ростовые факторы. DEVELOPMENT OF TISSUE ENGINEERED SMALL DIAMETER VASCULAR GRAFT FOR THE CARDIOVASCULAR SURGERY NEEDS L. V. ANTONOVA, YU. A. KUDRYAVTSEVA Federal State Budgetary Scientific Institution Research Institute for Complex Issues of Cardiovascular Diseases. Kemerovo, RussiaRICICd has l...

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The effects of preoperative exercise therapy on postoperative outcome: a systematic review

Cited by 380 publications

References 59 publications

Development of Risk Scoring Tool to Predict Surgical Site Infections

Development of Risk Scoring Tool to Predict Surgical Site Infections

Trends in Nonoperative Treatment Modalities Prior to Cervical Surgery and Impact on Patient-Derived Outcomes: Two-Year Analysis of 1522 Patients From the Prospective Spine Treatment Outcome Study

Potential Benefits of Exercise Training as a Factor of Ischemic Preconditioning Prior to Coronary Artery Bypass Grafting (Review)

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