Respiratory Prehabilitation for the Prevention of Postoperative Pulmonary Complications after Major Surgery

Boden, Ianthe; Denehy, Linda

doi:10.1007/s40140-021-00495-w

Cited by 8 publications

(4 citation statements)

References 113 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this trial, the results also found a 40.0% reduction in the overall incidence of PPCs in the TIME group, which is largely consistent with the previous results. Previous studies have shown that the combination of both physical training and IMT resulted in a PPCs reduction by at least 40%, with an average reduction of 60% PPCs [ 40 ]. This multimodal pre-rehabilitation program also included physiotherapy-led education, which is considered to be one of the most important components in reducing PPCs [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

An Accessible Pre-Rehabilitation Bundle for Patients Undergoing Elective Heart Valve Surgery with Limited Resources: The TIME Randomized Clinical Trial

Luo,

Zhang,

Wang

et al. 2023

Rev. Cardiovasc. Med.

View full text Add to dashboard Cite

Background: Despite gradually increasing evidence for pre-rehabilitation for heart valve surgery, it remains underused, especially in developing countries with limited resources. The study aimed to investigate the feasibility and effects of an innovative three-day pre-rehabilitation bundle for patients undergoing elective heart valve surgery. Methods: This was a single-center, assessor-blind, randomized clinical trial. A total of 165 patients were randomly assigned to either usual care (control group, n = 83) or usual care with an additional 3-day pre-rehabilitation bundle (Three-day of Inspiratory muscle training, aerobic Muscle training, and Education (TIME) group, n = 82). The main outcome of the study was the incidence of postoperative pulmonary complications (PPCs). Secondary outcomes included the feasibility of the intervention, duration of the non-invasive ventilator, length of stay, and PPCs-related medical costs on discharge. Results: Of 165 patients 53.94% were male, the mean age was 63.41 years, and PPCs were present in 26 of 82 patients in the TIME group and 44 of 83 in the control group (odds ratio (OR), 0.60; 95% CI, 0.41–0.87, p = 0.006). The feasibility of the pre-rehabilitation bundle was good, and no adverse events were observed. Treatment satisfaction and motivation scored on 10-point scales, were 9.1 0.8 and 8.6 1.4, respectively. The TIME group also had fewer additional PPCs-related medical costs compared to the control group (6.96 vs . 9.57 thousand CNY (1.01 vs . 1.39 thousand USD), p 0.001). Conclusions: The three-day accessible pre-rehabilitation bundle reduces the incidence of PPCs, length of stay, and PPCs-related medical costs in patients undergoing elective valve surgery. It may provide an accessible model for the expansion of pre-rehabilitation in countries and regions with limited medical resources. Clinical Trial Registration: This trial was based on the Consolidated Standards of Reporting Trials (CONSORT) guidelines. This trial was registered in the Chinese Clinical Trial Registry (identifier ChiCTR2000039671).

show abstract

Section: Discussionmentioning

confidence: 99%

An Accessible Pre-Rehabilitation Bundle for Patients Undergoing Elective Heart Valve Surgery with Limited Resources: The TIME Randomized Clinical Trial

Luo,

Zhang,

Wang

et al. 2023

Rev. Cardiovasc. Med.

View full text Add to dashboard Cite

show abstract

“…For surgery, general anaesthesia, mechanical ventilation and partial collapse of the lung are needed. This impacts primarily the respiratory system, reducing lung volumes, particularly functional residual capacity, and causing post-operative complications [ 10 ]. Resection causes loss of lung volume, impaired breathing mechanics and pain, which can increase complications.…”

Section: Pre-operative Risk Assessment Of the Surgical Candidatementioning

confidence: 99%

“…In terms of pre- and post-operative rehabilitation, patients who are taught breathing exercises pre-operatively or who strengthen their respiratory muscles before surgery with a loaded resistive breathing device can halve their risk of developing post-operative pulmonary complications after major surgery [ 10 ]. Pre-operative exercise training improves physical fitness and reduces the risk of post-operative pulmonary complications while minimising hospital resources utilisation [ 42 ].…”

Section: Pre-operative Risk Assessment Of the Surgical Candidatementioning

confidence: 99%

Resectable non-stage IV nonsmall cell lung cancer: the surgical perspective

Aigner,

Batirel,

Huber

et al. 2024

Eur Respir Rev

View full text Add to dashboard Cite

Surgery remains an essential element of the multimodality radical treatment of patients with early-stage nonsmall cell lung cancer. In addition, thoracic surgery is one of the key specialties involved in the lung cancer tumour board. The importance of the surgeon in the setting of a multidisciplinary panel is ever-increasing in light of the crucial concept of resectability, which is at the base of patient selection for neoadjuvant/adjuvant treatments within trials and in real-world practice. This review covers some of the topics which are relevant in the daily practice of a thoracic oncological surgeon and should also be known by the nonsurgical members of the tumour board. It covers the following topics: the pre-operative selection of the surgical candidate in terms of fitness in light of the ever-improving nonsurgical treatment alternatives unfit patients may benefit from; the definition of resectability, which is so important to include patients into trials and to select the most appropriate radical treatment; the impact of surgical access and surgical extension with the evolving role of minimally invasive surgery, sublobar resections and parenchymal-sparing sleeve resections to avoid pneumonectomy.

show abstract

“…Prehabilitation interventions must be tailored to the needs of the individual [ 10 , 24 ] and may involve the various activities and procedures summarized in Fig. 1 [ [3] , [4] , [5] , [7] , [8] , [9] , 17 , [25] , [26] , [27] , 33 , 34 , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] ]. Responsiveness to these interventions and patient progression must be monitored at all times [ 10 , 24 , 51 ].…”

Section: Defining Prehabilitationmentioning

confidence: 99%

Current landscape and support for practical initiation of oncological prehabilitation translatable to thyroid cancer: A position paper

Jack,

Andritsch,

Joaquim

et al. 2024

Heliyon

View full text Add to dashboard Cite

Respiratory Prehabilitation for the Prevention of Postoperative Pulmonary Complications after Major Surgery

Cited by 8 publications

References 113 publications

An Accessible Pre-Rehabilitation Bundle for Patients Undergoing Elective Heart Valve Surgery with Limited Resources: The TIME Randomized Clinical Trial

An Accessible Pre-Rehabilitation Bundle for Patients Undergoing Elective Heart Valve Surgery with Limited Resources: The TIME Randomized Clinical Trial

Resectable non-stage IV nonsmall cell lung cancer: the surgical perspective

Current landscape and support for practical initiation of oncological prehabilitation translatable to thyroid cancer: A position paper

Contact Info

Product

Resources

About