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善始善终:心脏手术术前康复综述

Start Strong, Finish Strong: A Review of Prehabilitation in Cardiac Surgery.

作者信息

Bargnes Vincent, Davidson Steven, Talbot Lillian, Jin Zhaosheng, Poppers Jeremy, Bergese Sergio D

机构信息

Department of Anesthesiology, Stony Brook University Hospital, Stony Brook, NY 11794, USA.

Renaissance School of Medicine, Stony Brook University, Stony Brook, NY 11794, USA.

出版信息

Life (Basel). 2024 Jun 29;14(7):832. doi: 10.3390/life14070832.

DOI:10.3390/life14070832
PMID:39063586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11277598/
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.

摘要

心脏手术对患者群体而言是一种重大的手术创伤,而这些患者常常伴有严重的合并症,包括身体虚弱和生理储备功能下降。术前康复计划旨在通过实施一系列术前优化措施来改善患者的手术效果和术后恢复情况。自24年前首次进行心脏术前康复试验以来,关于如何最佳利用这一工具对接受心脏手术患者进行围手术期护理的新数据不断涌现。本综述将探讨近期心脏术前康复的研究情况,为有效的心脏术前康复计划提供临床考量,并创建未来研究的框架。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d87/11277598/44962f88ff89/life-14-00832-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d87/11277598/44962f88ff89/life-14-00832-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d87/11277598/44962f88ff89/life-14-00832-g001.jpg

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The effect of body mass index on short-term outcomes in patients undergoing off-pump coronary artery bypass grafting surgery: a retrospective study from a single cardiovascular center.体重指数对非体外循环冠状动脉旁路移植术患者短期结局的影响:来自单个心血管中心的回顾性研究。
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Effect of prehabilitation-related ary protein intake on uality f ecovery after elective cardiac surgery (DIETQoR) study: protocol of a randomised controlled trial.择期心脏手术后相关氨基酸蛋白摄入对生活质量恢复的影响(DIETQoR)研究:一项随机对照试验方案。
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