术前康复计划对择期心脏手术患者手术结局的影响。
The effect of pre-habilitation programs on surgical outcomes among patients undergoing elective cardiac surgery.
作者信息
Gnanavelu Hariprasad, Rajavel Kaushik, Tyagi Disha
机构信息
Department of General Surgery, Bangalore Baptist Hospital, Bangalore, Karnataka, India.
Department of Orthopaedics, Madras Medical College, Chennai, Tamil Nadu, India.
出版信息
Bioinformation. 2024 Dec 31;20(12):1935-1938. doi: 10.6026/9732063002001935. eCollection 2024.
Pre-habilitation programs, designed to optimize physical, nutritional and psychological health before surgery, show promise in improving outcomes for elective cardiac surgery. This randomized controlled trial assessed the impact of a 4-week prehabilitation program on 100 patients undergoing elective cardiac surgery, comparing it to standard preoperative care. The prehabilitation group experienced significantly fewer postoperative complications (12% vs. 28%, p = 0.016), shorter hospital stays (6.4 ± 1.8 days vs. 8.2 ± 2.1 days, p < 0.001) and improved 30-day functional recovery (p = 0.005). These findings demonstrate that prehabilitation enhances recovery, reduces complications and shortens hospitalization, supporting its inclusion in preoperative protocols for elective cardiac surgery.
术前康复计划旨在在手术前优化身体、营养和心理健康，在改善择期心脏手术的预后方面显示出前景。这项随机对照试验评估了一项为期4周的术前康复计划对100例接受择期心脏手术患者的影响，并将其与标准术前护理进行比较。术前康复组术后并发症明显减少（12%对28%，p = 0.016），住院时间缩短（6.4±1.8天对8.2±2.1天，p < 0.001），30天功能恢复得到改善（p = 0.005）。这些发现表明，术前康复可促进康复、减少并发症并缩短住院时间，支持将其纳入择期心脏手术的术前方案。
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