Title
Merits of exercise therapy before and after major surgery
Author
Hoogeboom, T.J.
Dronkers, J.J.
Hulzebos, E.H.J.
van Meeteren, N.L.U.
Publication year
2014
Abstract
PURPOSE OF REVIEW: Advances in medical care have led to an increasing elderly population. Elderly individuals should be able to participate in society as long as possible. However, with an increasing age their adaptive capacity gradually decreases, specially before and after major life events (like hospitalization and surgery) making them vulnerable to reduced functioning and societal participation. Therapeutic exercise before and after surgery might augment the postoperative outcomes by improving functional status and reducing the complication and mortality rate. RECENT FINDINGS: There is high quality evidence that preoperative exercise in patients scheduled for cardiovascular surgery is well tolerated and effective. Moreover, there is circumstantial evidence suggesting preoperative exercise for thoracic, abdominal and major joint replacement surgery is effective, provided that this is offered to the high-risk patients. Postoperative exercise should be initiated as soon as possible after surgery according to fast-track or enhanced recovery after surgery principles. SUMMARY: The perioperative exercise training protocol known under the name 'Better in, Better out' could be implemented in clinical care for the vulnerable group of patients scheduled for major elective surgery who are at risk for prolonged hospitalization, complications and/or death. Future research should aim to include this at-risk group, evaluate perioperative high-intensity exercise interventions and conduct adequately powered trials. © 2014 Wolter Kluwer Health | Lippincott Williams & Wilkins.
Subject
Healthy Living
HL - Healthy for Life
Themalijn
Healthy for Life
Health
Healthy Living
Exercise therapy
Functional status
Postoperative
Preoperative
Surgery
Abdominal surgery
Age
Cardiovascular surgery
Convalescence
Functional status
High risk patient
High risk population
Hospitalization
Human
Joint prosthesis
Kinesiotherapy
Major surgery
Medical care
Mortality
Perioperative period
Postoperative complication
Postoperative period
Preoperative period
Social aspect
Thorax surgery
Treatment outcome
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http://resolver.tudelft.nl/uuid:9269ba0f-d7ce-4536-bf35-0b8947427895
DOI
https://doi.org/10.1097/aco.0000000000000062
TNO identifier
492992
ISSN
1473-6500
Source
Current Opinion in Anaesthesiology, 27 (2), 161-166
Document type
article