Preoperative exercise therapy consisting of inspiratory muscle training or exercise training prior to cardiac or abdominal surgery led to a shorter hospital stay and reduced postoperative complication rates .
By contrast , length of hospital stay and complication rates of patients after joint replacement surgery were not significantly affected by preoperative exercise therapy consisting of strength and /or mobility training .
Conclusion : Preoperative exercise therapy can be effective for reducing postoperative complication rates and length of hospital stay after cardiac or abdominal surgery .
Objective : To summarize the current evidence on the effects of preoperative exercise therapy in patients awaiting invasive surgery on postoperative complication rate and length of hospital stay .
[Fewer lung complications following inspiratory muscle training in patients undergoing coronary bypass surgery: a randomized trial].
OBJECTIVE The aim of this study was to evaluate the prophylactic efficacy of preoperative physiotherapy , including inspiratory muscle training ( IMT ) , on the incidence of postoperative pulmonary complications ( PPCs ) in high-risk patients scheduled for elective coronary artery bypass grafting ( CABG ) . DESIGN R and omized controlled clinical trial ( www.controlled-trials . com/is rct n17691887 ) . METHOD Of 655 patients referred to a university medical centre in The Netherl and s for elective CABG , 299 met the criteria for being at high risk of developing PPCs . A total of 279 were enrolled and monitored up to discharge from hospital . Patients were r and omly assigned to receive either preoperative IMT ( n=140 ) or usual care ( n=139 ) . Both groups received the same postoperative treatment . RESULTS Both groups were comparable at baseline . Before CABG , 2 control group patients and 1 IMT group patient died . After CABG surgery , PPCs were present in 25 ( 18 % ) of 139 patients in the IMT group and 48 ( 35 % ) of 137 patients in the control group ( OR : 0.52 ; 95 % CI : 0.30 - 0.92 ) . Pneumonia occurred in 9 ( 6.5 % ) of 139 patients in the IMT group and in 22 ( 16.1 % ) of 137 patients in the usual care group ( OR : 0.40 ; 95 % CI : 0.19 - 0.84 ) . Mean duration of postoperative hospitalization was 7 ( range 5 - 41 ) days in the IMT group versus 8 ( range 6 - 70 ) days in the usual care group ( Mann-Whitney test ; Z : -2.42 ; p = 0.015 ) . CONCLUSION Preoperative physiotherapy , including IMT , statistically significantly reduced the incidence ofPPCs and the duration ofpostoperative hospitalization in patients at high risk of developing a pulmonary complication on undergoing CABG
Preoperative exercise therapy consisting of inspiratory muscle training or exercise training prior to cardiac or abdominal surgery led to a shorter hospital stay and reduced postoperative complication rates .
By contrast , length of hospital stay and complication rates of patients after joint replacement surgery were not significantly affected by preoperative exercise therapy consisting of strength and /or mobility training .
Conclusion : Preoperative exercise therapy can be effective for reducing postoperative complication rates and length of hospital stay after cardiac or abdominal surgery .
Objective : To summarize the current evidence on the effects of preoperative exercise therapy in patients awaiting invasive surgery on postoperative complication rate and length of hospital stay .