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 .
Preoperative maximal exercise oxygen consumption test predicts postoperative pulmonary morbidity following major lung resection.
BACKGROUND AND OBJECTIVE Pulmonary resection carries a significant morbidity and mortality . The utility of maximal oxygen uptake test ( VO(2)max ) to predict cardiopulmonary complications following major pulmonary resection was evaluated . METHODS Following st and ard preoperative work-up and VO(2)max testing , 55 patients ( 49 male ; mean age 59 years , range 20 - 74 ) underwent major pulmonary surgery : lobectomy ( n = 31 ) , bilobectomy ( n = 6 ) and pneumonectomy ( n = 18 ) . An investigator blinded to the preoperative assessment prospect ively collected data on postoperative cardiopulmonary complications . Patients were divided into two groups according to preoperative VO(2)max and also according to FEV(1 ) . The frequency of postoperative complications in the groups was compared . RESULTS Complications were observed in 19 ( 34.5 % ) patients , 11 of which were pulmonary ( 20 % ) . There were two deaths ( 3.6 % ) , both due to respiratory failure . Preoperative FEV(1 ) failed to predict postoperative respiratory complications . Five of 36 patients with a preoperative FEV(1 ) > 2 L suffered pulmonary complications , compared with six of 19 patients with FEV(1 ) < 2 L. Cardiopulmonary complications were not observed in patients with VO(2)max > 15 mL/kg/min ( n = 27 ) ; however , 11 patients with VO(2)max < 15 mL/kg/min ( n = 28 ) suffered cardiopulmonary complications ( P < 0.05 ) . CONCLUSION VO(2)max predicts postoperative pulmonary complications following major lung resection , and the risk of complications increases significantly when the preoperative VO(2)max is less than 15 mL/kg/min
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 .