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 .
Pre- and Postoperative Cardiopulmonary Rehabilitation in Hospitalized Patients Undergoing Coronary Artery Bypass Surgery: A Randomized Controlled Trial
Herdy AH , Marcchi PLB , Vila A , Tavares C , Collaço J , Niebauer J , Ribeiro JP : Pre- and postoperative cardiopulmonary rehabilitation in hospitalized patients undergoing coronary artery bypass surgery : a r and omized controlled trial . Am J Phys Med Rehabil 2008;87:714–719 . Objective : Patients who have to wait in the hospital for coronary artery bypass surgery ( CABG ) are exposed to the potential risks of immobilization . This clinical trial was conducted to evaluate the effects of an in-hospital cardiopulmonary rehabilitation program performed before and after CABG on postoperative outcomes . Design : Fifty-six patients who had to wait for CABG in-hospital were r and omly assigned to a cardiopulmonary rehabilitation ( Rehab ; n = 29 ) or to usual care ( Control ; n = 27 ) . In the Rehab group , intervention lasted for at least 5 days preoperatively until discharge . The program consisted of phase I cardiac rehabilitation associated with respiratory physical therapy . Outcomes were blindly evaluated . Results : By hospital discharge , Rehab patients presented a shorter time to endotracheal extubation ( 1054 ± 376 vs. 1340 ± 666 min , P = 0.05 ) , a reduction in the incidence of pleural effusion ( relative risk [ RR ] = 0.2 ; 95 % confidence interval [ CI ] : 0.5–0.8 ) , atelectasis ( RR = 0.15 ; 95 % CI : 0.03–0.8 ) , pneumonia ( 0 vs. 7 cases , [ P = 0.004 ] ) , and atrial fibrillation or flutter ( RR = 0.2 ; 95 % CI : 0.05–0.8 ) . Length of in-hospital stay after surgery was also reduced in the Rehab group ( 5.9 ± 1.1 vs. 10.3 ± 4.6 days [ P < 0.001 ] ) . Conclusion : Pre- and postoperative cardiopulmonary rehabilitation in patients who await CABG in the hospital is superior to st and ard care and leads to a reduced rate of postoperative complications and shorter hospital stay
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 .