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 .
Excess mortality following hip fracture: the role of underlying health status
Summary We evaluated the long-term excess mortality associated with hip fracture , using prospect ively collected data on pre-fracture health and function from a nationally representative sample of U.S. elders . Although mortality was elevated for the first six months following hip fracture , we found no evidence of long-term excess mortality . Introduction The long-term excess mortality associated with hip fracture remains controversial . Methods To assess the association between hip fracture and mortality , we used prospect ively collected data on pre-fracture health and function from a representative sample of U.S. elders in the Medicare Current Beneficiary Survey ( MCBS ) to perform survival analyses with time-varying covariates . Results Among 25,178 MCBS participants followed for a median duration of 3.8 years , 730 sustained a hip fracture during follow-up . Both early ( within 6 months ) and subsequent mortality showed significant elevations in models adjusted only for age , sex and race . With additional adjustment for pre-fracture health status , functional impairments , comorbid conditions and socioeconomic status , however , increased mortality was limited to the first six months after fracture ( hazard ratio [ HR ] : 6.28 , 95 % CI : 4.82 , 8.19 ) . No increased mortality was evident during subsequent follow-up ( HR : 1.04 , 95 % CI : 0.88 , 1.23 ) . Hip-fracture-attributable population mortality ranged from 0.5 % at age 65 among men to 6 % at age 85 among women . Conclusions Hip fracture was associated with substantially increased mortality , but much of the short-term risk and all of the long-term risk was explained by the greater frailty of those experiencing hip fracture
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 .