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Prehabilitation for the Enhanced Recovery After Surgery Patient
Jessica L Shanahan1, Kay B Leissner1
1VA Boston Healthcare System , West Roxbury, Massachusetts.
Background:
Prehabilitation proposes that broad health interventions at the time of decision for surgery will improve the patient's starting functional status and therefore recovery.
Methods:
The impact of preoperative exercise, preoperative nutrition, smoking cessation, alcohol cessation, anemia, and psychological support were reviewed.
Results:
Interventions to improve the patient's underlying health typically improve recovery, although the duration and intensity necessary for meaningful surgical recovery benefit need further study.
Conclusions:
Preoperative health interventions may improve recovery in the postoperative period and patient health years later.
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