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Prehabilitation.

James Durrand1, Sally J Singh2, Gerry Danjoux3

  • 1Northern School of Anaesthesia and Intensive Care Medicine, Newcastle-upon-Tyne, UK and PhD student, Northumbria University Department of Sport, Exercise and Rehabilitation, Newcastle-upon-Tyne, UK jdurrand@doctors.org.uk.

Clinical Medicine (London, England)
|November 17, 2019
PubMed
Summary
This summary is machine-generated.

This review examines prehabilitation strategies, focusing on lifestyle factors that impact surgical outcomes. It highlights evidence-based interventions and practical delivery principles for improved patient recovery.

Keywords:
Perioperativealcoholcancerexerciseprehabilitationsmokingsurgery

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Area of Science:

  • Perioperative Medicine
  • Behavioral Science
  • Rehabilitation Medicine

Background:

  • Prehabilitation is an emerging strategy to optimize patient health before surgery.
  • Behavioral and lifestyle factors significantly influence perioperative outcomes.
  • Existing rehabilitation models offer valuable insights for prehabilitation implementation.

Purpose of the Study:

  • To review the evidence supporting the prehabilitation concept.
  • To identify key behavioral and lifestyle risk factors and their perioperative impact.
  • To outline principles for practical prehabilitation delivery.

Main Methods:

  • Literature review of prehabilitation evidence.
  • Analysis of behavioral and lifestyle risk factors.
  • Examination of perioperative impact and intervention effectiveness.
  • Synthesis of principles from allied rehabilitation interventions.

Main Results:

  • Evidence supports prehabilitation's role in improving surgical outcomes.
  • Targeted interventions addressing behavioral and lifestyle factors are crucial.
  • Lessons from cardiac and pulmonary rehabilitation inform prehabilitation practice.

Conclusions:

  • Prehabilitation is a viable strategy to enhance perioperative care.
  • Focusing on modifiable risk factors is key to successful prehabilitation.
  • Integrating prehabilitation principles can optimize patient recovery and reduce complications.