The use of digital technologies to support home-based prehabilitation prior to major surgery: A systematic review.

Autor: Blumenau Pedersen M; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark; Department of Urology, Gødstrup Hospital, Gødstrup, Denmark; Department of Occupational- and Physiotherapy, Gødstrup Hospital, Gødstrup, Denmark. Electronic address: MALBLU@rm.dk., Saxton J; School of Sport, Exercise and Rehabilitation Sciences, University of Hull, Hull, UK., Birch S; Department of Occupational- and Physiotherapy, Gødstrup Hospital, Gødstrup, Denmark; University Clinic for Hand, Hip and Knee Surgery, Gødstrup Hospital, Gødstrup, Denmark., Rasmussen Villumsen B; Department of Urology, Gødstrup Hospital, Gødstrup, Denmark., Bjerggaard Jensen J; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark; Department of Urology, Gødstrup Hospital, Gødstrup, Denmark; Department of Urology, Aarhus University Hospital, Aarhus, Denmark.
Jazyk: angličtina
Zdroj: The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland [Surgeon] 2023 Dec; Vol. 21 (6), pp. e305-e315. Date of Electronic Publication: 2023 Jun 17.
DOI: 10.1016/j.surge.2023.05.006
Abstrakt: Background: Prehabilitation is a multidimensional and multidisciplinary approach, to prepare patients for surgery, with the aim of improving postoperative outcomes. Worldwide, healthcare systems are facing challenges with a gap between demand and supply of healthcare services. Telehealth is seen as a solution for delivering sustainable and efficient treatments. The effect of providing prehabilitation using telehealth solutions is unclear.
Objective: This systematic review investigated the existing literature regarding the effects and feasibility of technologies for remotely supporting home-based prehabilitation compared to standard care on pre- and postoperative outcomes in adults undergoing elective major surgery.
Methods: A literature search identified relevant studies published between 1 January 2012 and December 2022 in PubMed, PsychInfo, Cinahl and the Cochrane Library. We included RCTs, feasibility and pilot studies. The quality of studies was evaluated using Cochrane's Risk of bias assessment and by narratively rating the certainty of evidence.
Results: Six randomized controlled trials and 20 pilot/feasibility studies were included. The number and content of the interventions varied, depending on context and resources. Multiple approaches in the use of digital healthcare solutions were applied and the results highlight the potential of providing health services remotely.
Conclusion: The use of technologies to support remote home-based prehabilitation in patients undergoing elective major surgery is feasible and has high acceptability, though telehealth is a broad term and wide-ranging strategies are used. Digital technologies for supporting home-based prehabilitation are likely to play an essential role in future health care as resources are scarce and innovative solutions are needed.
Competing Interests: Declaration of competing interest The authors declare that they have no competing financial interests or personal relationships that could have influenced the work and results in this paper.
(Copyright © 2023 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: