Prehabilitation in patients awaiting elective coronary artery bypass graft surgery – effects on functional capacity and quality of life: a randomized controlled trial
| Autor: | Birna Bjarnason-Wehrens, Thomas Mengden, Thomas Walther, Heike Baumgarten, Claudia Walther, Carolin Steinmetz |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Prehabilitation Physical Therapy Sports Therapy and Rehabilitation Coronary Artery Disease 030204 cardiovascular system & hematology law.invention Coronary artery disease 03 medical and health sciences Coronary artery bypass surgery 0302 clinical medicine Randomized controlled trial Quality of life law Surveys and Questionnaires medicine Humans Aerobic exercise In patient ddc:610 Prospective Studies 030212 general & internal medicine Coronary Artery Bypass Postural Balance coronary artery bypass surgery Aged Exercise Tolerance business.industry Rehabilitation Evaluative Studies Preoperative Exercise Middle Aged medicine.disease 3. Good health Surgery cardiac rehabilitation aerobic exercise medicine.anatomical_structure Elective Surgical Procedures Time and Motion Studies Exercise Test Quality of Life Female business Artery |
| Zdroj: | Clinical Rehabilitation |
| ISSN: | 1477-0873 0269-2155 |
| DOI: | 10.1177/0269215520933950 |
| Popis: | Objective: To determine the impact of an exercise-based prehabilitation (EBPrehab) program on pre- and postoperative exercise capacity, functional capacity (FC) and quality of life (QoL) in patients awaiting elective coronary artery bypass graft surgery (CABG). Design: A two-group randomized controlled trail. Setting: Ambulatory prehabilitation. Subjects: Overall 230 preoperative elective CABG-surgery patients were randomly assigned to an intervention (IG, n = 88; n = 27 withdrew after randomization) or control group (CG, n = 115). Intervention: IG: two-week EBPrehab including supervised aerobic exercise. CG: usual care. Main measures: At baseline (T1), one day before surgery (T2), at the beginning (T3) and at the end of cardiac rehabilitation (T4) the following measurements were performed: cardiopulmonary exercise test, six-minute walk test (6MWT), Timed-Up-and-Go Test (TUG) and QoL (MacNew questionnaire). Results: A total of 171 patients (IG, n = 81; CG, n = 90) completed the study. During EBPrehab no complications occurred. Preoperatively FC (6MWTIG: 443.0 ± 80.1 m to 493.5 ± 75.5 m, P = 0.003; TUGIG: 6.9 ± 2.0 s to 6.1 ± 1.8 s, P = 0.018) and QoL (IG: 5.1 ± 0.9 to 5.4 ± 0.9, P IG: Δ-64.7 m, pT1–T3 = 0.013; Δ+47.2 m, pT1–T4 0.001; TUGIG: Δ+1.4 s, pT1–T3 = 0.003). Conclusions: A short-term EBPrehab is effective to improve perioperative FC and preoperative QoL in patients with stable coronary artery disease awaiting CABG-surgery. ID: NCT04111744 ( www.ClinicalTrials.gov ; Preoperative Exercise Training for Patients Undergoing Coronary Artery Bypass Graft Surgery- A Prospective Randomized Trial) |
| Databáze: | OpenAIRE |
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