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Prehabilitation, enhanced recovery after surgery, or both? A narrative review
Open accessAbstract
This narrative review presents a biological rationale and evidence to describe how the preoperative condition of the patient contributes to postoperative morbidity. Any preoperative condition that prevents a patient from tolerating the physiological stress of surgery (e.g. poor cardiopulmonary reserve, sarcopaenia), impairs the stress response (e.g. malnutrition, frailty), and/or augments the catabolic response to stress (e.g. insulin resistance) is a risk factor for poor surgical outcomes. Prehabilitation interventions that include exercise, nutrition, and psychosocial components can be applied before surgery to strengthen physiological reserve and enhance functional capacity, which, in turn, supports recovery through attaining surgical resilience. Prehabilitation complements Enhanced Recovery After Surgery (ERAS) care to achieve optimal patient outcomes because recovery is not a passive process and it begins preoperatively.
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Self-citationPrehabilitation in adult patients undergoing surgery: an umbrella review of systematic reviews
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Cited by
Prehabilitation for Patients Undergoing Orthopedic Surgery: A Systematic Review and Meta-analysis
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Yang, F., Yuan, Y., Liu, W., Tang, C., He, F., Chen, D., Xiong, J., Huang, G., & Qian, K. (2024) · Frontiers in Oncology · doi:10.3389/fonc.2024.1411353 · Cited by 19
Zhang, Y., Bellafronte, N. T., Najafitirehshabankareh, G., Jimenez, M. H., Jaeger-McEnroe, E., Plourde, H., Hendrickson, M., & Gillis, C. (2024) · European Journal of Surgical Oncology · doi:10.1016/j.ejso.2024.108743 · Cited by 4
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Metadata
- Authors
- Gillis, C., Ljungqvist, O., & Carli, F.
- Venue
- British Journal of Anaesthesia
- Publisher
- Elsevier BV
- Published
- 2022-03
- Volume
- 128
- Issue
- 3
- Pages
- 434-448
- ISSN
- 0007-0912 (ISSN-L)
- OpenAlex
- W4205183311
- Cited by
- 308
- References
- 22
- FWCI
- 16.90
- Type
- journal article
- Language
- en
- Open access
- bronze
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