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- Kevin F Boreskie, Jacqueline L Hay, D Scott Kehler, Nicole M Johnston, Alexandra V Rose, Christopher J Oldfield, Kanwal Kumar, Olga Toleva, Rakesh C Arora, and Todd A Duhamel.
- Faculty of Kinesiology and Recreation Management, University of Manitoba, Winnipeg, Manitoba, Canada; Institute of Cardiovascular Sciences, St. Boniface Hospital, Albrechtsen Research Centre, R4012-351 Tache Avenue, Winnipeg, Manitoba R2H 2A6, Canada.
- Clin Geriatr Med. 2019 Nov 1; 35 (4): 571-585.
AbstractThe wait before elective cardiac intervention or surgery presents an opportunity to prevent further physiologic decline preoperatively in older patients. Implementation of prehabilitation programs decreases length of hospital stay postoperatively, decreases time spent in the intensive care unit, decreases postoperative complications, and improves self-reported quality of life postsurgery. Prehabilitation programs should adopt multimodal approaches including nutrition, exercise, and worry reduction to improve patient resilience in the preoperative period. High-quality research in larger cohorts is needed, and interventions focusing on underrepresented frailer populations and women. Creative ways to improve accessibility, adherence, and benefits received from prehabilitation should be explored.Copyright © 2019 Elsevier Inc. All rights reserved.
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