Title |
Prehabilitation and Nutritional Support to Improve Perioperative Outcomes
|
---|---|
Published in |
Current Anesthesiology Reports, November 2017
|
DOI | 10.1007/s40140-017-0245-2 |
Pubmed ID | |
Authors |
Malcolm A. West, Paul E. Wischmeyer, Michael P. W. Grocott |
Abstract |
The purpose of this study is to evaluate the role of physical exercise and nutrition interventions in adult patients before elective major surgery. Exercise training before elective adult major surgery is feasible, safe, and efficacious, but the clinical effectiveness remains uncertain. Early data suggests a reduction in morbidity, length of stay, and quality of life, but the results of larger definitive studies are awaited. Nutritional interventions are less well evaluated and when they are, it is often in combination with exercise interventions as part of a prehabilitation package. Studies evaluating exercise and nutrition interventions before elective major surgery in adults are producing encouraging early results, but definitive clinical evidence is currently very limited. Future research should focus on refining interventions, exploring mechanism, and evaluating the interactions between therapies and large-scale clinical effectiveness studies. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 14 | 23% |
United Kingdom | 13 | 22% |
Canada | 3 | 5% |
Mexico | 3 | 5% |
Australia | 3 | 5% |
Netherlands | 2 | 3% |
Ireland | 2 | 3% |
Argentina | 2 | 3% |
Italy | 1 | 2% |
Other | 3 | 5% |
Unknown | 14 | 23% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 26 | 43% |
Practitioners (doctors, other healthcare professionals) | 23 | 38% |
Scientists | 10 | 17% |
Science communicators (journalists, bloggers, editors) | 1 | 2% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 191 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 25 | 13% |
Student > Bachelor | 22 | 12% |
Researcher | 21 | 11% |
Student > Postgraduate | 17 | 9% |
Student > Ph. D. Student | 16 | 8% |
Other | 46 | 24% |
Unknown | 44 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 91 | 48% |
Nursing and Health Professions | 28 | 15% |
Sports and Recreations | 4 | 2% |
Social Sciences | 3 | 2% |
Biochemistry, Genetics and Molecular Biology | 2 | 1% |
Other | 6 | 3% |
Unknown | 57 | 30% |