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Resumen Introduccion Se ha disenado un protocolo de prehabilitacion trimodal con el objetivo de valorar si contribuye a disminuir la morbilidad postoperatoria, valorar el efecto de la prehabilitacion en la estancia hospitalaria global y analizar la evolucion de la capacidad funcional antes y despues de cirugia. Metodos Estudio observacional unicentrico con pacientes con cancer colorrectal intervenidos quirurgicamente con intencion curativa despues de un protocolo de prehabilitacion trimodal. Se recoge morbilidad postoperatoria segun el Comprehensive Complication Index y estancia hospitalaria, y se compara con una matriz historica. Tambien se recoge capacidad funcional antes y despues de la aplicacion del protocolo de prehabilitacion. Resultados En comparacion con la poblacion historica se consigue disminuir el Comprehensive Complication Index global de forma estadisticamente significativa de 13,2 a 11,5. Desglosando por tipo de morbilidad, todas disminuyen en porcentaje sin conseguir significacion (infeccion espacio quirurgico del 11,7 al 8,4%; infeccion nosocomial del 15,8 al 10%, y morbilidad medica del 8,6 al 4,2%). La estancia hospitalaria global pasa de 6 a 4 dias y el porcentaje de pacientes que se preparan en casa disminuye de forma estadisticamente significativa en ambos casos. Conclusiones La prehabilitacion trimodal puede contribuir a disminuir la morbilidad postoperatoria y la estancia hospitalaria global de los pacientes intervenidos de neoplasia colorrectal.

Introduction A trimodal prehabilitation protocol was designed with the aim to evaluate whether it contributes to reducing postoperative morbidity, to evaluate the effect of prehabilitation on overall hospital stay, and to analyze the evolution of functional capacity before and after surgery. Methods A single-center observational study of patients with colorectal cancer who underwent surgery with curative intent after a trimodal prehabilitation protocol. We collected data for postoperative morbidity according to the Comprehensive Complication Index and hospital stay, which were compared with a historical matrix. Functional capacity data were also collected before and after the application of the prehabilitation protocol. Results Compared to the historical population, the overall Comprehensive Complication Index was reduced from 13.2 to 11.5, which was statistically significant. Analyzed by morbidity type, all decreased in percentage, although without achieving significance (surgical site infection from 11.7% to 8.4%, nosocomial infection 15.8 to 10% and medical morbidity 8.6% to 4.2%). The overall hospital stay went from 6 to 4 days, and the decrease in the percentage of patients who prepared at home was statistically significant in both cases. Conclusions Trimodal prehabilitation can contribute to lowering the postoperative morbidity and overall hospital stay of patients undergoing colorectal cancer surgery.