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A single-center prospective observational study on the effect of trimodal prehabilitation in colorectal surgery.
- Source :
-
Cirugia espanola [Cir Esp (Engl Ed)] 2020 Dec; Vol. 98 (10), pp. 605-611. Date of Electronic Publication: 2020 May 17. - Publication Year :
- 2020
-
Abstract
- 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.<br />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.<br />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.<br />Conclusions: Trimodal prehabilitation can contribute to lowering the postoperative morbidity and overall hospital stay of patients undergoing colorectal cancer surgery.<br /> (Copyright © 2020 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Subjects :
- Aged
Colorectal Neoplasms surgery
Colorectal Surgery methods
Cross Infection epidemiology
Female
Humans
Length of Stay statistics & numerical data
Length of Stay trends
Male
Middle Aged
Morbidity trends
Physical Functional Performance
Physical Therapy Modalities statistics & numerical data
Postoperative Complications mortality
Prospective Studies
Surgical Wound Infection epidemiology
Colorectal Neoplasms rehabilitation
Colorectal Surgery statistics & numerical data
Physical Therapy Modalities adverse effects
Postoperative Complications prevention & control
Preoperative Exercise physiology
Subjects
Details
- Language :
- English; Spanish; Castilian
- ISSN :
- 2173-5077
- Volume :
- 98
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Cirugia espanola
- Publication Type :
- Academic Journal
- Accession number :
- 32430159
- Full Text :
- https://doi.org/10.1016/j.ciresp.2020.03.023