The Impact of a Multimodal Sport Science-Based Prehabilitation Program on Clinical Outcomes in Abdominal Cancer Patients: A Cohort Study.
Background: The potential for prehabilitation programs to impact clinical outcomes is uncertain in abdominal cancer patients due to the short window of time to intervene and the weakened state of the patients. To improve the effectiveness of prehabilitation intervention, a multimodal sports science...
| Published in: | American Surgeon Vol. 88; no. 9; pp. 2302 - 2309 |
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| Main Authors: | , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Sage Publications Inc.
Sep2022
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159162914&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159162914 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00031348 AUR jtl: American Surgeon issn: 00031348 maglogo: Y pubinfo: dt: Sep2022 vid: 88 iid: 9 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 159162914 159162914 NLM35608376 159162914 10.1177/00031348221103657 NLM35608376 159162914 ppf: 2302 ppct: 7 formats: tig: atl: The Impact of a Multimodal Sport Science-Based Prehabilitation Program on Clinical Outcomes in Abdominal Cancer Patients: A Cohort Study. aug: au: Wooten, Savannah V. Wolf Jr., J. Stuart Mendoza, Diana Bartholomew, John B. Stanforth, Philip R. Stanforth, Dixie Tanaka, Hirofumi Fleming, R.Y. Declan affil: Department of Kinesiology and Health Education, 377659 The University of Texas at Austin, Austin, TX, USA sug: subj: Neoplasms Retrospective Design Postoperative Complications Etiology Postoperative Complications Prevention and Control Preoperative Care Adverse Effects Length of Stay Aged Prospective Studies Postoperative Complications Epidemiology Human Aged: 65+ years ab: Background: The potential for prehabilitation programs to impact clinical outcomes is uncertain in abdominal cancer patients due to the short window of time to intervene and the weakened state of the patients. To improve the effectiveness of prehabilitation intervention, a multimodal sports science approach was implemented.Methods: Prior to cancer-related surgery, 21 patients participated in a 4-week exercise and nutrition prehabilitation program comprised of blood flow restriction exercise (BFR) and a sports nutrition supplement. Retrospective data of 71 abdominal cancer patients who underwent usual preoperative care was used as a comparator control group (CON). At 90 days post-surgery, clinical outcomes were quantified.Results: Prehabilitation was associated with a shorter length of hospital stay (P = .02) with 5.5 fewer days (4.7 ± 2.1 vs 10.2 ± 1.2 days in CON) and decreased incidence of any complications (P = .03). Prehabilitation was not related to incidence of serious complications (P = .17) or readmission rate (P = .59). The prehabilitation group recorded 58% more steps on day 5 after surgery (P = .043).Discussion: A 4-week home-based prehabilitation program composed of BFR training and sports nutrition supplementation was effective in reducing postoperative complications and length of hospital stay in older patients with abdominal cancer.ClinicalTrials.gov Identifier: NCT04073381. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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