Year: 2021
Type: dissertation
Abstract: Frailty and lack of physical fitness are risk factors for poor perioperative outcomes in vascular surgery patients and other surgical populations. Prehabilitation is a multimodal approach to improving patient fitness prior to surgery to promote better coping with the stressors of surgery. We conducted a scoping review to explore the current scope of literature regarding the effect of prehabilitation in surgical populations and to identify gaps in knowledge. We then conducted a pilot quality improvement project to improve the rate of referrals and attendance for prehabilitation prior to vascular surgery. Our review showed that there is a high degree of heterogeneity in the literature related to the effect of prehabilitation on perioperative outcomes and that future work is needed to identify the composition of an optimal prehabilitation program. Although less than our target value, the rate of referrals increased by over 30% from baseline and prehabilitation was well-received by patients.
Source: TSpace (University of Toronto)
Author: Abdelmasih, Monica
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W6986515532