Prehabilitation exercise therapy ahead of elective abdominal aortic aneurysm repair: A commentary of existing evidence to inform clinical practise
- PMID: 38808305
- PMCID: PMC7616023
- DOI: 10.12968/bjca.2023.0078
Prehabilitation exercise therapy ahead of elective abdominal aortic aneurysm repair: A commentary of existing evidence to inform clinical practise
Abstract
Abdominal aortic aneurysm (AAA) is a condition in which the abdominal aorta becomes enlarged, posing a risk of rupture and life-threatening haemorrhage. Abdominal aortic aneurysm accounts for a substantial number of fatalities worldwide, with mortality rates of up to 80 percent. Abdominal aortic aneurysms are often asymptomatic and are frequently discovered incidentally during tests for unrelated conditions. Surgery is required for aneurysms exceeding 5.5cm in men and 5cm in women, but post-surgical complications such as intra-abdominal adhesions, limb ischaemia and renal failure are common. There is some evidence showing that exercise, including prehabilitation, may be effective in improving patient outcomes post-surgery. However, there is a dearth of literature that has synthesised existing evidence related to the effectiveness of prehabilitation on patient outcomes post-surgery, and which has expanded upon its implications for clinical practise. This commentary aims to critically appraise the most recent Cochrane review in this area, and expand upon these findings to inform clinical practice.
Keywords: Abdominal aortic aneurysm; Clinical practise; Post-operative outcomes; Prehabilitation; Surgery.
Conflict of interest statement
Conflicts of interest statement The authors declare no conflicts of interest.
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References
-
- Barakat HM, Shahin Y, Khan JA, McCollum PT, Chetter IC. Preoperative supervised exercise improves outcomes after elective abdominal aortic aneurysm repair: A randomized controlled trial. Ann Surg. 2016;264(1):47–53. - PubMed
-
- Charlotte EB, Elaine FB-S, John DB, Patrick C, Sarah LE, Rachel G, Neil JG, Karen H, James HH, William DCM, et al. British thoracic society guideline on pulmonary rehabilitation in adults: Accredited by nice. Thorax. 2013;68(Suppl 2):ii1. - PubMed
-
- Dalman RL. The 2019 update of the european abdominal aortic aneurysm guidelines. Journal of Vascular Surgery. 2019;69(3):633–634. - PubMed
-
- Ehrman JK, Fernandez AB, Myers J, Oh P, Thompson PD, Keteyian SJ. Aortic aneurysm: Diagnosis, management, exercise testing, and training. Journal of Cardiopulmonary Rehabilitation and Prevention. 2020;40(4) - PubMed
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