{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:31:04Z","timestamp":1777401064076,"version":"3.51.4"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2018,1,17]],"date-time":"2018-01-17T00:00:00Z","timestamp":1516147200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Eur J Prev Cardiolog"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Cardiac surgery is an aggressive procedure, inducing a great level of stress and disturbance to the homeostasis of the organism and underlying several postoperative complications. Surgical prehabilitation comprises pre-operative physical conditioning designed to improve the physiological and functional capacities of the individual, prepare the organism for surgical stress and reduce the risk of postoperative morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This systematic review and meta-analysis is aimed at evaluating the ability of prehabilitation to prevent post-surgical complications in cardiac patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We selected studies conducted among patients who were waiting for non-urgent cardiac surgical procedures, where a comparison between prehabilitation and standard treatment was made. A total of 3650 possible studies were researched, of which eight were selected for inclusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A reduction in the number of complications in the groups submitted to prehabilitation (odds ratio\u2009=\u20090.41; 95% confidence interval (CI): 0.28\u20130.62; p\u2009&lt;\u20090.001; I<jats:sup>2\u2009<\/jats:sup>=\u20090%) was observed, as well as a significant increase in maximal inspiratory pressure (standard mean difference (SMD)\u2009=\u20090.66; 95% CI: 0.35\u20130.96; p\u2009&lt;\u20090.001; I<jats:sup>2\u2009<\/jats:sup>=\u200958%), a non-significant decrease in the length of stay (SMD\u2009=\u2009\u20130.56; 95% CI: \u22121.13, 0.01; p\u2009=\u20090.05; I<jats:sup>2\u2009<\/jats:sup>=\u200993%), a non-significant increase in the distance walked by the intervention group in the six-minute walk test (SMD\u2009=\u20090.89; 95% CI \u22120.06, 1.84; p\u2009=\u20090.07) and a lack of effect on mechanical ventilation time (SMD\u2009=\u2009\u22120.03; 95% CI: \u22120.22, 0.16; p\u2009=\u20090.75; I<jats:sup>2\u2009<\/jats:sup>=\u20090%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Prehabilitation reduces the number of post-surgical complications and increases maximal inspiratory pressure; a reduction in the length of stay and an improvement of functional capacities are also probable.<\/jats:p><\/jats:sec>","DOI":"10.1177\/2047487317752373","type":"journal-article","created":{"date-parts":[[2018,1,18]],"date-time":"2018-01-18T13:49:10Z","timestamp":1516283350000},"page":"404-417","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":118,"title":["The impact of prehabilitation on post-surgical complications in patients undergoing non-urgent cardiovascular surgical intervention: Systematic review and meta-analysis"],"prefix":"10.1093","volume":"25","author":[{"given":"Filipe","family":"Marmelo","sequence":"first","affiliation":[{"name":"Departamento de Cirurgia e Fisiologia, Faculdade de Medicina, Universidade do Porto, Portugal"}]},{"given":"V\u00e2nia","family":"Rocha","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia e Fisiologia, Faculdade de Medicina, Universidade do Porto, Portugal"},{"name":"S\u00e3o Martinho Hospital, Valongo, Portugal"}]},{"given":"Daniel","family":"Moreira-Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia e Fisiologia, Faculdade de Medicina, Universidade do Porto, Portugal"},{"name":"CIAFEL, Faculdade de Desporto, Universidade do Porto, 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