Prehabilitation in patients awaiting elective coronary artery bypass graft surgery – effects on functional capacity and quality of life: a randomized controlled trial

Objective: To determine the impact of an exercise-based prehabilitation (EBPrehab) program on pre- and postoperative exercise capacity, functional capacity (FC) and quality of life (QoL) in patients awaiting elective coronary artery bypass graft surgery (CABG). Design: A two-group randomized control...

Full description

Saved in:
Bibliographic Details
Published in:Clinical rehabilitation 2020-10, Vol.34 (10), p.1256-1267
Main Authors: Steinmetz, Carolin, Bjarnason-Wehrens, Birna, Baumgarten, Heike, Walther, Thomas, Mengden, Thomas, Walther, Claudia
Format: Article
Language:English
Subjects:
Aerobic exercise
Aged
Cardiopulmonary exercise testing
Cardiovascular disease
Cardiovascular diseases
Clinical trials
Coronary Artery Bypass - rehabilitation
Coronary artery bypass surgery
Coronary artery disease
Coronary Artery Disease - rehabilitation
Coronary Artery Disease - surgery
Coronary vessels
Elective surgery
Elective Surgical Procedures
Evaluative Studies
Exercise
Exercise Test
Exercise Tolerance
Female
Functional status
Heart surgery
Humans
Intervention
Male
Middle Aged
Perioperative care
Postural Balance
Preoperative Exercise
Prospective Studies
Quality of Life
Rehabilitation
Surgery
Surveys and Questionnaires
Time and Motion Studies
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective: To determine the impact of an exercise-based prehabilitation (EBPrehab) program on pre- and postoperative exercise capacity, functional capacity (FC) and quality of life (QoL) in patients awaiting elective coronary artery bypass graft surgery (CABG). Design: A two-group randomized controlled trail. Setting: Ambulatory prehabilitation. Subjects: Overall 230 preoperative elective CABG-surgery patients were randomly assigned to an intervention (IG, n = 88; n = 27 withdrew after randomization) or control group (CG, n = 115). Intervention: IG: two-week EBPrehab including supervised aerobic exercise. CG: usual care. Main measures: At baseline (T1), one day before surgery (T2), at the beginning (T3) and at the end of cardiac rehabilitation (T4) the following measurements were performed: cardiopulmonary exercise test, six-minute walk test (6MWT), Timed-Up-and-Go Test (TUG) and QoL (MacNew questionnaire). Results: A total of 171 patients (IG, n = 81; CG, n = 90) completed the study. During EBPrehab no complications occurred. Preoperatively FC (6MWTIG: 443.0 ± 80.1 m to 493.5 ± 75.5 m, P = 0.003; TUGIG: 6.9 ± 2.0 s to 6.1 ± 1.8 s, P = 0.018) and QoL (IG: 5.1 ± 0.9 to 5.4 ± 0.9, P 
ISSN:0269-2155
1477-0873
1477-0873
DOI:10.1177/0269215520933950