TY - JOUR
T1 - Beneficial Effects of Pre-operative Exercise Therapy in Patients with an Abdominal Aortic Aneurysm
T2 - A Systematic Review
AU - Pouwels, S.
AU - Willigendael, E.M.
AU - van Sambeek, M.R.H.M.
AU - Nienhuijs, S.W.
AU - Cuypers, P.W.M.
AU - Teijink, J.A.W.
PY - 2015/1
Y1 - 2015/1
N2 - OBJECTIVE/BACKGROUND: The impact of post-operative complications in abdominal aortic aneurysm (AAA) surgery is substantial, and increases with age and concomitant co-morbidities. This systematic review focuses on the possible effects of pre-operative exercise therapy (PET) in patients with AAA on post-operative complications,aerobic capacity, physical fitness, and recovery.METHODS: A systematic search on PET prior to AAA surgery was conducted. The methodological quality of the included studies was rated using the Physiotherapy Evidence Database scale. The agreement between the reviewers was assessed with Cohen's kappa.RESULTS: Five studies were included, with a methodological quality ranging from moderate to good. Cohen's kappa was 0.79. Three studies focused on patients with an AAA (without indication for surgical repair) with physical fitness as the outcome measure. One study focused on PET in patients awaiting AAA surgery and one study focused on the effects of PET on post-operative complications, length of stay, and recovery.CONCLUSION: PET has beneficial effects on various physical fitness variables of patients with an AAA. Whether this leads to less complications or faster recovery remains unclear. In view of the large impact of post-operative complications, it is valuable to explore the possible benefits of a PET program in AAA surgery.
AB - OBJECTIVE/BACKGROUND: The impact of post-operative complications in abdominal aortic aneurysm (AAA) surgery is substantial, and increases with age and concomitant co-morbidities. This systematic review focuses on the possible effects of pre-operative exercise therapy (PET) in patients with AAA on post-operative complications,aerobic capacity, physical fitness, and recovery.METHODS: A systematic search on PET prior to AAA surgery was conducted. The methodological quality of the included studies was rated using the Physiotherapy Evidence Database scale. The agreement between the reviewers was assessed with Cohen's kappa.RESULTS: Five studies were included, with a methodological quality ranging from moderate to good. Cohen's kappa was 0.79. Three studies focused on patients with an AAA (without indication for surgical repair) with physical fitness as the outcome measure. One study focused on PET in patients awaiting AAA surgery and one study focused on the effects of PET on post-operative complications, length of stay, and recovery.CONCLUSION: PET has beneficial effects on various physical fitness variables of patients with an AAA. Whether this leads to less complications or faster recovery remains unclear. In view of the large impact of post-operative complications, it is valuable to explore the possible benefits of a PET program in AAA surgery.
KW - Aortic Aneurysm, Abdominal/rehabilitation
KW - Exercise Therapy
KW - Hemodynamics
KW - Humans
KW - Patient Satisfaction
KW - Physical Fitness
KW - Postoperative Complications/prevention & control
KW - Preoperative Care
KW - Respiratory Function Tests
KW - Risk Reduction Behavior
KW - Treatment Outcome
UR - http://www.scopus.com/inward/record.url?scp=84920699938&partnerID=8YFLogxK
U2 - 10.1016/j.ejvs.2014.10.008
DO - 10.1016/j.ejvs.2014.10.008
M3 - Review article
C2 - 25457300
SN - 1078-5884
VL - 49
SP - 66
EP - 76
JO - European Journal of Vascular and Endovascular Surgery
JF - European Journal of Vascular and Endovascular Surgery
IS - 1
ER -