Multimodal prehabilitation: a promising strategy in patients listed for heart transplantation
Prehabilitation programs designed to improve functional status showed efficacy to increase functional capacity and to prevent postoperative complications in selected high-risk surgical populations. Patients awaiting heart transplantation (HT) usually exhibit poor quality of life and this situation u...
Saved in:
Published in | Journal of cardiothoracic and vascular anesthesia Vol. 33; p. S134 |
---|---|
Main Authors | , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Elsevier Inc
01.09.2019
|
Online Access | Get full text |
Cover
Loading…
Abstract | Prehabilitation programs designed to improve functional status showed efficacy to increase functional capacity and to prevent postoperative complications in selected high-risk surgical populations. Patients awaiting heart transplantation (HT) usually exhibit poor quality of life and this situation usually progresses while waiting for HT.
to evaluate the effect of a multimodal prehabilitation program on quality of life and functional capacity in patients waiting HT.
Adult patients listed for HT were included. Exclusion criteria were hospitalized patients, clinical instability, refusal to participate and living far away or not availability for transportation to the hospital twice weekly.
The prehabilitation program was initiated after baseline assessment and all participants were reassessed after having completed 8 weeks of program. The intervention consisted in exercise training and promotion of physical activity, nutritional counselling and whey protein supplementation when necessary and coping of the psychological stress using mindfulness therapy. The exercise training consisted in 2 sessions of 1 hour per week of personalized monitored supervised moderate to high-intensity interval training and endurance strength training at the hospital's outpatient gym during 8 weeks. All patients were instructed on breathing exercises with an incentive inspirometer. After 8 weeks, and until HT, patients followed a maintenance program consisted in 1 session per week of supervised training and were empowered to maintain their level of physical activity
24 patients were included in the study from July 2017 to April 2019 (21 males, Age 56+10). Two patients were transplanted before starting the program and 8 patients before the 8-weeks assessment. None of the patients withdrew from the study. Over the duration of the study, 9 enrolled patients were successfully transplanted. One patient asked to opt out from the HT waiting list after having completed the program.
No complications occurred during the program.
This study suggests that a multimodal prehabilitation program in patients awaiting HT is feasible, safe and may increase functional capacity and quality of life. |
---|---|
AbstractList | Prehabilitation programs designed to improve functional status showed efficacy to increase functional capacity and to prevent postoperative complications in selected high-risk surgical populations. Patients awaiting heart transplantation (HT) usually exhibit poor quality of life and this situation usually progresses while waiting for HT.
to evaluate the effect of a multimodal prehabilitation program on quality of life and functional capacity in patients waiting HT.
Adult patients listed for HT were included. Exclusion criteria were hospitalized patients, clinical instability, refusal to participate and living far away or not availability for transportation to the hospital twice weekly.
The prehabilitation program was initiated after baseline assessment and all participants were reassessed after having completed 8 weeks of program. The intervention consisted in exercise training and promotion of physical activity, nutritional counselling and whey protein supplementation when necessary and coping of the psychological stress using mindfulness therapy. The exercise training consisted in 2 sessions of 1 hour per week of personalized monitored supervised moderate to high-intensity interval training and endurance strength training at the hospital's outpatient gym during 8 weeks. All patients were instructed on breathing exercises with an incentive inspirometer. After 8 weeks, and until HT, patients followed a maintenance program consisted in 1 session per week of supervised training and were empowered to maintain their level of physical activity
24 patients were included in the study from July 2017 to April 2019 (21 males, Age 56+10). Two patients were transplanted before starting the program and 8 patients before the 8-weeks assessment. None of the patients withdrew from the study. Over the duration of the study, 9 enrolled patients were successfully transplanted. One patient asked to opt out from the HT waiting list after having completed the program.
No complications occurred during the program.
This study suggests that a multimodal prehabilitation program in patients awaiting HT is feasible, safe and may increase functional capacity and quality of life. |
Author | Dana, F. López-Baamonde, M. Matute, P. Navarro-Ripoll, R. Romano, B. Perdomo, J.M. Arguis, M.J. Sandoval, E. Martínez-Pallí, G. Gimeno-Santos, E. Castel, M.A. Lopez-Hernandez, A. Montane-Muntane, M. Merino, L. Farrero, M. Moises, J. |
Author_xml | – sequence: 1 givenname: M.J. surname: Arguis fullname: Arguis, M.J. organization: Anesthesiology Department, Hospital Clínic de Barcelona, Barcelona, Spain – sequence: 2 givenname: R. surname: Navarro-Ripoll fullname: Navarro-Ripoll, R. organization: Anesthesiology Department, Hospital Clínic de Barcelona, Barcelona, Spain – sequence: 3 givenname: A. surname: Lopez-Hernandez fullname: Lopez-Hernandez, A. organization: Anesthesiology Department, Hospital Clínic de Barcelona, Barcelona, Spain – sequence: 4 givenname: E. surname: Gimeno-Santos fullname: Gimeno-Santos, E. organization: August Pi i Sunyer Biomedical Research Institute (IDIBAPS, Barcelona, Spain – sequence: 5 givenname: M. surname: López-Baamonde fullname: López-Baamonde, M. organization: Anesthesiology Department, Hospital Clínic de Barcelona, Barcelona, Spain – sequence: 6 givenname: B. surname: Romano fullname: Romano, B. organization: Nutrition and Clinical Dietetics, Hospital Clinic de Barcelona, Barcelona, Spain – sequence: 7 givenname: M. surname: Montane-Muntane fullname: Montane-Muntane, M. organization: Anesthesiology Department, Hospital Clínic de Barcelona, Barcelona, Spain – sequence: 8 givenname: F. surname: Dana fullname: Dana, F. organization: Anesthesiology Department, Hospital Clínic de Barcelona, Barcelona, Spain – sequence: 9 givenname: J.M. surname: Perdomo fullname: Perdomo, J.M. organization: Anesthesiology Department, Hospital Clínic de Barcelona, Barcelona, Spain – sequence: 10 givenname: E. surname: Sandoval fullname: Sandoval, E. organization: Cardiovascular Surgery Department, Hospital Clinic de Barcelona, Barcelona, Spain – sequence: 11 givenname: L. surname: Merino fullname: Merino, L. organization: Cardiovascular Institute, Hospital Clinic de Barcelona, Barcelona, Spain – sequence: 12 givenname: P. surname: Matute fullname: Matute, P. organization: Anesthesiology Department, Hospital Clínic de Barcelona, Barcelona, Spain – sequence: 13 givenname: J. surname: Moises fullname: Moises, J. organization: Respiratory Clinic Institute, Hospital Clinic de Barcelona, Barcelona, Spain – sequence: 14 givenname: M. surname: Farrero fullname: Farrero, M. organization: Cardiovascular Institute, Hospital Clinic de Barcelona, Barcelona, Spain – sequence: 15 givenname: M.A. surname: Castel fullname: Castel, M.A. organization: Cardiovascular Institute, Hospital Clinic de Barcelona, Barcelona, Spain – sequence: 16 givenname: G. surname: Martínez-Pallí fullname: Martínez-Pallí, G. organization: Anesthesiology Department, Hospital Clínic de Barcelona, Barcelona, Spain |
BookMark | eNp9UMtOwzAQtFCRaAs_wMk_kOBHnMSIC6p4SUVc4Igsx9m0jlInsk2l_j2OypnTrnZnRjOzQgs3OkDolpKcEsHv-rw_Gp0zQmVOqpxIeoGWVHCW1QVji7QnVEaqilyhVQg9IZQKUS3R9_vPEO1hbPWAJw973djBRh3t6O6xTqfxYIN1Oxyi1xF2J2wdntIfXAx4sCFCi7vR4z1oH3ECuTAN2p0lrtFlp4cAN39zjb6enz43r9n24-Vt87jNDC0EzQC0JF3Xcl1Ao0GLVktZtrzpSmIYhbpqWFlIWrJK1IIXpqHMSE6kbHhNKOdrxM66xo8heOjU5O1B-5OiRM3RVa_mgtRckCKVSgUl0sOZBMnZ0YJXwaRYBlrrwUTVjvY_-i9n0nL3 |
CitedBy_id | crossref_primary_10_1053_j_jvca_2022_07_008 |
ContentType | Journal Article |
Copyright | 2019 |
Copyright_xml | – notice: 2019 |
DBID | AAYXX CITATION |
DOI | 10.1053/j.jvca.2019.07.091 |
DatabaseName | CrossRef |
DatabaseTitle | CrossRef |
DatabaseTitleList | |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1532-8422 |
EndPage | S134 |
ExternalDocumentID | 10_1053_j_jvca_2019_07_091 S105307701930730X |
GroupedDBID | --- --K --M .1- .FO .GJ .~1 0R~ 1B1 1P~ 1RT 1~. 1~5 4.4 457 4G. 53G 5GY 5RE 5VS 7-5 71M 8P~ 9JM AABNK AACTN AAEDT AAEDW AAIAV AAIKJ AAKOC AALRI AAOAW AAQFI AAQQT AAQXK AAXUO ABBQC ABFRF ABJNI ABLVK ABMAC ABMZM ABOCM ABXDB ABYKQ ACDAQ ACGFO ACGFS ACRLP ADBBV ADEZE ADMUD AEBSH AEFWE AEKER AENEX AEVXI AFKWA AFRHN AFTJW AFXIZ AGHFR AGUBO AGYEJ AHHHB AIEXJ AIKHN AITUG AJBFU AJOXV AJRQY AJUYK ALMA_UNASSIGNED_HOLDINGS AMFUW AMRAJ ANZVX ASPBG AVWKF AXJTR AZFZN BKOJK BLXMC BNPGV CAG COF CS3 DU5 EBS EFJIC EFLBG EJD EO8 EO9 EP2 EP3 F5P FDB FEDTE FGOYB FIRID FNPLU FYGXN G-2 G-Q GBLVA HEB HMK HMO HVGLF HZ~ IHE J1W J5H K-O KOM LCYCR M29 M41 MO0 N9A O-L O9- O90 OAUVE OL- OZT P-8 P-9 P2P PC. Q38 R2- RIG ROL RPZ SAE SCC SDF SDG SDP SEL SES SEW SJN SPCBC SSH SSZ T5K UHS UNMZH UV1 WUQ Z5R ZA5 ~G- AAXKI AAYXX AFCTW AFJKZ AKRWK CITATION |
ID | FETCH-LOGICAL-c1451-eea90ffd3a4ebaea5da996d3bf60c21e87b2649162758534cb12c93099b380133 |
IEDL.DBID | .~1 |
ISSN | 1053-0770 |
IngestDate | Thu Sep 26 16:24:32 EDT 2024 Fri Feb 23 02:24:24 EST 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Language | English |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c1451-eea90ffd3a4ebaea5da996d3bf60c21e87b2649162758534cb12c93099b380133 |
ParticipantIDs | crossref_primary_10_1053_j_jvca_2019_07_091 elsevier_sciencedirect_doi_10_1053_j_jvca_2019_07_091 |
PublicationCentury | 2000 |
PublicationDate | September 2019 2019-09-00 |
PublicationDateYYYYMMDD | 2019-09-01 |
PublicationDate_xml | – month: 09 year: 2019 text: September 2019 |
PublicationDecade | 2010 |
PublicationTitle | Journal of cardiothoracic and vascular anesthesia |
PublicationYear | 2019 |
Publisher | Elsevier Inc |
Publisher_xml | – name: Elsevier Inc |
SSID | ssj0011557 |
Score | 2.2809844 |
Snippet | Prehabilitation programs designed to improve functional status showed efficacy to increase functional capacity and to prevent postoperative complications in... |
SourceID | crossref elsevier |
SourceType | Aggregation Database Publisher |
StartPage | S134 |
Title | Multimodal prehabilitation: a promising strategy in patients listed for heart transplantation |
URI | https://dx.doi.org/10.1053/j.jvca.2019.07.091 |
Volume | 33 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LSwMxEA6lgngRn1gfJQdvku4j2Ze3UixVaS9a6EVCks1CS92WdhW8-NudZFOxIB48JiQQvhlmvpDMNwhd-0JkgZCCiJBSwgJREEjDPkl1kEolk1hSUzs8HMWDMXuYRJMG6m1qYcy3Shf765huo7Wb8Rya3nI69Z6AGYCDGjlx66cTU8EOyQh8uvP5_c0DCI9V-zSLiVntCmdg6M06s3dltIeCzAp4ZsHvyelHwukfoH3HFHG3PswhaujyCO0O3Vv4MXqxtbOvixwWLVdbgtu3WMDUAkwIiQmvawHaDzwtsZNRXeO5MW-OgbJi09O6wpVVOZ-LuhSpPEHj_t1zb0BcswSiTLNdorXI_KLIqWBaCi2iXMBVJqeyiH0VBjpNJHAfIIOhuSFQpmQQKkAuyySFLEXpKWqWi1KfIRznzFdg2zROJFNFIljOEmB2ALTUhSpa6GaDEl_WmhjcvmVHFO4SBlNuMOV-wgHTFoo2QPIty3II2n_sO__nvgu0Z0b1P7BL1KxWb_oKiEMl29Yz2mine_84GH0B_ujEng |
link.rule.ids | 315,786,790,4521,24144,27957,27958,45620,45714 |
linkProvider | Elsevier |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LSwMxEB5qC-pFfGJ95uBN1n0k-_JWiqW1j4st9CJLks1CS92Wtgr-eye7qVgQDx43m0D4Zpj5QjLfANw5nMcuF9ziHqUWc3lmYRp2rEi5kZAiDATVtcP9QdAeseexP65Ac1MLo59VmthfxvQiWpsR26BpLyYT-wWZATqolhMv_HS8AzXmhy6rQq3R6bYH35cJmDKLHis439ILTO0MftrTh-mH1PJDblxoeMbu7_npR85pHcKBIYukUe7nCCoqP4bdvrkOP4HXonz2bZ7ipMVyS3P7kXAcmqMVMTeRValB-0kmOTFKqisy0xZOCbJWottar8m6EDqf8bIaKT-FUetp2Gxbpl-CJXW_XUspHjtZllLOlOCK-ynH00xKRRY40nNVFAqkP8gHPX1IoEwK15MIXhwLiomK0jOo5vNcnQMJUuZING8UhILJLOQsZSGSO8RaqExmdbjfoJQsSlmMpLjO9ikeJzSmicY0ccIEMa2DvwEy2TJugnH7j3UX_1x3C3vtYb-X9DqD7iXs6z_ls7ArqK6X7-oaecRa3Bg_-QLY1cdU |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Multimodal+prehabilitation%3A+a+promising+strategy+in+patients+listed+for+heart+transplantation&rft.jtitle=Journal+of+cardiothoracic+and+vascular+anesthesia&rft.au=Arguis%2C+M.J.&rft.au=Navarro-Ripoll%2C+R.&rft.au=Lopez-Hernandez%2C+A.&rft.au=Gimeno-Santos%2C+E.&rft.date=2019-09-01&rft.issn=1053-0770&rft.volume=33&rft.spage=S134&rft_id=info:doi/10.1053%2Fj.jvca.2019.07.091&rft.externalDBID=n%2Fa&rft.externalDocID=10_1053_j_jvca_2019_07_091 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1053-0770&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1053-0770&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1053-0770&client=summon |