Taking Control of Your Surgery: Impact of a Prehabilitation Program on Major Abdominal Surgery

• Published in: Journal of the American College of Surgeons Vol. 228; no. 1; pp. 72 - 80
• Main Authors: Howard, Ryan, Yin, Yue S., McCandless, Lane, Wang, Stewart, Englesbe, Michael, Machado-Aranda, David
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.01.2019
• Subjects: Abdomen - surgery; Elective Surgical Procedures; Exercise; Female; Humans; Male; Michigan; Middle Aged; Nutritional Support; Postoperative Complications - prevention & control; Preoperative Care - methods; Propensity Score; Prospective Studies; Recovery of Function; Respiratory Therapy - methods; Stress, Psychological - prevention & control; Michigan; MSHOP; SBP; HR; DBP; MAP; ASA

Surgery is a major physiologic stress comparable to intense exercise. Diminished cardiopulmonary reserve is a major predictor of poor outcomes. Current preoperative workup focuses mainly on identifying risk factors; however, little attention is devoted to improving cardiopulmonary reserve beyond cou...