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Pre-admission interventions to improve outcome after elective surgery-protocol for a systematic review.
Syst Rev 2016; 5:88SR

Abstract

BACKGROUND

Poor physical health and fitness increases the risk of death and complications after major elective surgery. Pre-admission interventions to improve patients' health and fitness (referred to as prehabilitation) may reduce postoperative complications, decrease the length of hospital stay and facilitate the patient's recovery. We will conduct a systematic review of RCTs to examine the effectiveness of different types of prehabilitation interventions in improving the surgical outcomes of patients undergoing elective surgery.

METHODS

This review will be conducted and reported according to the Cochrane and PRISMA reporting guidelines. MEDLINE, EMBASE, CENTRAL, CINAHL, PsycINFO, ISI Web of Science and clinical trial registers will be searched for any intervention administered before any elective surgery (including physical activity, nutritional, educational, psychological, clinical or multicomponent), which aims to improve postoperative outcomes. Reference lists of included studies will be searched, and grey literature including conference proceedings, theses, dissertations and preoperative assessment protocols will be examined. Study quality will be assessed using Cochrane's risk of bias tool, and meta-analyses for trials that use similar interventions and report similar outcomes will be undertaken where possible.

DISCUSSION

This systematic review will determine whether different types of interventions administered before elective surgery are effective in improving postoperative outcomes. It will also determine which components or combinations of components would form the most effective prehabilitation intervention.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42015019191.

Authors+Show Affiliations

Biomedical Research Unit in Nutrition Diet and Lifestyle, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK.Clinical Trials and Evaluation Unit, School of Clinical Sciences, University of Bristol, Level 7, Bristol Royal Infirmary, Queen's Building, Bristol, BS2 8HW, UK.NIHR CLAHRC West, University Hospitals Bristol NHS Foundation Trust, 9th Floor, Whitefriars, Lewins Mead, Bristol, BS1 2NT, UK.Centre for Exercise, Nutrition and Health Sciences, School for Policy Studies, 8 Priory Road, Bristol, BS8 1TZ, UK.NIHR CLAHRC West, University Hospitals Bristol NHS Foundation Trust, 9th Floor, Whitefriars, Lewins Mead, Bristol, BS1 2NT, UK.Biomedical Research Unit in Nutrition Diet and Lifestyle, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK.Biomedical Research Unit in Nutrition Diet and Lifestyle, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK.Clinical Trials and Evaluation Unit, School of Clinical Sciences, University of Bristol, Level 7, Bristol Royal Infirmary, Queen's Building, Bristol, BS2 8HW, UK.Clinical Trials and Evaluation Unit, School of Clinical Sciences, University of Bristol, Level 7, Bristol Royal Infirmary, Queen's Building, Bristol, BS2 8HW, UK.Preoperative Assessment Clinic, Bristol Royal Infirmary, University Hospitals Bristol NHS Foundation Trust, Bristol, BS2 8HW, UK.Clinical Trials and Evaluation Unit, School of Clinical Sciences, University of Bristol, Level 7, Bristol Royal Infirmary, Queen's Building, Bristol, BS2 8HW, UK. Maria.Pufulete@bristol.ac.uk.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

27216584

Citation

Perry, Rachel, et al. "Pre-admission Interventions to Improve Outcome After Elective Surgery-protocol for a Systematic Review." Systematic Reviews, vol. 5, 2016, p. 88.
Perry R, Scott LJ, Richards A, et al. Pre-admission interventions to improve outcome after elective surgery-protocol for a systematic review. Syst Rev. 2016;5:88.
Perry, R., Scott, L. J., Richards, A., Haase, A. M., Savović, J., Ness, A. R., ... Pufulete, M. (2016). Pre-admission interventions to improve outcome after elective surgery-protocol for a systematic review. Systematic Reviews, 5, p. 88. doi:10.1186/s13643-016-0266-9.
Perry R, et al. Pre-admission Interventions to Improve Outcome After Elective Surgery-protocol for a Systematic Review. Syst Rev. 2016 May 23;5:88. PubMed PMID: 27216584.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pre-admission interventions to improve outcome after elective surgery-protocol for a systematic review. AU - Perry,Rachel, AU - Scott,Lauren J, AU - Richards,Alison, AU - Haase,Anne M, AU - Savović,Jelena, AU - Ness,Andrew R, AU - Atkinson,Charlotte, AU - Harris,Jessica, AU - Culliford,Lucy, AU - Shah,Sanjoy, AU - Pufulete,Maria, Y1 - 2016/05/23/ PY - 2016/02/05/received PY - 2016/05/11/accepted PY - 2016/5/25/entrez PY - 2016/5/25/pubmed PY - 2017/1/6/medline KW - Elective surgery KW - Improving fitness before surgery KW - Physical activity KW - Prehabilitation KW - Preoperative nutrition KW - Systematic review SP - 88 EP - 88 JF - Systematic reviews JO - Syst Rev VL - 5 N2 - BACKGROUND: Poor physical health and fitness increases the risk of death and complications after major elective surgery. Pre-admission interventions to improve patients' health and fitness (referred to as prehabilitation) may reduce postoperative complications, decrease the length of hospital stay and facilitate the patient's recovery. We will conduct a systematic review of RCTs to examine the effectiveness of different types of prehabilitation interventions in improving the surgical outcomes of patients undergoing elective surgery. METHODS: This review will be conducted and reported according to the Cochrane and PRISMA reporting guidelines. MEDLINE, EMBASE, CENTRAL, CINAHL, PsycINFO, ISI Web of Science and clinical trial registers will be searched for any intervention administered before any elective surgery (including physical activity, nutritional, educational, psychological, clinical or multicomponent), which aims to improve postoperative outcomes. Reference lists of included studies will be searched, and grey literature including conference proceedings, theses, dissertations and preoperative assessment protocols will be examined. Study quality will be assessed using Cochrane's risk of bias tool, and meta-analyses for trials that use similar interventions and report similar outcomes will be undertaken where possible. DISCUSSION: This systematic review will determine whether different types of interventions administered before elective surgery are effective in improving postoperative outcomes. It will also determine which components or combinations of components would form the most effective prehabilitation intervention. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42015019191. SN - 2046-4053 UR - https://www.unboundmedicine.com/medline/citation/27216584/Pre_admission_interventions_to_improve_outcome_after_elective_surgery_protocol_for_a_systematic_review_ L2 - https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-016-0266-9 DB - PRIME DP - Unbound Medicine ER -