Perioperative medicine & outcomes
Actionable Factors Fostering Health Value Generation and Scalability of Prehabilitation: A Prospective Cohort Study
Authors' conclusion
The study indicates a low rate of completion of the intervention and identifies priority areas for re-design of service delivery to enhance the effectiveness of prehabilitation.
Study context
- Population
- Candidates for major digestive, cardiac, thoracic, gynecologic, or urologic surgery, tertiary-care university hospital
- Participants
- 328 vs 328
- Exposure
- Prehabilitation vs control
- Prehabilitationn = 328
- Controln = 328reference
- Outcome
- Comprehensive complication index, hospital and ICU LOS, and hospital costs per patient
- Follow-up
- Until 30 days after surgery
Methodological detailspropensity score-matched control group, single-centre
- Propensity score-matched control group
- Single-centre
Main finding
As reported in the abstract
- No differences in study outcomes between prehabilitation and control (entire study group)
Observational data: associations, not effects.
Further findings
| Outcome | P value |
|---|---|
| Hospital LOS, per-protocol (program completers) · 30 days after surgery | P = 0.035 |
| ICU LOS, completers undergoing highly aggressive surgeries (subgroup) · 30 days after surgery | P = 0.021 |
- Hospital LOS, per-protocol (program completers): per-protocol analysis; completers n=112, 34%
- ICU LOS, completers undergoing highly aggressive surgeries (subgroup): per-protocol; n=60
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Actionable Factors Fostering Health Value Generation and Scalability of Prehabilitation: A Prospective Cohort Study. Ann Surg. Published 15 August 2022. doi:10.
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