Perioperative medicine & outcomes
Effect of multimodal home-based prehabilitation on objectively measured physical activity in patients undergoing elective cardiac or non-cardiac major surgery: secondary outcomes from a randomised controlled trial
Authors' conclusion
Simple preoperative PA recommendations effectively improve steps per day in high-risk non-cardiac surgery patients.
Study context
- Population
- Patients ≥ 65 years awaiting elective cardiac or non-cardiac major surgery with a cardiopulmonary exercise test (CPET)-proven fitness deficit, single university hospital in Switzerland167 with complete data
- Participants
- 200 patients
- Comparison
- Intervention vs Standard of care
- Primary endpoint
- Steps per day (open-source algorithm, wrist-worn accelerometer)
- Follow-up
- Preoperative period
Methodological detailstwo-arm parallel group, single-centre
- Two-arm parallel group
- Single-centre
Primary result
As reported in the abstract
Steps per day, non-cardiac patients (n = 107)
P = 0.042
Secondary outcomes
Overall Euclidean Norm Minus One (ENMO), non-cardiac patients
- Higher in the intervention group but not statistically significant
Cardiac vs non-cardiac patients
- Cardiac patients had overall higher physical activity (PA) levels and were younger; difference remained after adjusting for age
Steps per day vs overall ENMO
- Steps per day correlated strongly with overall ENMO
Original publication
Effect of multimodal home-based prehabilitation on objectively measured physical activity in patients undergoing elective cardiac or non-cardiac major surgery: secondary outcomes from a randomised controlled trial. Perioper Med (Lond). Published 4 July 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →