Perioperative medicine & outcomes
Home-based prehabilitation: a systematic review and meta-analysis of randomised trials
Pooled resultResult — go to the resultRelative risk 0.84 95% CI 0.72–0.98Authors' conclusion
Home-based prehabilitation reduced the proportion of patients with postoperative complications, but with low certainty of evidence.
Study context
- Population
- Surgical patients
- Participants
- 3,508 patients · 29 RCTs
- Comparison
- Home-based prehabilitation vs standard care
- Outcome
- Proportion of patients with postoperative complications
Methodological detailsRoB 2 risk of bias assessment
- RoB 2 risk of bias assessment
Pooled result
As reported in the abstract
Relative risk
0.84
95% CI 0.72–0.98
P = 0.02
Events by group
Home-based prehabilitation vs Standard care
RR 0.84 (95% CI 0.72–0.98); P = 0.02
Further pooled results
| Outcome | MD (m) (95% CI) | P value | |
|---|---|---|---|
| 6-min walking testI2=48 | 28.2 (9.5–46.9) | P < 0.01 | |
| −200204060Difference, m (linear scale) |
| Outcome | MD (95% CI) | P value | |
|---|---|---|---|
| Preoperative depressionI2=0% | −0.65 (−0.87 to −0.43) | P < 0.001 | |
| Postoperative anxietyI2=0% · low certainty | −0.50 (−0.75 to −0.25) | P < 0.001 | |
| −1−0.500.5Difference (linear scale) |
| Outcome | MD (days) (95% CI) | P value | |
|---|---|---|---|
| Hospital LOSI2=45% · low certainty | −0.32 (−0.61 to −0.03) | P = 0.03 | |
| −1−0.500.5Difference, days (linear scale) |
- Adherence to home-based prehabilitation programs
- 82% · median
Original publication
Home-based prehabilitation: a systematic review and meta-analysis of randomised trials. Br J Anaesth. Published 6 February 2025. doi:10. 1016/ j. bja. 2025. 01. 010
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