A new review has highlighted the potential value of providing ‘prehabillitation’ to certain cardiac patients. It comes at a time when demand for surgical services is increasing as a result of an expanding ageing population. The authors of this latest article suggest the increasing number of older adults with a concomitant cardiac disease and subsequent increase in demand for cardiac procedures represents a veritable “silver tsunami".
For the study, the authors reviewed the current evidence regarding the benefits of prehabilitation and describe how a three-way approach to prehabilitation that is targeted toward improving nutritional status (N), exercise capacity (E) and worry reduction (W) or the 'NEW' approach might facilitate perioperative management by ameliorating the postoperative outcomes and alleviating the surgical stress-related health deconditioning. High-risk patients, such as those who are pre-frail and frail could derive the most from such strategies, the authors say.
They identify a need for more research into prehabilitation among cardiac patients and say two current randomised trials examining prehabilitation in vulnerable cardiac patients could provide new insights into the effectiveness of the intervention.
The review is published in the Canadian Journal of Cardiology.