Preoperative exercise and recovery after cardiac surgery: a meta-analysis

Abstract Background To evaluate the association between preoperative exercise and recovery after cardiac surgery. Methods Literature comparing preoperative exercise and the control group for patients receiving cardiac surgery was retrieved in multiple databases. Review Manager 5.2 was adopted for me...

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Main Authors: Yu-Ting Zheng, Jiang-Xu Zhang
Format: Article
Language:English
Published: BMC 2020-01-01
Series:BMC Cardiovascular Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12872-019-01308-z
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author Yu-Ting Zheng
Jiang-Xu Zhang
author_facet Yu-Ting Zheng
Jiang-Xu Zhang
author_sort Yu-Ting Zheng
collection DOAJ
description Abstract Background To evaluate the association between preoperative exercise and recovery after cardiac surgery. Methods Literature comparing preoperative exercise and the control group for patients receiving cardiac surgery was retrieved in multiple databases. Review Manager 5.2 was adopted for meta-analysis, sensitivity analysis and bias analysis. Results Finally, 6 relevant studies satisfied the inclusion criteria. There was significant difference in length of stay in intensive care unit (ICU) (MD- = 1.35, 95%CI [− 2.64, − 0.06], P = 0.04; P for heterogeneity < 0.0001, I 2  = 88%) and physical function after operation (P of heterogeneity = 0.32, I 2  = 12%, Z = 9.92, P of over effect< 0.00001). The meta-analysis suggested that there was no significant difference in white blood cell count (WBC) at postoperative day 7 and mental health after operation between the exercise group and the control group. Limited publication bias was observed in this study. Conclusion Preoperative exercise including inhaled muscle training, aerobics, resistance training and stretching could promote recovery after cardiac surgery.
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spelling doaj.art-cf633cb758fc42889319a4a95a2badd32022-12-21T19:51:18ZengBMCBMC Cardiovascular Disorders1471-22612020-01-012011710.1186/s12872-019-01308-zPreoperative exercise and recovery after cardiac surgery: a meta-analysisYu-Ting Zheng0Jiang-Xu Zhang1Department of Interventional vascular surgery, The Fourth Affiliated Hospital of Harbin Medical UniversityMinimally Invasive Tumor Therapies Center, Beijing HospitalAbstract Background To evaluate the association between preoperative exercise and recovery after cardiac surgery. Methods Literature comparing preoperative exercise and the control group for patients receiving cardiac surgery was retrieved in multiple databases. Review Manager 5.2 was adopted for meta-analysis, sensitivity analysis and bias analysis. Results Finally, 6 relevant studies satisfied the inclusion criteria. There was significant difference in length of stay in intensive care unit (ICU) (MD- = 1.35, 95%CI [− 2.64, − 0.06], P = 0.04; P for heterogeneity < 0.0001, I 2  = 88%) and physical function after operation (P of heterogeneity = 0.32, I 2  = 12%, Z = 9.92, P of over effect< 0.00001). The meta-analysis suggested that there was no significant difference in white blood cell count (WBC) at postoperative day 7 and mental health after operation between the exercise group and the control group. Limited publication bias was observed in this study. Conclusion Preoperative exercise including inhaled muscle training, aerobics, resistance training and stretching could promote recovery after cardiac surgery.https://doi.org/10.1186/s12872-019-01308-zPreoperative exerciseCardiac surgeryMeta
spellingShingle Yu-Ting Zheng
Jiang-Xu Zhang
Preoperative exercise and recovery after cardiac surgery: a meta-analysis
BMC Cardiovascular Disorders
Preoperative exercise
Cardiac surgery
Meta
title Preoperative exercise and recovery after cardiac surgery: a meta-analysis
title_full Preoperative exercise and recovery after cardiac surgery: a meta-analysis
title_fullStr Preoperative exercise and recovery after cardiac surgery: a meta-analysis
title_full_unstemmed Preoperative exercise and recovery after cardiac surgery: a meta-analysis
title_short Preoperative exercise and recovery after cardiac surgery: a meta-analysis
title_sort preoperative exercise and recovery after cardiac surgery a meta analysis
topic Preoperative exercise
Cardiac surgery
Meta
url https://doi.org/10.1186/s12872-019-01308-z
work_keys_str_mv AT yutingzheng preoperativeexerciseandrecoveryaftercardiacsurgeryametaanalysis
AT jiangxuzhang preoperativeexerciseandrecoveryaftercardiacsurgeryametaanalysis