Raquel Risco

Raquel Risco
Hospital Clínic de Barcelona · Servicio de Anestesia

About

20
Publications
3,856
Reads
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586
Citations
Citations since 2017
16 Research Items
586 Citations
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2017201820192020202120222023020406080100120140
2017201820192020202120222023020406080100120140

Publications

Publications (20)
Article
Importance: Prehabilitation has potential for improving surgical outcomes as shown in previous randomized controlled trials. However, a marked efficacy-effectiveness gap is limiting its scalability. Comprehensive analyses of deployment of the intervention in real-life scenarios are required. Objective: To assess health outcomes and cost of preha...
Article
Full-text available
Objective The main objective was to assess repeatability and learning effect of the 6-min walk test (6MWT) in a cohort of preoperative cancer patients referred to a prehabilitation program. As a secondary objective, we aimed to identify determinants of improvement in the second test. Materials and methods Secondary analysis from a large prospectiv...
Preprint
Full-text available
Objective the main objective was to assess repeatability and learning effect of the six-minute walk test (6MWT) in a cohort of preoperative cancer patients referred to a prehabilitation program. As a secondary objective we aimed to identify determinants of improvement in the second test. Materials and Methods secondary analysis from a large prospe...
Article
Full-text available
Background & aims: Prophylactic administration of platelets and fresh frozen plasma (FFP) has been recommended in patients with cirrhosis with low platelets and/or prolonged international normalized ratio (INR) without scientific evidence to support this practice. In this analysis, we evaluated the use of prophylactic administration of blood produ...
Article
Full-text available
Background: Prehabilitation showed efficacy to reduce postoperative complications. However, sustainability of its health benefits and impact on costs needs further assessment. Objective: To assess the mid-term clinical impact and costs from a hospital perspective of an endurance exercise training-based prehabilitation program in high-risk patients...
Article
Full-text available
The use of sedation for diagnostic procedures including gastrointestinal endoscopy is rapidly growing. Recovery of cognitive function after sedation is important because it would be important for most patients to resume safe, normal life soon after the procedure. Computerized tests have shown being accurate descriptors of cognitive function. The pu...
Article
Full-text available
Objective: The aim of this study was to assess the impact of personalized prehabilitation on postoperative complications in high-risk patients undergoing elective major abdominal surgery. Summary background data: Prehabilitation, including endurance exercise training and promotion of physical activity, in patients undergoing major abdominal surg...
Article
Introduction Frailty and low physical activity and cardiorespiratory reserve are related to higher perioperative morbimortality. The crucial step in improving the prognosis is to implement specific measures to optimise these aspects. It is critical to know the magnitude of the problem in order to implement preoperative optimisation programmes. Obj...
Poster
Full-text available
Prehabilitation, including endurance exercise training and promotion of physical activity, in patients undergoing major abdominal surgery has been postulated as an effective preventive intervention to reduce postoperative complications. However, the existing studies provide controversial results likely explained by weaknesses in study designs. More...
Conference Paper
Background: Prehabilitation (PREHAB), including endurance exercise training and promotion of physical activity, in patients undergoing major abdominal surgery has been postulated as an effective preventive intervention to reduce postoperative complications. However, the existing studies provide controversial results and show a clear bias toward low...
Article
Full-text available
Introduction: Frailty and low physical activity and cardiorespiratory reserve are related to higher perioperative morbimortality. The crucial step in improving the prognosis is to implement specific measures to optimize these aspects. It is critical to know the magnitude of the problem in order to implement preoperative optimization programmes. O...
Article
Full-text available
Background: The use of fresh frozen plasma in liver resection has recently been questioned due to the lack of supportive evidence. The aim of the study was to evaluate the clinical impact of a transfusion protocol implemented in our Institution based on the avoidance of prophylactic use of plasma. Methods: 172 adult undergone liver resection were a...
Article
We present the case of a patient who was diagnosed with chronic bronchitis, obstructive sleep apnoea syndrome, and large Reinke laryngeal oedemas that were removed by transoral laser microsurgery. In the immediate post-operative period acute respiratory insufficiency occurred due to pharyngeal collapse that required emergency re-intubation, after w...
Article
We present the case of a patient who was diagnosed with chronic bronchitis, obstructive sleep apnoea syndrome, and large Reinke laryngeal oedemas that were removed by transoral laser microsurgery. In the immediate post-operative period acute respiratory insufficiency occurred due to pharyngeal collapse that required emergency re-intubation, after w...

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Projects

Projects (2)
Project
Prehabilitation programs combining exercise training, nutritional and psychological support have demonstrated efficacy as preoperative optimization strategies. The experience in patients at risk for cardiac surgery is anecdotic. Main objective: To evaluate the feasibility, efficacy and cost-effectiveness of a trimodal prehabilitation program for the improvement of preoperative functional capacity in high-risk and intermediate groups for cardiac surgery and its impact on the reduction of postoperative complications (primary outcome). Secondary objectives: i) Hospital length of stay; ii) Symptoms; iii) Health-related quality of life; iv) Evaluation of information and communication technologies as program supporting tools; v) Design and validation of indicators for future large-scale implementation of this type of interventions. Study design: 3-year single-blinded randomized controlled trial
Archived project
Assess the impact of personalized prehabilitation in high-risk patients undergoing major abdominal surgery in terms of: i) Perioperative complications; ii) Costs; iii) Mid-term sustainability of effects.