About
20
Publications
3,856
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
586
Citations
Citations since 2017
Introduction
Publications
Publications (20)
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...
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...
[This corrects the article DOI: 10.1016/j.jhepr.2021.100363.].
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
Projects
Projects (2)
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
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.
