Effectiveness of Preoperative Physical Therapy for Elective Cardiac Surgery
Cochrane reviews are a respected source of evidence related to the effectiveness, appropriateness, and cost feasibility of healthcare diagnostics and interventions. They are designed to facilitate decisions of consumers and providers of healthcare by the systematic and careful review of published data. This article, Effectiveness of Preoperative Physical Therapy for Elective Cardiac Surgery, reviews a Cochrane review by Hulzebos et al. The review included 8 randomized controlled trials with a total of 856 participants. Hulzebos investigated the role of stratification of pre-operative patients into risk groups for pulmonary complications and different types of physical therapy involvement. In addition he investigated the effectiveness of physical therapy interventions on a number of primary (incidence of post-surgical pulmonary complications) and secondary outcome measures (quality of life, functional outcome measures, length of stay) and summarizes his findings for the reader.
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- Define the terms: pre-rehabilitation, pre-operative intervention, outcome measure.
- Summarize to his or her customers (patient, patient family, health care team) the evidence related to the effectiveness of pre-operative cardiac surgery physical therapy intervention.
- List specific outcome measures identified in the review which are impacted by pre-operative physical therapy intervention.
- Provide an evidenced based exercise prescription as to the type of pre-operative physical therapy intervention prior to elective cardiac surgery
- Write three short and long-term goals related to the evidence for clients undergoing a pre-operative elective cardiac surgery physical therapy intervention.
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