Priority 4 from the Heart Surgery PSP

UNCERTAINTY: Does prehabilitation (a programme of nutritional, exercise and psychological interventions before surgery) benefit heart surgery patients?  (JLA PSP Priority 4)
Overall ranking 4
JLA question ID 0088/4
Explanatory note Prehabilitation has been researched more recently and less thoroughly than rehabilitation; systematic reviews and scientific statements by relevant associations focused on dietary measures address mostly general concepts of cardiovascular disease prevention. Evidence about preoperative exercise benefit in cardiac surgery can be found in systematic reviews.
The SIGN Guideline on the Management of stable angina provide a review of trials investigating psychological interventions preparing patients for surgery.
~ Does prehabilitation improve outcomes in cardiac surery patients? and in frail patients? Is there any effective prehabilitation for cardiac surgery?

Katsura M, Kuriyama A, Takeshima T, Fukuhara S, Furukawa TA. Preoperative inspiratory muscle training for postoperative pulmonary complications in adults undergoing cardiac and major abdominal surgery. Cochrane Database of Systematic Reviews. 2015(10);  

Health Research Classification System category Cardiovascular
Extra information provided by this PSP
Original uncertainty examples Does prehabilitation benefit cardiac patients? Does prehabilitation improve outcomes in frail patients? Is there any effective prehabilitation for cardiac surgery?  
Submitted by 21 x healthcare professional, 3 x others 
PSP information
PSP unique ID 0088
PSP name Heart Surgery
Total number of uncertainties identified by this PSP. 45  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 11 July 2019