The use of digital health interventions to deliver prehabilitation in solid organ transplant recipients: are we there yet?

IF 1.8 4区 医学 Q3 TRANSPLANTATION
Juliet Briggs, Joseph Chilcot, Sharlene A Greenwood
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引用次数: 0

Abstract

Purpose of review: Prehabilitation, defined as preparing the body physically and psychologically for upcoming surgery is of increasing prominence in presurgical care. The aim of this review is to discuss the evidence base around prehabilitation in solid organ transplantation, the use of digital health as a tool to deliver these interventions, and consider future directions.

Recent findings: Prehabilitation is of increasing interest as an adjunct to pretransplant care for individuals working up for solid organ transplantation. To date, research has shown that prehabilitation is acceptable and feasible; however, the literature base remains small. The majority of research has been delivered using in-person rehabilitation programmes, and the evidence base utilizing digital health as a means to deliver prehabilitation is limited.

Summary: To date, the research evidence base in prehabilitation for solid organ transplantation is limited. Evidence in other surgical populations has demonstrated promising results, particularly in aerobic capacity, physical function and postoperative complications. Further high-quality randomized controlled clinical trials are required to strengthen the evidence base, understand how digital health can be harnessed and utilized to deliver multimodal prehabilitation with an aim to see how this may form part of routine care in the solid organ transplantation pathway.

利用数字健康干预为实体器官移植受者提供预康复服务:我们做到了吗?
审查目的:术前康复是指在身体和心理上为即将到来的手术做好准备,在术前护理中的地位日益突出。本综述旨在讨论有关实体器官移植术前康复的证据基础、将数字医疗作为提供这些干预措施的工具的使用情况,并考虑未来的发展方向:康复前护理作为对准备接受实体器官移植的患者进行移植前护理的辅助手段,越来越受到人们的关注。迄今为止,研究表明预康复是可以接受的,也是可行的;但是,文献基础仍然很少。大多数研究都是通过现场康复计划进行的,而利用数字健康作为提供预康复的一种手段的证据基础还很有限。在其他手术人群中的证据显示了良好的效果,尤其是在有氧运动能力、身体功能和术后并发症方面。需要进一步开展高质量的随机对照临床试验,以加强证据基础,了解如何利用数字健康技术提供多模式术前康复,从而了解如何将其作为实体器官移植途径中常规护理的一部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.10
自引率
4.50%
发文量
124
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Current Opinion in Organ Transplantation is an indispensable resource featuring key, up-to-date and important advances in the field from around the world. Led by renowned guest editors for each section, every bimonthly issue of Current Opinion in Organ Transplantation delivers a fresh insight into topics such as stem cell transplantation, immunosuppression, tolerance induction and organ preservation and procurement. With 18 sections in total, the journal provides a convenient and thorough review of the field and will be of interest to researchers, surgeons and other healthcare professionals alike.
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