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  • Prehabilitation May Help Mitigate an Increase in COVID-19 Peripandemic Surgical Morbidity and Mortality #MMPMID32324618
  • Silver JK
  • Am J Phys Med Rehabil 2020[Jun]; 99 (6): 459-463 PMID32324618show ga
  • As physicians specializing in rehabilitation medicine consider sequelae from the novel coronavirus pandemic that began in 2019, one issue that should be top of mind is the physiologic effect that large-scale social distancing had on the health of patients in general but, more specifically, on preoperative patients who had their surgeries delayed or will have newly scheduled procedures during the peripandemic period. Predictably, as the virus becomes less prevalent, there will be a tremendous motivation to move forward with scheduling operations from both patient care and institutional perspectives. However, one can anticipate a pandemic-related increase in surgical morbidity and mortality above prepandemic levels, particularly in older or medically frail patients even if they did not have a novel coronavirus (i.e., COVID-19) infection. Therefore, now is the time to consider for patients awaiting surgery a wider adoption of prehabilitation-physical and psychological assessments that establish a baseline functional level, identify impairments, and provide interventions that promote physical and psychological health to reduce the incidence and/or severity of future impairments.
  • |*Pandemics[MESH]
  • |*Preoperative Care[MESH]
  • |Coronavirus Infections/*epidemiology[MESH]
  • |Humans[MESH]
  • |Pneumonia, Viral/*epidemiology[MESH]
  • |Postoperative Complications/*mortality/*prevention & control[MESH]
  • |Risk Assessment[MESH]

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  • suck abstract from ncbi

    459 6.99 2020