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Prehabilitation for kidney transplant candidates: Is it time?
Clin Transplant ; 31(8)2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28564126
ABSTRACT
Many patients become frail with diminished cardiorespiratory fitness while awaiting kidney transplantation. Frailty and poor fitness powerfully predict mortality, transplant graft survival, and healthcare utilization after kidney transplantation. Efforts to intervene with post-transplant physical therapy have been met with limited success, in large part due to high study dropout. We reviewed the literature on chronic kidney disease and exercise to propose a clinical framework for physical therapy interventions to improve fitness, scheduled for before the transplant. This framework may lead to better patient retention and compliance, and thus demonstrate better efficacy in mitigating the effects of frailty and poor fitness after kidney transplantation.
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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Cuidados Pré-Operatórios / Transplante de Rim / Modalidades de Fisioterapia / Falência Renal Crônica Aspecto clínico: Predição / Prognóstico Limite: Humanos Idioma: Inglês Assunto da revista: Transplante Ano de publicação: 2017 Tipo de documento: Artigo País de afiliação: Estados Unidos