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Effect of prehabilitation in older adults undergoing total joint replacement: An Overview of Systematic Reviews. 老年人全关节置换术的康复效果:系统综述。
IF 1.2 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2020-12-01 Epub Date: 2020-11-24 DOI: 10.1007/s13670-020-00342-6
Gustavo J Almeida, Samannaaz S Khoja, Boris A Zelle

Purpose of review: To review and discuss the findings of systematic reviews that synthesized the evidence on the effect of preoperative exercises (prehabilitation) on postoperative functional recovery in older adults undergoing total knee or hip joint replacement.

Recent findings: Ten systematic reviews (8 meta-analyses) were included in this review. Findings from the systematic reviews indicated that prehabilitation decreases length of hospital stay but does not improve postoperative functional recovery in older adults undergoing joint replacement. Individual studies in the systematic reviews varied considerably in prehabilitation protocol, assessment timepoints, and outcome measures. Most importantly, systematic reviews did not assess the outcomes pre-post prehabilitation as this timepoint was not addressed in most individual studies. Therefore, it is not known whether the prehabilitation programs improved outcomes preoperatively.

Summary: There is a need to develop comprehensive prehabilitation protocols and systematically assess the preoperative and postoperative effectiveness of prehabilitation protocols on functional outcomes (i.e., self-reported and performance-based) in older adults undergoing total joint replacement.

综述目的:回顾和讨论系统综述的结果,这些综述综合了术前锻炼(预适应)对老年人全膝关节或髋关节置换术后功能恢复的影响。最新发现:本综述纳入了10项系统综述(8项荟萃分析)。系统综述的研究结果表明,康复治疗减少了接受关节置换术的老年人的住院时间,但并不能改善其术后功能恢复。系统综述中的个别研究在康复方案、评估时间点和结果测量方面差异很大。最重要的是,系统评价没有评估康复前后的结果,因为这个时间点在大多数个体研究中没有得到解决。因此,尚不清楚康复方案是否能改善术前预后。总结:有必要制定全面的康复方案,并系统地评估术前和术后康复方案对老年人全关节置换术的功能结果(即自我报告和基于表现的)的有效性。
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引用次数: 9
Type 2 Diabetes and Mediterranean Diet in Older Adults: a Brief Review of the Evidence 老年2型糖尿病和地中海饮食:证据综述
IF 1.2 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2020-11-18 DOI: 10.1007/s13670-020-00340-8
Eirini Mamalaki, V. Balomenos, N. Scarmeas, M. Yannakoulia
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引用次数: 0
Anticoagulation Management in Geriatric Orthopedic Trauma Patients 老年骨科创伤患者的抗凝治疗
IF 1.2 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2020-11-18 DOI: 10.1007/s13670-020-00345-3
Jensa C Morris, M. O’Connor
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引用次数: 2
Diet, Microbioma, and Diabetes in Aging 衰老中的饮食、微生物与糖尿病
IF 1.2 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2020-11-16 DOI: 10.1007/s13670-020-00339-1
S. S. M. Fernández, S. M. Ribeiro
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引用次数: 0
Geriatric Orthopedics and Challenges with Mild Cognitive Impairment 老年骨科和轻度认知障碍的挑战
IF 1.2 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2020-11-13 DOI: 10.1007/s13670-020-00346-2
Vikrant Tambe, C. D’Souza, D. Mendelson
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引用次数: 0
Venous Stasis Ulcers: an Update on Diagnosis and Management 静脉瘀血溃疡:诊断和治疗的最新进展
IF 1.2 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2020-11-13 DOI: 10.1007/s13670-020-00344-4
A. Geisler, N. Taylor
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引用次数: 1
Dermatologic Manifestations of Nutritional Deficiency 营养缺乏的皮肤病表现
IF 1.2 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2020-11-12 DOI: 10.1007/s13670-020-00331-9
A. Deutsch, Jamie R. Manning
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引用次数: 1
Geriatric Vulvar Dermatology 老年外阴皮肤病
IF 1.2 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2020-11-12 DOI: 10.1007/s13670-020-00332-8
Nga N Nguyen, S. Corley
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引用次数: 0
Xerosis Cutis in the Aging Population: an Approach to Diagnosis and Treatment 老年人皮肤干枯症的诊断和治疗方法
IF 1.2 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2020-11-11 DOI: 10.1007/s13670-020-00333-7
F. Lacy, Carolyn M. Ziemer
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引用次数: 3
Melanoma Diagnosis and Treatment in the Elderly 老年人黑色素瘤的诊断与治疗
IF 1.2 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2020-11-11 DOI: 10.1007/s13670-020-00330-w
K. Babbush, Shadi Damanpour
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引用次数: 0
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Current Geriatrics Reports
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