“80% of complications occur in 20% of patients who constitute the risk group”
Surgical complications and sub-optimal recovery after surgery accounts for about 30% of the global burden of disease.
Surgifit is a digitaly-supported preventive preoperative and personalized program designed to enhance patients’ functional status with the aim of improving perioperative outcomes, such as postoperative complications, hospital length of stay and use of healthcare resources at 30 days.
Reduction of postoperative complications in high risk patients undergoing major abdominal surgery.
Recovery after surgery compare to patients without prehabilitation program.
In 30-day readmission rates after major abdominal surgery in high risk patients.
Mean cost savings
Per patient during hospitalization in high risk patients undergoing major abdominal surgery.
Quality of life
Increase in health related quality of life in patients awaiting heart transplantation who undergo multimodal prehabilitation.
Improved disease free survival after colorectal cancer surgery and increased tumor regression following neoadjuvant therapy for advanced rectal cancer.
The PREHAB multicentre Randomized Clinical Trial
First international, multicentre trial conducted to determine whether multimodal prehabilitation before colorectal cancer surgery can reduce postoperative complications and enhance functional recovery.
Actionable Factors Fostering Health value Generation and Scalability of Prehabilitation: A Prospective Cohort Study
Comprehensive analyses of deployment of multimodal prehabilitation at Hospital Clínic of Barcelona.
Abdominal surgery in high-risk patients
Prehabilitation for abdominal surgery in high-risk resulted in half postoperative complications.
Prehabilitation for heart transplantation candidates
Prehabilitation in cardiac surgery
Prehabilitation in patients awaiting cardiac surgery is feasible and it provides an increase in preoperative functional capacity with no associated complications
Community-based prehabiliation reduces postoperative complications in high-risk patients
Patients with a low preoperative aerobic fitness undergoing colorectal surgery have an increased risk of postoperative complications. It remains, however, to be demonstrated whether prehabilitation in these patients reduces postoperative complications.
What our patients said
“I came to the Clinic hospital because I had to undergo a stomach operation. In the Clinic’s prehabilitation program, I walked on a treadmill, they taught me how to breathe and how to lift weights. They taught me how to eat well, and with the psychologist help me to keep my mind at ease. Now after the surgery I feel great, I can even eat everything, as if I had not been operated on.”
Rosa, 60 years old
“Thank you for the kind treatment, recommendations, persistence and professionalism of the entire PREHAB team. I was very surprised by the fact that at 86-year-old, with more than 20 years taking medication for the heart, I could do so much exercise (stationary bike, strength training, stretching, etc.) without having any discomfort. It’s been a year since the surgery and I feel perfectly fine. I still walk at least 5,000 steps as recommended.”
Joan, 86 years old
“The prehabilitation program has worked very well for me; I was looked after by a multidisciplinary team lead by an anaesthesiologist which also included a physiotherapist, a registered dietician and a psychologist. They helped me a lot during the program as I started with very low morale and they cheered me up to get to surgery full of energy to face it.”
Miguel, 82 years old
“We would like to express our gratitude and appreciation to the Prehabilitation Team at Hospital Clinic. It has been enormously beneficial and helpful. It has given us resources to face our fears, worries and anxieties before surgery, while giving us the confidence that with training, our body will be better prepared to face the surgery and the recovery. We want to highlight the professionalism, kindness and empathy of all the professionals who helped us and monitored us.
All those relatives, friends and health professionals to whom we have told about this program have been amazed and are really grateful to this kind of work that is being done at the Hospital Clinic.”
Orlando, Fernando, Miquel and Pilar