Effectiveness and safety of structured exercise vs. no exercise for asymptomatic aortic aneurysm: systematic review and meta-analysis

Abstract We conducted a systematic review to compare the effectiveness and safety of exercise versus no exercise for patients with asymptomatic aortic aneurysm. We followed the guidelines set out in the Cochrane systematic review handbook. We searched Medline, Embase, CENTRAL, LILACS, PeDRO, CINAHL, clinicaltrials.gov, ICTRP, and OpenGrey using the MeSH terms “ aortic aneurysm ” and “ exercise ” . 1189 references were identified. Five clinical trials were included. No exercise-related deaths or aortic ruptures occurred in these trials. Exercise did not reduce the aneurysm expansion rate at 12 weeks to 12 months (mean difference [MD], − 0.05; 95% confidence interval [CI], − 0.13 to 0.03). Six weeks of preoperative exercise reduced severe renal and cardiac complications (risk ratio, 0.54; 95% CI, 0.31 – 0.93) and the length of intensive care unit stay (MD, − 1.00; 95% CI, − 1.26 to − 0.74). Preoperative and postoperative forward walking reduced the length of hospital stay (MD, − 0.69; 95% CI, − 1.24 to − 0.14). The evidence was graded as ‘ very low ’ level.Resumo Foi realizada revis ão sistemática para comparar a efetividade e a segurança de exercícios versus não exercícios em pacientes assintomáticos com aneurisma de aorta. Usamos os termos MeSH aortic aneurysm e exercise para as bases MEDLINE, Embase, CENTRAL, LILACS, PeDRO, CINAHL, clinicaltrials.gov, International Cl inical Trials Registry Platform (ICTRP) e OpenGrey. Foram obtidas 1.1...
Source: Jornal Vascular Brasileiro - Category: Surgery Source Type: research