Skip to main content

Table 3 Perioperative multicomponent interventions: Timing, setting, supervision, domains and personnel

From: Multicomponent perioperative interventions to improve outcomes for frail patients: a systematic review

 

Timing of Intervention

Setting

Supervision

Health Domains

Personnel

    

Cognition

Comorbidity

ADLs

Medications

Nutrition

Physical Activity

Psychological Health

Smoking Cessation

Respiratory Function

Swallow Function

Oral Health

Geriatrician

Kinesiologist/physical Therapist

Nutritionist/Dietitian

Nurse

Surgeon

Anaesthetist

Dental surgeon or hygienist

Pharmacist

Speech Pathologist

Carli et al. [10]

Preoperatively for 4 weeks

Home

+

Outpatient Clinic

Unsupervised home-based program

+ Supervised exercise sessions

    

âś”

âś”

âś”

âś”

    

âś”

âś”

âś”

     

Mazzola et al. [12]

Preoperatively

(5 days to 2 weeks)

Home

+-

Inpatient Nutrition Unit

Unsupervised home-based program

+- Supervised NJ/PN

    

âś”

âś”

 

âś”

âś”

    

âś”

âś”

âś”

âś”

   

Ommundsen et al. [11]

Preoperatively (GA completed median 6 days preoperatively)

Postoperatively as required

Home

+-

Inpatient Surgical Unit

Unsupervised home-based program

+- Supervised postoperative complication prevention

(âś”)

(âś”)

 

(âś”)

(âś”)

(âś”)

  

(âś”)

  

âś”

(âś”)

 

(âś”)

     

Suzuki et al. [14]

Preoperatively for those admitted ≥ 1 week before surgery

Postoperatively for all

Inpatient Surgical Unit

Supervised

âś”

 

âś”

 

âś”

âś”

   

âś”

âś”

 

âś”

âś”

âś”

âś”

âś”

âś”

âś”

âś”

Wada et al. [13]

Preoperatively (median 13 days)

Home

Unsupervised home-based program

    

âś”

âś”

      

âś”

âś”

      
  1. Note: NJ, nasojejunal; PN, parenteral nutrition; ADLs, activities of daily living