Optimizing perioperative physical therapy care in major elective surgery to improve surgical outcome in high-risk patients: the Better in, Better out™ concept.

Frail elderly patients undergoing major surgery experience a decrease of physical capacity due to their hospital stay and surgery. This affects the risk of postoperative complications and their performance of activities, independence and participation.The Better in, Better out™ (BiBo™) strategy was developed to reduce these risks through the optimization and professionalization of perioperative hospital care in a physically activating contex