A randomised clinical trial comparing preoperative exercise in the home, hospital, and community with standard care in adults awaiting for major abdominal surgery.

Not Applicable

• Conditions: Prehabilitation; Abdominal sugery; Complications after sugery; Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation; Surgery - Other surgery

• Registration Number: ACTRN12622000001796
• Lead Sponsor: Dunedin Hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2022-01-10
• Last Update Posted: 17 January 2022

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 168

Inclusion Criteria

One of the following: 1.) Patients on the surgical waiting list for the following elective operative procedures: major bowel surgery, incisional hernia repair, cholecystectomy, hysterectomy and prostate surgery. 2.) Patients referred by a cardiologist, respiratory physician or geriatrician. Participants must be able to attend multiple supervised exercise sessions at the hospital and be identifiable from surgery waiting lists approximately two months before the estimated time of surgery.

Exclusion Criteria

1) Inability to perform CPET,

2) Contraindication to exercise diagnosed on CPET,

3) Uncontrolled hypertension (Blood Pressure >180/100),

4) Active clinical angina (This does not include patients with a history of ischaemic heart disease who have no symptomatic angina on appropriate medical treatment or no angina following a successful revascularization procedure),

5) myocardial infarction in the past three months,

6) uncontrolled cardiac arrhythmias,

7) aortic aneurysm >6.5cm,

8) severe obstructive pulmonary disease with a FEV1 < 1.0 litres,

9) inability to provide consent,

10) Preoperative chemotherapy or radiotherapy which overlaps with the period of preoperative exercise.

11) Anaemia, with an Iron infusion planned to be given during the period of preoperative exercise

12) Participants already participating in an aerobic exercise training programme similar to HIIT training (high intensity for more than ten minutes, more than three times per week)

Study & Design

• Study Type: Interventional
• Study Design: Not specified