6 minute walk test as an index to predict the recovery after abdominal surgeries in patients with past history of Covid-19 infection.

Completed

Conditions: Medical and Surgical, (2) ICD-10 Condition: B972||Coronavirus as the cause of diseases classified elsewhere,

Registration Number: CTRI/2021/09/036974

Lead Sponsor: Department of Anaesthesiology and Intensive Care

Brief Summary: This study is a prospective observational study to determine how good is a pre operative 6 minute walk test to predict the Quality of Recovery in patients undergoing elective laparotomy in an adult population of 30-60 years of age, and having a past history of Covid-19 infection. This study will be conducted in Maulana Azad Medical College and associated hospitals, for a period of 1 year.

One day prior to surgery, patients enrolled for study are evaluated in ward, a relevant medical/surgical history will be taken, examined and all relevant investigation will be collected. A detailed history of past Covid-19 infection will also be asked. The procedure and purpose of the 6 minute walk test will be explained to the patients in detail. After recording the baseline vital reading, the patient is asked to walk as much as he can in 6 minutes on a straight ward corridor, at his own walking pace. While the patient walks, the examiner will monitor if patients develops any discomfort or dyspnea, for which he may need to stop in between. After taking a rest the patient is asked again to continue walking for a complete 6 minutes. At last the total distance covered by the patient in 6 minute and vitals are noted. The post operative anaesthesia risk is assessed with various parameters like METs score, RCRI score and ARISCAT score.

After 24 hours of surgery, the patient is reviewed and he is asked a questionnaire, to assess the Quality of Recovery. Same questionnaire is asked to patient after one month of surgery.

Primary outcome: To see the prognostic value of pre operative 6 minute walk test to predict the Quality of Recovery in patients recovered from Covid-19, undergoing elective laparotomy surgery.

Secondary outcome:

1. Prognostic value of pre operative METs score as a predictor of the Quality of Recovery in post Covid-19 cases.

2. To find correlation of pre operative 6 minute walk test and METs score with the Quality of Recovery in post Covid-19 cases.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 30

Inclusion Criteria

Patients who are recovered from Covid-19, undergoing elective laparotomy of expected duration of surgery within 3 hours.
Patients having a history of Covid-19 infection at least 2 months back.
Patients of ASA physical health status 1,2,3.

Exclusion Criteria

Patient with significant cardiac disease (low threshold angina, severer aortic stenosis).
Patient with severe pulmonary disease restricting there mobility.
Patient having condition that prevents mobilisation for upto six minutes.

Study & Design

Study Type: Observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Prognostic value of 6 minute walk test to predict quality of recovery in patients recovered from COVID-19, undergoing elective laparotomy surgeries.	1. After 24 hours of surgery by follow up of patient bedside in ward. \| 2. After 30 days of surgery.

Secondary Outcome Measures

Name	Time	Method
1. Prognostic value of pre operative METs score as a predictor of quality of recover in post COVID-19 cases.	2. To find correlation of preoperative 6 minute walk test and METs score with quality of recovery in post COVID-19 cases.

Trial Locations

Locations (1): Lok Nayak Hospital
🇮🇳
Central, DELHI, India
Lok Nayak Hospital
🇮🇳Central, DELHI, India
Dr Anupama Nair
Principal investigator
9495671426
anesthesia.anupama.2020@gmail.com