The Effect of Physical activity and ambulation on Post-Operative Complications in Abdominal Surgeries.

Completed

• Conditions: Postoperative complications; Postoperative ileus; Surgery - Other surgery; Oral and Gastrointestinal - Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon

• Registration Number: ACTRN12618002061213
• Lead Sponsor: Oded Zmora, MD

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2016-10-01
• Study Start: 2018-12-21
• Last Update Posted: 14 January 2019

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

Patients admitted for elective surgery, able to ambulate normally according to mobility score criteria CAS Score >3 NMS Score > 5, GPPAQ Score of Moderately Inactive/Moderately Active/Active.

Exclusion Criteria

Spinal/Pelvic or limb injury preventing ambulation, delirium/dementia or other cognitive or neurological impairment preventing informed consent and cooperation, continued regional anaesthesia preventing adequate ambulation, high risk for abdominal wound dehiscence preventing adequate ambulation, previous history of wound dehiscence, large ventral hernia, morbidly obese (BMI>40), serum albumin < 3.0 mg/dl, uncontrolled or chronic pain preventing normal ambulation, age below 18 years or above 85 years and history of any illicit drug use or alcoholism within the past year.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Post-operative complications will be graded using the Clavien-Dindo (CD) scale. In case of multiple complications per patient, the highest graded class will be recorded. In case of hospital readmission (within 30 days of initial discharge) due to a late complication, that too will be used for the assessment.[Post-operative complications will monitored daily throughout the hospital stay, Upon discharge the complication CD grade will be recorded.]

Secondary Outcome Measures

Name	Time	Method
Time of 1st passage of gas post-op, based on patient reporting during daily clinical assessment.[Assessed daily until hospital discharge];Time of 1st bowel movement post-op, based on patient reporting during daily clinical assessment and on nursing staff reports.[Assessed daily until hospital discharge];Occurrence of hospital readmission (to the investigating institution), after initial discharge - Automated computerized notices will be used to alert clinical staff to participation in study and to inform investigative team. Additionally, after a month from initial discharge, the computerized medical records will be assessed for 30 day readmission events.[up to 30 days post surgery];Ambulation, as assessed by daily measurement of patient steps (using a digital pedometer) [Assessed daily until hospital discharge]