The Influence of Prehabilitation on the Surgical Patients Condition
试验速览
- 阶段
- 不适用
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- 6 minute walk test
研究概览
简要总结
Patients scheduled for elective surgery will undergo 4 week course of trimodal prehabilitation
详细描述
Patients with high surgical risk will participate in 4 week prehabilitation that will consist of 4 stationary sessions - one per week - comprised of: physiotherapy session, psychological session and nutritional advice. During first session each patient will receive an activity monitor and dedicated mobile app that will record his daily performance.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age > 70 and/or American Society of American Society of Anesthesiologists Physical Status Classification System (ASA) 3-4
- •Unfit patients
排除标准
- •physical condition that makes the patient is not able to perform rehabilitation exercises
- •cardiac and respiratory instability or high risk of its occurrence
- •inability to use electronic devices used in the study
结局指标
主要结局
6 minute walk test
时间窗: baseline and pre surgery
change in aerobic capacity
Yale Physical Activity Survey (YPAS)
时间窗: baseline and pre surgery
change in physical activity
self-perceived health status scale (36-Item Short Form Survey - SF36)
时间窗: baseline and pre surgery
change in self-perceived health status (0 - min, 100 - max self perceived health score)
Global Leadership Initiative on Malnutrition (GLIM) scale
时间窗: baseline and pre surgery
change in nutritional status - malnutrition diagnosed if one phenotypical and one etiological criteria are fulfilled Severity based on phenotypic criteria: 1. minimal value (moderate malnutrition) 2. max value (severe malnutrition)
Hospital Anxiety and Depression (HAD) scale
时间窗: baseline and pre surgery
change in psychological status: depression and anxiety criteria 0 points min score - low level od depression and anxiety 21 max score
motivation questionaire (MQ)
时间窗: baseline and pre surgery
change in patient's motivation 0-10 0 - low motiwation 10 max motivation
Perceives stress - Perceived Stress Questionaire (PSS)
时间窗: baseline and pre surgery
stress level - 0 - min value - no perceived stress 20 - maximal preceived stress
次要结局
- Number of Patients with postoperative complications(3 month after surgery)
- Number of Patients requiring Emergency room visits and hospital readmissions(at 30 days)
- Number of Participants requiring reintervention during initial hospitalization(3 months after surgery)
- ICU length of stay(3 months after surgery)
- Total hospital length of stay(3 months after surgery)