The Influence of Prehabilitation on the Surgical Patients Condition
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cardiac Complication
- Sponsor
- Medical University of Gdansk
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- 6 minute walk test
- Last Updated
- 4 years ago
Overview
Brief Summary
Patients scheduled for elective surgery will undergo 4 week course of trimodal prehabilitation
Detailed Description
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age \> 70 and/or American Society of American Society of Anesthesiologists Physical Status Classification System (ASA) 3-4
- •Unfit patients
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
6 minute walk test
Time Frame: baseline and pre surgery
change in aerobic capacity
Yale Physical Activity Survey (YPAS)
Time Frame: baseline and pre surgery
change in physical activity
self-perceived health status scale (36-Item Short Form Survey - SF36)
Time Frame: 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
Time Frame: 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
Time Frame: 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)
Time Frame: baseline and pre surgery
change in patient's motivation 0-10 0 - low motiwation 10 max motivation
Perceives stress - Perceived Stress Questionaire (PSS)
Time Frame: baseline and pre surgery
stress level - 0 - min value - no perceived stress 20 - maximal preceived stress
Secondary Outcomes
- 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)