Exploring outcomes in adults after major abdominal surgery - a mixed methods study.

Not Applicable

Completed

• Conditions: Major upper abdominal surgery patients; Physical Medicine / Rehabilitation - Physiotherapy; Surgery - Other surgery

• Registration Number: ACTRN12622000540718
• Lead Sponsor: Curtin University (School of Allied Health)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2022-04-06
• Study Completion: 2022-08-30
• Last Update Posted: 5 June 2023

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 35

Inclusion Criteria

Participants inclusion criteria:
1) 18 years of age or older.
2) Fluent in written and spoken English.
3) Attending RPH for MUAS, defined as an incision 5cm or longer that extends above the umbilicus and the requirement for general anaesthesia for greater than or equal to 1 hour
4) Anticipated post-operative hospital length of stay of greater than or equal to 24 hours.
5) The medical team deem the patient to be suitable to provide consent

Caregiver inclusion criteria:
1) 18 years of age or older.
2) Fluent in written and spoken English.
3) The primary caregiver of the recruited participant since the participant's procedure.

Exclusion Criteria

Participant inclusion criteria
1) Documented evidence of a cognitive impairment.
2) Scheduled for an isolated hernia repair.
3) From supported residential care or high-level care.
4) Prior to surgery, inability to ambulate without physical assistance.
5) Unable to be contacted by telephone following hospital discharge

Caregiver exclusion criteria
1) Is being formally paid to care for the participant

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Clinical frailty: Clinical frailty was measured using the clinical frailty scale (CFS), a validated scale used to assess frailty and fitness in individuals. It is a 9-point scale, where a score is derived based on clinical judgement, with 1 being very fit, and 9 being terminally ill. A person with a score of 5 or above is considered frail[This was collected at the time of consent/recruitment and at the three month follow-up appointment post-surgery.];Level of functional independence with instrumental activities of daily living (IADL's): This was measured using the Lawton`s IADL scale. The Lawton`s IADL scale is a reliable and validated self-rating instrument that assesses independent living skills such as food preparation, house-keeping, and the ability to handle finances, medications, and laundry. The scale is a useful tool to measure deterioration/improvement in function over time[This was collected at the time of consent/recruitment as well as at the three month follow-up appointment post-surgery.]