Preoperative Prehabilitation Program For Geriatric Patients in a Rural Healthcare Setting

Recruiting

Brief Summary: The study will include patients who require elective major abdominal surgery for cancerous or non-cancerous conditions. The goal of the research is to assess the benefit of a prehabilitation program before surgery that includes nutrition, exercise, smoking cessation, and optimization of chronic disease. A group of 10 patients will take part in a prehabilitation program. These patients will be compared to 20 patients who received standard of care.

Detailed Description: The study will include patients who require elective major abdominal surgery. The study will compare patients who received standard of care to patients who received a prehabilitation program before surgery.

The prehabilitation program will take place for 4-6 weeks before your surgery and will include:

* Review of frailty risk analysis calculator score obtained in the frailty study (#2212-74)

* Review of lab results including complete blood count, creatinine, albumin, and prealbumin

* Review of chronic conditions

* An office visit or telehealth visit to review instructions on nutrition, exercise, smoking cessation, and optimization of chronic disease.

* Drinking Surgery Immunonutrition shake twice daily for 5 days before surgery.

* Educational information and video instruction

* Weekly phone calls to motivate, ensure adherence, and assess progress.

* Measurements of hand grip strength and body weight

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Prehabilitation Group	Prehabilitation	10 patients who take part in a prehabilitation program for 4-6 weeks before surgery

Primary Outcome Measures

Name	Time	Method
Postoperative hospital length of stay	From date of hospitalization until date of hospital discharge, up to 30 days	Number of days in hospital from date of surgery to date of discharge
Discharge disposition	From date of hospitalization until date of hospital discharge, up to 30 days	Binary measure of either home or rehabilitation facility

Secondary Outcome Measures

Name	Time	Method
Hospital readmission rates	30 days after surgery	Number of times patients are readmitted to the hospital within 30 day of surgery
Adverse outcomes after surgery	30 days after surgery	Assess adverse outcomes postoperatively

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