Monitoring Functional Capacity Through Heart Rate Variability Within the Multimodal Rehabilitation Program in Adult Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Frailty in Adult Surgery
- Sponsor
- Investigation Group Anesthesia, Resuscitation, And Perioperative Medicine of Aragon
- Enrollment
- 490
- Locations
- 1
- Primary Endpoint
- Correlation of HRV indices with functional capacity and frailty
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
This prospective, observational cohort study investigates heart rate variability (HRV) monitoring using the Analgesia Nociception Index (ANI) monitor in adult patients undergoing major surgery within a multimodal rehabilitation program. The objective is to correlate HRV indices with functional capacity, physiological reserve, and frailty during the prehabilitation phase.
Detailed Description
The study evaluates HRV using the ANI monitor to determine adaptation to training load, optimize analgesic and anesthetic dosing, and predict postoperative complications. The HRV indices of Energy (SDNN) and ANI (HFnu) are monitored at two points: the initial pre-anesthesia consultation and one week before surgery. Results will be compared with the 6-minute walk test, MUST nutrition screening scale, and clinical frailty and FRAIL scales.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients over 18 years of age
- •Scheduled for major adult surgery
- •Any ASA classification
- •Signed informed consent
Exclusion Criteria
- •Urgent surgery
- •Severe cognitive impairment
- •Patient refusal to participate
- •Pediatric patients
- •Cardiac arrhythmia or atrial fibrillation
Outcomes
Primary Outcomes
Correlation of HRV indices with functional capacity and frailty
Time Frame: From initial pre-anesthesia consultation to 30 days postoperatively
Evaluation of the correlation between HRV indices (Energy and ANI) and current parameters used to assess functional capacity, physiological reserve, and frailty.
Secondary Outcomes
- Reduction of postoperative complications(30 days postoperatively)
- Intraoperative decisions based on HRV(During the perioperative period)