PAPRIKA - Patients Empowerment for Major Surgery Preparation @Home
试验速览
- 阶段
- 不适用
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Postoperative complications
研究概览
简要总结
PAPRIKA establishes a technologically enabled and personalized prehabilitation and follow-up after surgical intervention program for patients undergoing elective major surgery Program creates close collaboration between the medical environment and the patients empowering them to co-create their own care.
It is at the first stage aimed to high-risk patients undergoing major surgery. Better condition before the surgery is proved to reduce the perioperative complications and to improve patients' health-related quality of life while cutting the associated costs. The concept integrates short-term (average 4 weeks) preoperative interventions including endurance training, promotion of physical activity and nutritional and psychological support. Interventions are planned both at community and at hospital reducing unnecessary interactions between patients and tertiary care.
PAPRIKA tackles three major drivers: i) human perspective ii) organizational challenges and iii) technical aspects. The project is based on previous experience on prehabilitation and the already refined service using design thinking methodologies. It will be also based on the proven reduction of associated costs for the healthcare system.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age > 70 years old and/or American Society of Anesthesiologist (ASA) index 3-4 and/or highly aggressive surgery or solid organ transplantation.
排除标准
- •Non-elective surgery; metastatic disease.
结局指标
主要结局
Postoperative complications
时间窗: Duration of the initial hospitalization for surgery
Number of postoperative complications during the initial hospitalization for surgery
Severity of postoperative complications
时间窗: Duration of the initial hospitalization for surgery
Severity of postoperative complications during the initial hospitalization for surgery using the Clavien-Dindo classification
Hospital length of stay
时间窗: Duration of the initial hospitalization for surgery
Number of days of hospital length of stay during the initial hospitalization for surgery
次要结局
- Hospital readmissions at 30 days(From initial hospital discharge to 30 days follow-up)
- Emergency room visits at 30 days(From initial hospital discharge to 30 days follow-up)
- Surgical reinterventions at 30 days(From initial hospital discharge to 30 days follow-up)
- Mortality at 30 days(From initial hospital discharge to 30 days follow-up)
研究者
Anael Barberan-Garcia
Principal investigator
Hospital Clinic of Barcelona
