Patients planned to undergo one of the following surgeries as the leading and initial OPS-code are eligible to participate in the PATRONUS prehab app program in case of missing contra-indications and exclusions.OPS codes in accordance with the OPS version 2021: 5-070 to 5-073, 5-077 to 5-079 (endocrine glands)5-32 to 5-43 (lung and bronchus)5-38 to 5-39 (vascular surgeries without cardiovascular surgery)5-413 and 5-419 (splenectomy)5-423 to 5-427 (esophagectomy)5-434 to 5-438 (gastrectomy)5-44 (
Conditions
Interventions
Group 1: The Patronus Prehab App is a software solution that provides a risk-based endurance aerobic interval exercising program for adult patients before major surgical procedures to improve their ae
Sponsors
Goethe-Universität Frankfurt
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Written informed consent Willing to participate in the particular task I, II, IIIa and IIIb the respective participant has been asked for Able to understand the survey and scenarios Patients planned to undergo one of the following surgeries [OPS codes in accordance with the DIMDI OPS version 2021]: 5-070 to 5-073, 5-077 to 5-079 (endocrine glands) 5-32 to 5-43 (lung and bronchus) 5-38 to 5-39 (vascular surgeries without cardiovascular surgery) 5-413 and 5-419 (splenectomy) 5-423 to 5-427 (esophagectomy) 5-434 to 5-438 (gastrectomy) 5-44 (non resecting gastric bypass operations) 5-454 (small bowel resections) 5-455 (large bowel resections) 5-456 (proctocolectomy) 5-484 and 5-485 (rectum resections) 5-502 and 5-503 (anatomical liver resection) 5-512, 5-514.30, 5-515, 5-518.4 and .5 (biliary tract resections) 5-523, 5-524, 5-525, 5-527 and 5-529 (pancreas resections and draining procedures) 5-536 (abdominal wall hernias) 5-553, 5-554, 5-575 to 5-579, 5-604 (urologic resections: kidney, bladder, prostate) 5-652, 5-653, 5-661, 5-683 to 5-687 (gynecologic resections of uterus, ovary, cervix) 5-87 and 5-88 (breast surgery) and 10 healthy volunteering students (no planned surgery) and 15 asymptomatic patients with a history of myocardial infarction (no planned surgery) and 15 patients with a COPD lower than GOLD grade III (no planned surgery)
Exclusion criteria
Exclusion criteria: -Currently pregnant -Unable to understand the rationale and the aims of the proposed training program -Unable to interact with the application -Patients with an ECOG performance status of 4. -Patients unable to walk, run, step, or cycle. -Acute myocardial infarction or unstable angina (acute phase) (I20.0, I21) -Uncontrolled arrhythmias causing symptoms or hemodynamic compromise -Acute myocarditis or pericarditis (I30, I39, I40) -Uncontrolled acutely decompensated HF (acute pulmonary edema) (J81)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Define - App-based risk score, Clavien-Dindo-Score - Ratings based on uMARS (Mobile Application Rating Scale), and elements of the ABACUS and the Trustworthiness Checklist, and the App-checklist of the Aktionsbündnis Patientensicherheit e. V. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pulse, distance, step-measurement Safety data, especially focusing on cardiovascular and pulmonary events within the exercising program defined with the Karvonen Method Precision of the risk-based approach Alarming and safety scenarios within the intended use | — |
Countries
Germany
Contacts
Public ContactFatima Faqar-Uz-Zaman
Frankfurt University Hospital Goethe-University Frankfurt/Main Department for General, Visceral and Transplant Surgery
Outcome results
None listed