N18.5 N18.9 N18.4
Conditions
Interventions
Group 1: Implementation of a standardized, multidisciplinary ERAS (Enhanced Recovery After Surgery) protocol with pre-, intra-, and postoperative components in accordance with the recommendations of t
Sponsors
Medizinische Fakultät Mannheim der Universität Heidelberg
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients who are scheduled for a kidney transplant and will be operated on if a suitable donor organ is allocated
Exclusion criteria
Exclusion criteria: Exclusion criteria include limited mobility, expected lack of compliance or adherence to the ERAS treatment pathway.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint of the study is the adherence of participants to the defined ERAS elements. Adherence is systematically assessed during the hospital stay using a structured ERAS diary as well as nursing and physician documentation. Evaluated components include, among others, preoperative intake of carbohydrate drinks, early mobilization (e.g., getting out of bed within six hours after surgery), early oral feeding, active participation in physiotherapy sessions, as well as pain documentation and communication with the care team. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints include postoperative recovery of mobility, assessed using the Barthel Index to evaluate activities of daily living and the Reintegration to Normal Living Index (RNLI) to assess subjective quality of life and social participation. Additional outcomes comprise length of hospital stay (in days), postoperative morbidity according to the Clavien-Dindo classification, and, if applicable, 30-day mortality. Furthermore, the progression of nutrition and mobilization will be monitored based on patient diary entries as well as nursing and physician documentation. Rehospitalizations or emergency contacts within 30 days after discharge will also be recorded. | — |
Countries
Germany
Contacts
Public ContactKay Schwenke
Medizinische Fakultät Mannheim der Universität Heidelberg, Chirurgische Klinik, UMM
Outcome results
None listed