Surgery
Conditions
Keywords
prehabilitation, connected devices
Brief summary
Poor physical performance and poor nutritional status increase the risk of complications after major surgery. Prehabilitation is the process of enhancing the functional capacity before surgery. A major problem is the adherence of the patients to the physical program. A controlled randomized study is therefore proposed to determine the impact of coaching on functional exercise capacity. All patients will wear connected devices to measure their physical activity. They will be randomized to either a group in which coaching will be adapted to the physical activity, or a control group in which coaching is performed without any information about physical activity
Interventions
The data provided by the connected devices is analyzed daily; the patient receives a phone call in case of no realization of the objectives.
Data will be recorded but not analyzed daily during the period of participation. The patient receives a phone call one time a week to answer possible questions and modify the prescription of physical activity if need.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients aged over 18 * Patients scheduled for a surgical procedure 4 weeks later (more or less 1 week) after initial assessment * Patients having consented to participate * Patients benefiting from a social security system.
Exclusion criteria
* Pregnant or lactating women * Inability to perform physical assessment * Dependant patients * Inability to complete questionnaires
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional capacity | 2 months | 6 minutes walk test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Critical events | 2 months | Number of critical events detected using the connected devices |
| Postoperative complications | 2 months | Number of complication during the 2 months following surgery according to Dindo and Clavien classification |
Countries
France