Abdominal Surgery
Conditions
Brief summary
There is data confirming that simple tests of physical capability, such as the timed get-up-and-go test and the 6-minute walk test, correlate with surgical outcomes. It is reasonable to assume that preoperative telemonitoring, which allows for the tracking of more variables over a wider range of activities, could provide a significantly more accurate picture of a patient's physical fitness than a short one-time test performed in the clinic setting. Almost half of the patients who are readmitted at Washington University are readmitted for less than 4 days. The readmitted patients usually present with sepsis, are treated with antibiotics and percutaneous drainage, and are discharged home relatively quickly. Earlier identification of these patients, prior to the development of sepsis, would reduce the risks to the patient and allow for outpatient management.
Interventions
OTHERPhone Call
-phone call 7 days (+/- 2 days) into preoperative period
Sponsors
The Foundation for Barnes-Jewish Hospital
BJC Innovative Lab
Washington University School of Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Scheduled to undergo elective abdominal surgery * At least 18 years of age * Able to understand and willing to sign an IRB-approved informed consent document
Exclusion criteria
* Doesn't have access to smartphone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness of the study intervention during the preoperative period to increase patients compliance with prehabilitation goals as measured by average steps per day | Baseline through 30 days after surgery discharge (approximately 45 days) | — |
| Patient compliance of telemonitoring with activity trackers as measured by percentage of time the patient is wearing the device properly | Baseline through 30 days after surgery discharge (approximately 45 days) | -The number of heart rate data points that are collected per day is used as a proxy for determining the amount of time the patient is wearing the device properly. |
Countries
United States
Outcome results
None listed