Exercise, Lung Neoplasms, Pain, Postoperative, Post Discharge, Rehabilitation
Conditions
Keywords
Functional recovery, Enhanced recovery after surgery, Video-assisted thoracoscopic surgery, Lobectomy
Brief summary
The main aim of this research is to compare the functional recovery after discharge with the preoperative physical activity as a hypothesis generating study.
Interventions
DEVICEActiwatch 2 (Philips Respironics, Murrysville, USA)
Actiwatch 2 is an unobtrusive, waterproof, light sensor and wrist-worn device (weight 16.0g, size 4.3 cm\* 2.3 cm\* 1.0 cm), containing a tri-axial accelerometer able to records a digitally integrated measure of gross motor activity (a piezoelectric sensor to detect vertical accelerations at the wrist between 0.5 and 2.0 g with a frequency response range between 0.35-7.5 Hz). Activity counts from the device reflect the peak acceleration detected over each epoch and are used in determining sleep and wake intervals, which can be used to rest-activity patterns, quality of physical activity and sleep for 15-60 seconds/ epoch, 24 hours/ day, 2 weeks.
Sponsors
Rigshospitalet, Denmark
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* VATS-L * Speaks and understands Danish or English. * Informed consent obtained
Exclusion criteria
* Co-VATS-L. * on the wheelchair. * Living in nurse home. * Using rollator to assist to walk. * Unwilling to place the Actiwatch 2 or execute PPE.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Length of functional rehabilitation | Through study completion, minimum 7 days | Investigators will calculate preperative Activity Counts per day as a baseline then being compared to postoperative Activity Counts per day until one day when both Counts is equal. Length of functional rehabilitation defines that duration from surgical day to the day when both Counts is equal. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The quantization of fatigue | Through study completion, an average of 14 days | The Christensen Fatigue Scale (ChrFS) will be utilized to evaluate the degree of fatigue. |
| The quantization of pain | Through study completion, an average of 14 days | The numeric rating scale (NRS) ranging from 0 (no pain) to 10 (excruciating pain) is used to score postoperative pain. |
| The quantization of vomiting. | Through study completion, an average of 14 days | The numeric rating scale (NRS) ranging from 0 (nothing) to 10 (worest) is used to score postoperative vomiting. |
| The quantization of nausea. | Through study completion, an average of 14 days | The numeric rating scale (NRS) ranging from 0 (nothing) to 10 (worest) is used to score postoperative nausea. |
| Quality of recovery | Through study completion, an average of 14 days | The translation of the Danish version of the postoperative quality of recovery scale QoR-15D is used to evaluate the quality of care. |
| Length of sleep time | Through study completion, an average of 14 days | Investigators will use devices to record the specific sleep time for patients. |
| The quantization of morbidity | up to 30 days | The Clavien-Dindo Classification (CDC) is applied as a standard to grade the morbidity in 30 days after surgery. |
| The quantization of mortality | up to 30 days | Investigators will investigate whether patients will experience unexpected death in 30 days after surgery |
| The quantization of Activity Counts | Through study completion, an average of 14 days | Investigators will use Electric Devices to record Activity Counts per day. Activity counts will be classified as sedentary behavior (SB) \< 1303 counts/min (cpm), low intensity physical activity (LIPA) 1303 cpm - \< 2588 cpm, and moderate to vigorous physical activity (MVPA) ≧2588 cpm. |
Countries
Denmark
Outcome results
None listed