Cardiac Complication, Perioperative Complication
Conditions
Brief summary
Patients scheduled for elective surgery will undergo 4 week course of trimodal prehabilitation
Detailed description
Patients with high surgical risk will participate in 4 week prehabilitation that will consist of 4 stationary sessions - one per week - comprised of: physiotherapy session, psychological session and nutritional advice. During first session each patient will receive an activity monitor and dedicated mobile app that will record his daily performance.
Interventions
OTHER4 week trimodal prehabilitation course
trimodal prehabilitation in mixed: stationary and at-home structure
Sponsors
University Clinical Centre, Gdansk
EIT Health
Medical University of Gdansk
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age \> 70 and/or American Society of American Society of Anesthesiologists Physical Status Classification System (ASA) 3-4 * Unfit patients
Exclusion criteria
* physical condition that makes the patient is not able to perform rehabilitation exercises * cardiac and respiratory instability or high risk of its occurrence * inability to use electronic devices used in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perceives stress - Perceived Stress Questionaire (PSS) | baseline and pre surgery | stress level - 0 - min value - no perceived stress 20 - maximal preceived stress |
| Global Leadership Initiative on Malnutrition (GLIM) scale | baseline and pre surgery | change in nutritional status - malnutrition diagnosed if one phenotypical and one etiological criteria are fulfilled Severity based on phenotypic criteria: 1. minimal value (moderate malnutrition) 2. max value (severe malnutrition) |
| 6 minute walk test | baseline and pre surgery | change in aerobic capacity |
| Yale Physical Activity Survey (YPAS) | baseline and pre surgery | change in physical activity |
| self-perceived health status scale (36-Item Short Form Survey - SF36) | baseline and pre surgery | change in self-perceived health status (0 - min, 100 - max self perceived health score) |
| motivation questionaire (MQ) | baseline and pre surgery | change in patient's motivation 0-10 0 - low motiwation 10 max motivation |
| Hospital Anxiety and Depression (HAD) scale | baseline and pre surgery | change in psychological status: depression and anxiety criteria 0 points min score - low level od depression and anxiety 21 max score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Patients with postoperative complications | 3 month after surgery | number and severity |
| Number of Participants requiring reintervention during initial hospitalization | 3 months after surgery | — |
| ICU length of stay | 3 months after surgery | — |
| Total hospital length of stay | 3 months after surgery | — |
| Number of Patients requiring Emergency room visits and hospital readmissions | at 30 days | — |
Other
| Measure | Time frame | Description |
|---|---|---|
| Patient concentration questionaire (P3CQ) | after prehabilitation course | Patient experience: 0 - worst (medical staff not concentrated on patient) 19 - best experience (full concentration on patients needs) |
| Continuity of Care Questionaire (NCQ) | after prehabilitation course | form 0 - 5 pints 0 - lack of continuity of care 5 - maximal continuitu of care |
| cost analysis | 3 months after surgery | — |
| Staff engagement questionaire (ACT) | after recruitment | Staff engagement |
Countries
Poland
Contacts
Primary ContactTomasz Jasiński, MD PhD
Backup ContactMateusz Kreczko, MD
Outcome results
None listed