Lung Cancer
Conditions
Keywords
prehabilitation, quality of recovery, lung resection
Brief summary
The study to be carried out in the Istanbul Faculty of Medicine Department of Anesthesiology was planned as a randomized, prospective study. Patients who will undergo lung resection will be included in the study. Patients were randomized into two groups: Intervention Group includes patients who are rehabilitated preoperatively (prehabilitation), Control Group includes patients who are routinely recommended preoperative exercise, alcohol and smoking cessation. Prehabilitation consists of respiratory muscle exercise and walking is recommended to Intervention Group. Postoperative recovery will be questioned with Quality of Recovery-15 (QoR-15) on the 2nd day and 1st month. The intensive care unit admission, postoperative pulmonary complications and length of hospital stay will be recorded.
Detailed description
The study to be carried out in the Istanbul Faculty of Medicine Department of Anesthesiology was planned as a randomized, prospective study. Patients who will undergo lung resection will be included in the study. Patients will be informed about the study and their written consent will be obtained. Patients who do not give consent will not be included in the study. Routine preoperative evaluation including detailed history (daily physical activity, clinical complaints at rest or exertion, if any) and physical examination will be performed on the patients. Patients were randomized into two groups: Intervention Group includes patients who are rehabilitated preoperatively (prehabilitation), Control Group includes patients who are routinely recommended preoperative exercise, alcohol and smoking cessation. Preoperative exercise, alcohol and smoking cessation are recommended to all patients. Prehabilitation consists of respiratory muscle exercise with inspiratory muscle trainer (two times a day) and walking (5000steps/day) is recommended to Intervention Group. Hospitalized patients are followed up with daily visits, and patients who are at home are followed up by phone call. All patients' induction of anesthesia and maintenance were similar. Postoperative recovery will be questioned with Quality of Recovery-15 (QoR-15) on the 2nd day (as primary outcome) and 1st month. The duration of anesthesia, surgery duration, intensive care unit admission, postoperative pulmonary complications and length of hospital stay will be recorded.
Interventions
OTHERRespiratory muscle exercise
respiratory muscle exercise with inspiratory muscle trainer (two times a day)
OTHEREndurance exercise
walking exercise 5000 steps/day
Sponsors
Istanbul University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Intervention model description
randomized, prospective
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* ASA physical status classification system score 1-3 patients * Patients who underwent lung resection * Patients who agreed to participate in the study and gave written informed consent
Exclusion criteria
* Re-operation * Emergency operations * Patients with psychiatric drug use * unability for physical exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of recovery at postoperative second day | two days | The primary aim of our study is to compare recovery of patients who have prehabilitation programme and who have not any programme by using QoR-15 questionnaire on the 2nd postoperative day. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of recovery at postoperative first month | one month | Investigating recovery of patients by by using QoR-15 questionnaire |
| length of intensive care unit stay | two weeks | Investigating planned or unplanned ICU admission |
| Length of hospital stay | one month | patients' length of stay |
| Postoperative pulmonary complications | one month | Patients' pulmonary complications such as pneumonia, atelectasis, hemorrhage, emphysema, prolonged air leak, chylothorax and respiratory failure. |
Countries
Turkey (Türkiye)
Outcome results
None listed