Surgery
Conditions
Keywords
Frailty
Brief summary
The study will include patients who require elective major abdominal surgery for cancerous or non-cancerous conditions. The goal of the research is to assess the benefit of a prehabilitation program before surgery that includes nutrition, exercise, smoking cessation, and optimization of chronic disease. A group of 10 patients will take part in a prehabilitation program. These patients will be compared to 20 patients who received standard of care.
Detailed description
The study will include patients who require elective major abdominal surgery. The study will compare patients who received standard of care to patients who received a prehabilitation program before surgery. The prehabilitation program will take place for 4-6 weeks before your surgery and will include: * Review of frailty risk analysis calculator score obtained in the frailty study (#2212-74) * Review of lab results including complete blood count, creatinine, albumin, and prealbumin * Review of chronic conditions * An office visit or telehealth visit to review instructions on nutrition, exercise, smoking cessation, and optimization of chronic disease. * Drinking Surgery Immunonutrition shake twice daily for 5 days before surgery. * Educational information and video instruction * Weekly phone calls to motivate, ensure adherence, and assess progress. * Measurements of hand grip strength and body weight
Interventions
OTHERPrehabilitation
Prehabilitation program for 4-6 weeks before surgery will include: * Review of the frailty risk analysis calculator score obtained in the frailty study (#2212-74) * Review of lab results including complete blood count, creatinine, albumin, and prealbumin * Review of chronic conditions. * An office visit or telehealth visit to review instructions on instructions on nutrition, exercise, smoking cessation, and optimization of chronic disease. * Drinking surgery immunonutrition drinks twice daily for 5 days before surgery. * Educational information and video instruction * Weekly phone calls to motivate, ensure adherence, and assess progress. * Measurements of hand grip strength and body weight
Sponsors
The Guthrie Clinic
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Subjects over age 60 who require elective major abdominal surgery
Exclusion criteria
* pregnant women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative hospital length of stay | From date of hospitalization until date of hospital discharge, up to 30 days | Number of days in hospital from date of surgery to date of discharge |
| Discharge disposition | From date of hospitalization until date of hospital discharge, up to 30 days | Binary measure of either home or rehabilitation facility |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse outcomes after surgery | 30 days after surgery | Assess adverse outcomes postoperatively |
| Hospital readmission rates | 30 days after surgery | Number of times patients are readmitted to the hospital within 30 day of surgery |
Countries
United States
Outcome results
None listed