Postoperative Pulmonary Complications (PPCs)
Conditions
Keywords
Prehabilitation, Postoperative pulmonary complications, Upper abdominal surgery, Intensive care unit
Brief summary
The aim of this study is to compare the effect of lung function prehabilitation to postoperative pulmonary complications on patient undergoing upper abdominal surgery treated in intensive care unit.
Interventions
PROCEDURELung Function Prehabilitation
Participants assigned to the prehabilitation group received personalized exercise prescriptions, including aerobic training, muscle strengthening, and inspiratory muscle training with a threshold device. The prehabilitation program was conducted at the participants' homes for a minimum duration of two weeks. Adherence was monitored through logbook entries and video call evaluations to ensure correct implementation of the prescribed exercises.
Sponsors
Indonesia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* adults 18 years or older * scheduled for the upper abdominal surgery under general anesthesia with intraoperative mechanical ventilation * possess adequate cognitive function to comprehend and follow instructions * possess sufficient physical capacity to perform structured prehabilitation exercises * express willingness to participate in the intervention program before surgery
Exclusion criteria
* pregnancy * pre-existing severe pulmonary diseases such as chronic obstructive pulmonary disease (COPD) * planned laparoscopic procedures * history of significant neuromuscular impairment (e.g: stroke) * declined to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pulmonary complications | Postoperative day 1 and 3 | Including pulmonary infections, atelectasis, and diaphragmatic dysfunction. Pulmonary infection is assessed using the Clinical Pulmonary Infection Score (CPIS) and with a threshold of \>6, atelectasis using Lung Ultrasound Score (LUS) of ≥1, and diaphragm ultrasound were used to evaluate diaphragm ratio. CPIS and LUS score assessments were conducted on postoperative day 1 and 3 by trained investigators, diaphragm ratio assessment was conducted preoperatively and on postoperative day 1 and 3, all findings were systematically recorded. |
Countries
Indonesia
Outcome results
None listed