Patients in the elective preoperative of: esophageous surgery, stomach surgery and billiar tract surgery.
Conditions
Interventions
The patients will be allocated in the preoperative period to: intervention group (Arm 1) or control group (Arm 2). Arm 1: Patients are undergoing preoperative physiotherapy for 2 weeks (minimum) to 3
other
E02.779
Sponsors
Pontifícia Universidade Católica de Campinas
Silvia Maria de Toledo Piza Soares
Eligibility
Age
40 Years to 90 Years
Inclusion criteria
Inclusion criteria: Patients with over 40 years of age. Scheduling of upper abdominal surgery elective (including surgery of esophagus, stomach or biliary tract surgery). Patients in preoperative elective period, at least 15 days and up to 21 days in advance of surgery. Physical and mental conditions that permit the evaluation of pulmonary function and walking test acceptable before surgery. Patients who signed an informed consent forms.
Exclusion criteria
Exclusion criteria: Patients with cerebrovascular or neuromuscular disease. Patients on immunosuppressive therapy before surgery. Prior pulmonary surgery history. Patients that had previously undergone surgery of the esophagus, stomach or biliary tract. Cardivascular instability. Patients undergoing physiotherapy in the eight weeks before inclusion in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Respiratory muscle strength as assessed using maximum inspiratory mouth pressure (MIP) and maximum expiratory mouth pressure (MEP). Values expressed in absolute (cmH2O) and % of predicted. Timepoint: Baseline (at inclusion in the study), 24 hours before surgery, within first 24 hours after surgery, seven days after surgery (or at discharge, if hospitalization time less than seven days after the operation) and thirty days after surgery.;Respiratory muscle endurance using inspiratory incremental effort test with linear loading device. Value expressed in absolute (cmH2O). Timepoint: Baseline (at inclusion in the study), 24 hours before surgery, within first 24 hours after surgery, seven days after surgery (or at discharge, if hospitalization time less than seven days after the operation) and thirty days after surgery.;Physical-functional performance evaluated with six minutes walk test. Distance walked expressed in absolute (meters) and % of predicted. Timepoint: Baseline (at inclusion in the study), 24 hours before surgery, seven days after surgery (or at discharge, if hospitalization time less than seven days after the operation) and thirty days after surgery.;Functional status as assessed using the functional independence measure (FIM). The score expressed: total dependece (18), modified dependence (19-60), modified independence (61-103) or total independence (104-126). Timepoint: Baseline (at inclusion in the study), 24 hours before surgery, within first 24 hours after surgery, seven days after surgery (or at discharge, if hospitalization time less than seven days after the operation) and thirty days after surgery.;Pulmonary function (spirometry) including vital capacity, forced vital capacity, forced expiratory volume in 1 second, expiratory forced flow peak . Measures expressed in absolute (liters or liters/second) and % of predicted. Timepoint: Baseline (at inclusion in the study), 24 hours before surgery, within first 24 hours after surgery, seven days after | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of stay of patients in hospital according to medical records, expressed in days. Timepoint: Thirty days after surgery. | — |
Countries
Brazil
Contacts
Public ContactSilvia Soares
Pontifícia Universidade Católica de Campinas
Outcome results
None listed