Patients over the age of 60 who are scheduled for a hepatectomy. Preoperative Exercise Hepatectomy Elderly
Conditions
Interventions
Patients participating in a prehabilitation program before undergoing a hepatectomy will attend training classes focused on an exercise regimen. This program lasts for more than two weeks and includes
s guidance.
Experimental Procedure/Surgery,No Intervention No treatment
Prehabilitation group,Standrad care
Sponsors
Faculty of Medicine Ramathibodi Hospital
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age >= 60 years old 2. Patient plan for hepatectomy including open surgery and minimal invasive surgery 3. ASA classification <= 3
Exclusion criteria
Exclusion criteria: 1. Patient with high bleeding risk, including Platelet <= 100,000 or INR >= 1.5 2. Patient with high risk co-morbidity for exercise, including heart disease or asthma 3. Patient with impaired cognitive function 4. Patient with severe osteoporosis or previous fracture
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 30-day morbidity within 30 day after surgery percentage,30-day mortality within 30 day after surgery percentage | — |
Secondary
| Measure | Time frame |
|---|---|
| Short physical Performance Battery(SPPB) preop, POD3, POD5, POD7, POD30 It evaluates balance, gait speed, and lower extremity strength (chair stands) to predict functional decline, risk of falls, and disability. Scores range from 0-12,Time to flatus after surgery hours,Time to eat after surgery hours,Lenght of hospital stay after surgery days,Time to get off from bed after surgery hours,Pain after surgery Visual analog scale | — |
Countries
Thailand
Contacts
Public ContactAtivitch Asavachaisuvikom
Faculty of Medicine Ramathibodi Hospitital
Outcome results
None listed