Functional Prehabilitation and Major Elective Surgery

Completed · Not applicable

Conditions studied: Surgical Complication, Physical Therapy, Timed Up and Go

In brief

Purpose: To compare post-operative functional outcomes in patients undergoing preoperative functional prehabilitation versus standard of care preoperative management in older adults undergoing major elective operations. Hypothesis: Older adults undergoing preoperative functional prehabilitation (nine sessions of home physical therapy over three weeks) will have improved physical function and reduced delirium in comparison to usual preoperative care following major abdominal and thoracic operations. Specific Aims: (#1) To compare the difference in the timed up-and-go, Mini Mental Status Exam (MMSE), the de Morton Mobility Index, Modified Physical Performance Test (MPPT), and short physical performance battery scores in the control and intervention groups at the preoperative and initial assessment timepoints. (#2) To compare the difference in the timed up-and-go, Mini Mental Status Exam (MMSE), the de Morton Mobility Index, Modified Physical Performance Test (MPPT), and short physical performance battery scores in the control and intervention groups at the 60-days postoperative and the initial assessment timepoints. (#3)To compare the rates of ICU delirium and need for post-discharge institutionalization in patients in the control and interventions groups. (#4) To compare post-operative complications

Key facts

Study ID

NCT01943773

Run by

University of Colorado, Denver

People needed

16

Starts

2013-03-01

Expected to finish

2014-12-01

Last updated by the study team

2015-07-16

Who can join

Age: 50 and older, up to 89. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patients 50 years and older undergoing major abdominal and non-cardiac thoracic operations with an anticipated postoperative ICU stay will be eligible for initial screening. A timed up-and-go assessment will be performed on all who individuals interested in participating. Individuals with a timed up-and-go score of greater than 10 seconds are eligible to participate.
• Women and men will both be recruited for the study. Minorities and non-minorities will be recruited for the study.

You may not qualify if…

• Participants under 50 years
• Patients not going to the ICU post-operatively
• Patients having a different kind of operation than major abdominal/non-cardiac thoracic
• Those who complete the timed up-and-go in 10 seconds or less or
• patients who cannot complete the timed up-and-go
• Patients who cannot undergo informed consent
• Patients with vision impairments who cannot visualize the pictures involved with the CAM-ICU
• Patients who do not speak English will be excluded so that confusion created by a language barrier is not confused with post-operative delirium.
• Pregnant women, prisoners, and decisionally challenged subjects.

Where it is running

• University of Colorado Anschutz Medical Campus — Aurora, Colorado, United States
• Denver Veterans Affairs Medical Center — Denver, Colorado, United States

Full record on ClinicalTrials.gov

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