Multimodal Prehabilitation for Surgery in the Elderly: a Randomised, Prospective, Multicenter, Multidisciplinary Trial

Recruiting now · Not applicable

Conditions studied: Frail Elderly Syndrome, Major Surgery

In brief

This multicentric, randomised controlled trial is to the investigators knowledge the first implementation of a multimodal, multidisciplinary prehabilitation approach using knowledge from different specialties to lower complications and to increase cost effectiveness after major surgery in elderly, frail patients.

Key facts

Study ID

NCT04461301

Run by

Insel Gruppe AG, University Hospital Bern

People needed

466

Starts

2022-02-01

Expected to finish

2026-12-30

Last updated by the study team

2024-11-01

Who can join

Age: 65 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Written informed consent
• comorbid (≥ASA 3)
• pre-existing fitness deficit: AT<11ml/kg/min respectively VO2peak<14ml/kg/min if AT unavailable or VE/VCO2 slope > 33
• scheduled for major urologic, thoracic, visceral, orthopaedic or cardiovascular surgery
• screening at least 2 weeks prior to surgery

You may not qualify if…

• Paralysis or patients with mobility problems (who are unable to exercise),
• Premorbid conditions or orthopaedic impairments that contraindicate exercise,
• Cognitive disabilities,
• Chronic renal failure (need for dialysis)
• Emergency procedures.

Where it is running

• Department of Anaesthesiology and Pain Therapy, University Hospital Bern Inselspital Bern — Bern, Canton of Bern, Switzerland (enrolling)

Full record on ClinicalTrials.gov

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