High Intensity PreHab Before Major Abdominal Surgery
Recruiting now · Not applicable
Conditions studied: Prehabilitation
In brief
The risk for major cardiac cardiovascular events (MACE) within the first 30 day after surgery is nit only associated to the patient relate risk factors but also to the kind of surgery. Surgical interventions can be distinguished infield risk (MACE \<1%), moderate risk (MACE 1-5%) and high risk (MACE \> 5%). In addition with patient related risk factors it can raise to values of 40%. The preoperative aerobic fitness \[oxygen uptake (VO2) at the ventilatory anaerobic threshold (VAT) \<11 mL/kg/min\] has been shown of particularly interest in identifying patients at increased risk of postoperative complications. In the last decade major interest was put in the question whether a preoperative personalised physical training may have beneficial effect on the preoperative fitness and on the occurrence of postoperative complications. In some small studies this benefit has been shown for abdominal and thoracic surgery. However some of those studies are controversially discussed because of missing randomisation and methodical issues. Also most of the studies needs a four week training period. This may lead to ethical and logostical problems oncologic patients. The aim of this study is to assess the effect of a personalised, high intensity trains program of two weeks on the preoperative fitness.
Key facts
- Study ID
- NCT05355909
- Run by
- Medical University Innsbruck
- People needed
- 60
- Starts
- 2022-08-01
- Expected to finish
- 2026-12-31
- Last updated by the study team
- 2025-03-26
Who can join
Age: 18 and older, up to 99. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- ASA I-III
- BMI 18 - 35kg/m2
- Signed informed consent
- Elective abdominal surgery with moderate to high risk
You may not qualify if…
- Pregnancy of lactation
- Major trauma or massive haemorrhage with the last two weeks
- Inclusion of the patient in a interventional study
- Contraindication for preoperative fitness training or ergometry
- Transplantation surgery
Where it is running
- Medical University Hospital — Innsbruck, Tyrol, Austria (enrolling)
Full record on ClinicalTrials.gov
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