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Enhanced recovery programme (ERP) includes early postoperative mobilization and ambulation the day of surgery. Data suggest that orthostatic symptoms prevent a large number of patients from ambulating the day of surgery. The investigators plan to include 50 patients scheduled for colorectal surgery and bariatric surgery in an ERP. A 6-min walk test (6MWT) will be performed before surgery, 3 hour after the end of surgery, and 24 hour after surgery. The day of surgery a 2-min walk test will be realized.
Enhanced recovery programme (ERP) includes early postoperative mobilization and ambulation the day of surgery. Data suggest that orthostatic symptoms prevent a large number of patients (up to 50%) from ambulating the day of surgery.
The investigators plan to include 50 patients scheduled for colorectal surgery and bariatric surgery in an ERP.
The primary endpoint will be the ability to get out of the bed and sit in an armchair. Orthostatic symptom will be recorded. The secondary endpoint will be a 6-min walk test (6-MWT). This test will be performed before surgery, 3 hour after the end of surgery, and 24 hour after surgery. The day of surgery a 2-min walk test (2-MWT) will be realized.
Correlation of the ability to early ambulate and postoperative course (adherence to ERP, complications) will be analyzed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| colorectal surgery | 50 consecutive patients scheduled to colorectal surgery in an enhanced recovery programme |
| |
| bariatric surgery | 50 consecutive patients scheduled to bariatric surgery (gastric by-pass, sleeve gastrectomy) in an enhanced recovery programme |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| mobilization and ambulation | Behavioral | 6-min walk test (6-MWT) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with orthostatic intolerance | orthostatic intolerance is defined as the occurrence of one of the following symptom when the patient stands up : presyncope, dizziness, nausea-vomiting, feeling of heat and blurred vision | 24 hour after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| 6-min walk test | This test measures the distance covered during 6-min at normal speed | 24 hour after surgery |
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Inclusion Criteria:
Patients scheduled for colorectal or bariatric surgery within an ERP
Exclusion Criteria:
Patient refusal to participate, inability to walk or stand up.
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Patients scheduled for colorectal or bariatric surgery within an ERP
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| Name | Affiliation | Role |
|---|---|---|
| Jean L Joris, MD | Centre Hospitalier Universitaire de Liege | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Liege, | Liège | 4000 | Belgium | |||
| CHU Liege |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30094811 | Result | Eriksen JR, Munk-Madsen P, Kehlet H, Gogenur I. Orthostatic intolerance in enhanced recovery laparoscopic colorectal resection. Acta Anaesthesiol Scand. 2019 Feb;63(2):171-177. doi: 10.1111/aas.13238. Epub 2018 Aug 10. | |
| 29183368 | Result | Hanada M, Tawara Y, Miyazaki T, Sato S, Morimoto Y, Oikawa M, Niwa H, Eishi K, Nagayasu T, Eguchi S, Kozu R. Incidence of orthostatic hypotension and cardiovascular response to postoperative early mobilization in patients undergoing cardiothoracic and abdominal surgery. BMC Surg. 2017 Nov 28;17(1):111. doi: 10.1186/s12893-017-0314-y. |
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| ID | Term |
|---|---|
| D051346 | Mobility Limitation |
| ID | Term |
|---|---|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D016138 | Walking |
| ID | Term |
|---|---|
| D008124 | Locomotion |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Liège |
| 4000 |
| Belgium |
| 30540643 | Result | Skarin MU, Rice DA, McNair PJ, Kluger MT. Orthostatic intolerance following hip arthroplasty: incidence, risk factors and effect on length of stay: A prospective cohort study. Eur J Anaesthesiol. 2019 Feb;36(2):123-129. doi: 10.1097/EJA.0000000000000940. |
| D015444 | Exercise |
| D009043 | Motor Activity |