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| Name | Class |
|---|---|
| University Clinical Centre, Gdansk | OTHER |
| EIT Health | OTHER |
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Patients scheduled for elective surgery will undergo 4 week course of trimodal prehabilitation
Patients with high surgical risk will participate in 4 week prehabilitation that will consist of 4 stationary sessions - one per week - comprised of: physiotherapy session, psychological session and nutritional advice. During first session each patient will receive an activity monitor and dedicated mobile app that will record his daily performance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Trimodal prehabilitation | Experimental | Patients qualified for elective surgery that meet criteria for prehabilitation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 4 week trimodal prehabilitation course | Other | trimodal prehabilitation in mixed: stationary and "at-home" structure |
|
| Measure | Description | Time Frame |
|---|---|---|
| 6 minute walk test | change in aerobic capacity | baseline and pre surgery |
| Yale Physical Activity Survey (YPAS) | change in physical activity | baseline and pre surgery |
| self-perceived health status scale (36-Item Short Form Survey - SF36) | change in self-perceived health status (0 - min, 100 - max self perceived health score) | baseline and pre surgery |
| Global Leadership Initiative on Malnutrition (GLIM) scale | change in nutritional status - malnutrition diagnosed if one phenotypical and one etiological criteria are fulfilled Severity based on phenotypic criteria:
| baseline and pre surgery |
| Hospital Anxiety and Depression (HAD) scale | change in psychological status: depression and anxiety criteria 0 points min score - low level od depression and anxiety 21 max score | baseline and pre surgery |
| motivation questionaire (MQ) | change in patient's motivation 0-10 0 - low motiwation 10 max motivation | baseline and pre surgery |
| Perceives stress - Perceived Stress Questionaire (PSS) | stress level - 0 - min value - no perceived stress 20 - maximal preceived stress |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants requiring reintervention during initial hospitalization | 3 months after surgery | |
| ICU length of stay | 3 months after surgery | |
| Total hospital length of stay |
| Measure | Description | Time Frame |
|---|---|---|
| Patient concentration questionaire (P3CQ) | Patient experience: 0 - worst (medical staff not concentrated on patient) 19 - best experience (full concentration on patients needs) | after prehabilitation course |
| Staff engagement questionaire (ACT) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tomasz Jasiński, MD PhD | Contact | +48583493280 | tjasinski@uck.gda.pl | |
| Mateusz Kreczko, MD | Contact | +48583493280 |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Clinical Center in Gdansk - Departament of Anesthesiolog and Intensive cCre | Recruiting | Gdansk | 80-214 | Poland |
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| baseline and pre surgery |
| 3 months after surgery |
| Number of Patients requiring Emergency room visits and hospital readmissions | at 30 days |
| Number of Patients with postoperative complications | number and severity | 3 month after surgery |
Staff engagement
| after recruitment |
| cost analysis | 3 months after surgery |
| Continuity of Care Questionaire (NCQ) | form 0 - 5 pints 0 - lack of continuity of care 5 - maximal continuitu of care | after prehabilitation course |