Multimodal Prehabilitation for Surgery in the Elderly: a Randomised, Prospective, Multicenter, Multidisciplinary Trial
Multimodal Prehabilitation for Major Surgery in Elderly Patients to Lower Complications and to Increase Cost Effectiveness: a Randomised, Prospective, Multicenter, Multidisciplinary Trial (PREHABIL Trial).
Insel Gruppe AG, University Hospital Bern
466 participants
Feb 1, 2022
INTERVENTIONAL
Conditions
Summary
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.
Eligibility
Inclusion Criteria5
- 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
Exclusion Criteria5
- 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.
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Interventions
A multimodal prehabilitation program (exercise, nutrition, anemia correction and smoking cessation).
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT04461301