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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
40
trimodal prehabilitation in mixed: stationary and "at-home" structure
University Clinical Center in Gdansk - Departament of Anesthesiolog and Intensive cCre
Gdansk, Poland
RECRUITING6 minute walk test
change in aerobic capacity
Time frame: baseline and pre surgery
Yale Physical Activity Survey (YPAS)
change in physical activity
Time frame: 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)
Time frame: 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: 1. minimal value (moderate malnutrition) 2. max value (severe malnutrition)
Time frame: 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
Time frame: baseline and pre surgery
motivation questionaire (MQ)
change in patient's motivation 0-10 0 - low motiwation 10 max motivation
Time frame: baseline and pre surgery
Perceives stress - Perceived Stress Questionaire (PSS)
stress level - 0 - min value - no perceived stress 20 - maximal preceived stress
Time frame: baseline and pre surgery
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Number of Participants requiring reintervention during initial hospitalization
Time frame: 3 months after surgery
ICU length of stay
Time frame: 3 months after surgery
Total hospital length of stay
Time frame: 3 months after surgery
Number of Patients requiring Emergency room visits and hospital readmissions
Time frame: at 30 days
Number of Patients with postoperative complications
number and severity
Time frame: 3 month after surgery