The study will include patients who require elective major abdominal surgery for cancerous or non-cancerous conditions. The goal of the research is to assess the benefit of a prehabilitation program before surgery that includes nutrition, exercise, smoking cessation, and optimization of chronic disease. A group of 10 patients will take part in a prehabilitation program. These patients will be compared to 20 patients who received standard of care.
The study will include patients who require elective major abdominal surgery. The study will compare patients who received standard of care to patients who received a prehabilitation program before surgery. The prehabilitation program will take place for 4-6 weeks before your surgery and will include: * Review of frailty risk analysis calculator score obtained in the frailty study (#2212-74) * Review of lab results including complete blood count, creatinine, albumin, and prealbumin * Review of chronic conditions * An office visit or telehealth visit to review instructions on nutrition, exercise, smoking cessation, and optimization of chronic disease. * Drinking Surgery Immunonutrition shake twice daily for 5 days before surgery. * Educational information and video instruction * Weekly phone calls to motivate, ensure adherence, and assess progress. * Measurements of hand grip strength and body weight
Study Type
OBSERVATIONAL
Enrollment
27
Prehabilitation program for 4-6 weeks before surgery will include: * Review of the frailty risk analysis calculator score obtained in the frailty study (#2212-74) * Review of lab results including complete blood count, creatinine, albumin, and prealbumin * Review of chronic conditions. * An office visit or telehealth visit to review instructions on instructions on nutrition, exercise, smoking cessation, and optimization of chronic disease. * Drinking surgery immunonutrition drinks twice daily for 5 days before surgery. * Educational information and video instruction * Weekly phone calls to motivate, ensure adherence, and assess progress. * Measurements of hand grip strength and body weight
Robert Packer Hospital
Sayre, Pennsylvania, United States
Postoperative hospital length of stay
Number of days in hospital from date of surgery to date of discharge
Time frame: From date of hospitalization until date of hospital discharge, up to 30 days
Discharge disposition
Binary measure of either home or rehabilitation facility
Time frame: From date of hospitalization until date of hospital discharge, up to 30 days
Adverse outcomes after surgery
Assess adverse outcomes postoperatively
Time frame: 30 days after surgery
Hospital readmission rates
Number of times patients are readmitted to the hospital within 30 day of surgery
Time frame: 30 days after surgery
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