Impact of Lung Function Prehabilitation to Postoperative Pulmonary Complications

N/ACompletedNCT06862076

Indonesia University40 enrolled

Overview

The aim of this study is to compare the effect of lung function prehabilitation to postoperative pulmonary complications on patient undergoing upper abdominal surgery treated in intensive care unit.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Postoperative Pulmonary Complications (PPCs)

Interventions

Lung Function PrehabilitationPROCEDURE

Participants assigned to the prehabilitation group received personalized exercise prescriptions, including aerobic training, muscle strengthening, and inspiratory muscle training with a threshold device. The prehabilitation program was conducted at the participants' homes for a minimum duration of two weeks. Adherence was monitored through logbook entries and video call evaluations to ensure correct implementation of the prescribed exercises.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * adults 18 years or older * scheduled for the upper abdominal surgery under general anesthesia with intraoperative mechanical ventilation * possess adequate cognitive function to comprehend and follow instructions * possess sufficient physical capacity to perform structured prehabilitation exercises * express willingness to participate in the intervention program before surgery Exclusion Criteria: * pregnancy * pre-existing severe pulmonary diseases such as chronic obstructive pulmonary disease (COPD) * planned laparoscopic procedures * history of significant neuromuscular impairment (e.g: stroke) * declined to participate

Locations (1)

RSUPN dr. Cipto Mangunkusumo

Jakarta Pusat, Jakarta Special Capital Region, Indonesia

Outcomes

Primary Outcomes

Postoperative pulmonary complications

Including pulmonary infections, atelectasis, and diaphragmatic dysfunction. Pulmonary infection is assessed using the Clinical Pulmonary Infection Score (CPIS) and with a threshold of \>6, atelectasis using Lung Ultrasound Score (LUS) of ≥1, and diaphragm ultrasound were used to evaluate diaphragm ratio. CPIS and LUS score assessments were conducted on postoperative day 1 and 3 by trained investigators, diaphragm ratio assessment was conducted preoperatively and on postoperative day 1 and 3, all findings were systematically recorded.

Time frame: Postoperative day 1 and 3

Data from ClinicalTrials.gov

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