Tolerance of Early Postoperative Mobilization and Ambulation

NCT ID: NCT04040647

Last Updated: 2020-05-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

88 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-09-15

Study Completion Date

2020-04-01

Brief Summary

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Enhanced recovery programme (ERP) includes early postoperative mobilization and ambulation the day of surgery. Data suggest that orthostatic symptoms prevent a large number of patients from ambulating the day of surgery. The investigators plan to include 50 patients scheduled for colorectal surgery and bariatric surgery in an ERP. A 6-min walk test (6MWT) will be performed before surgery, 3 hour after the end of surgery, and 24 hour after surgery. The day of surgery a 2-min walk test will be realized.

Detailed Description

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Enhanced recovery programme (ERP) includes early postoperative mobilization and ambulation the day of surgery. Data suggest that orthostatic symptoms prevent a large number of patients (up to 50%) from ambulating the day of surgery.

The investigators plan to include 50 patients scheduled for colorectal surgery and bariatric surgery in an ERP.

The primary endpoint will be the ability to get out of the bed and sit in an armchair. Orthostatic symptom will be recorded. The secondary endpoint will be a 6-min walk test (6-MWT). This test will be performed before surgery, 3 hour after the end of surgery, and 24 hour after surgery. The day of surgery a 2-min walk test (2-MWT) will be realized.

Correlation of the ability to early ambulate and postoperative course (adherence to ERP, complications) will be analyzed.

Conditions

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Ambulation Difficulty Colorectal Surgery Bariatric Surgery

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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colorectal surgery

50 consecutive patients scheduled to colorectal surgery in an enhanced recovery programme

mobilization and ambulation

Intervention Type BEHAVIORAL

6-min walk test (6-MWT)

bariatric surgery

50 consecutive patients scheduled to bariatric surgery (gastric by-pass, sleeve gastrectomy) in an enhanced recovery programme

mobilization and ambulation

Intervention Type BEHAVIORAL

6-min walk test (6-MWT)

Interventions

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mobilization and ambulation

6-min walk test (6-MWT)

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Patients scheduled for colorectal or bariatric surgery within an ERP

Exclusion Criteria

Patient refusal to participate, inability to walk or stand up.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Liege

OTHER

Sponsor Role lead

Responsible Party

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Jean François Brichant

Professor in Anesthesiology, chief of service

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jean L Joris, MD

Role: PRINCIPAL_INVESTIGATOR

Centre Hospitalier Universitaire de Liege

Locations

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CHU Liege,

Liège, , Belgium

Site Status

CHU Liege

Liège, , Belgium

Site Status

Countries

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Belgium

References

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Eriksen JR, Munk-Madsen P, Kehlet H, Gogenur I. Orthostatic intolerance in enhanced recovery laparoscopic colorectal resection. Acta Anaesthesiol Scand. 2019 Feb;63(2):171-177. doi: 10.1111/aas.13238. Epub 2018 Aug 10.

Reference Type RESULT
PMID: 30094811 (View on PubMed)

Hanada M, Tawara Y, Miyazaki T, Sato S, Morimoto Y, Oikawa M, Niwa H, Eishi K, Nagayasu T, Eguchi S, Kozu R. Incidence of orthostatic hypotension and cardiovascular response to postoperative early mobilization in patients undergoing cardiothoracic and abdominal surgery. BMC Surg. 2017 Nov 28;17(1):111. doi: 10.1186/s12893-017-0314-y.

Reference Type RESULT
PMID: 29183368 (View on PubMed)

Skarin MU, Rice DA, McNair PJ, Kluger MT. Orthostatic intolerance following hip arthroplasty: incidence, risk factors and effect on length of stay: A prospective cohort study. Eur J Anaesthesiol. 2019 Feb;36(2):123-129. doi: 10.1097/EJA.0000000000000940.

Reference Type RESULT
PMID: 30540643 (View on PubMed)

Other Identifiers

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2019/MOBTOL

Identifier Type: -

Identifier Source: org_study_id

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