Prehab for Surgery
NCT04155346 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 150
Last updated 2024-05-08
Summary
Surgical prehabilitation is the process of enhancing one's physical function and mental capacity to enable him/or her to withstand the stressor of surgery. Prehabilitation can be achieved via optimizing physical fitness, nutrition, and psychological health. Studies have shown that prehabilitation may prevent complications during and after surgery, reduce hospital length of stay, and improve postoperative recovery. Despite the growing interest in the field of prehabilitation, little is understood about how to implement prehabilitation an integrated clinical service. This study will examine the effect of a prehabilitation program that includes exercise, psychological, and nutritional optimization that emulates clinical integration pathways. Participants of this study will have a choice of participating in facility-based prehabilitation (FBP) or home-based prehabilitation (HBP) depending on their needs/accessibility to the Toronto General Hospital. Participant outcomes will be measured using standardized fitness testing, self-report questionnaires, and medical record reviews at baseline, one week preoperatively, and at 30 and 90 days postoperatively. A comprehensive assessment of feasibility will also be conducted to better understand facilitators and barriers to clinical integration.
Conditions
- Surgical Patients
- Preoperative Care
Interventions
- BEHAVIORAL
-
Exercise, nutritional optimization, and psychoeducation
Multimodal prehabilitation including exercise, nutrition, and stress-management delivered via a facility-based or home-based model
Sponsors & Collaborators
-
University Health Network, Toronto
collaborator OTHER -
MSH-UHN AMO Innovation Fund
collaborator UNKNOWN -
University of Toronto
lead OTHER
Principal Investigators
-
Daniel Santa Mina, PhD · University of Toronto
-
Ian Randall, MD · University Health Network, Toronto
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-11-01
- Primary Completion
- 2022-03-01
- Completion
- 2024-12-31
Countries
- Canada
Study Locations
More Related Trials
-
Patient Empowerment for Major Surgery Preparation @ Home
NCT04190719 ·Status: UNKNOWN ·Phase: NA
-
Contribution of Connected Devices in the Follow-up of the Observance of a Prehabilitation Program
NCT03363009 ·Status: TERMINATED ·Phase: NA
-
Improvement of Perioperative Care of Elderly Patients
NCT03325413 ·Status: COMPLETED ·Phase: NA
-
Immune Modulation by Enhanced vs Standard Prehabilitation Program Before Major Surgery
NCT04498208 ·Status: COMPLETED ·Phase: NA
-
Preoperatively Orientation in Cardiac Surgery: Nurses Intervention on Patients Recovery
NCT01559610 ·Status: COMPLETED ·Phase: NA
-
Preoperative Survey
NCT05653154 ·Status: COMPLETED
-
Tolerance of Early Postoperative Mobilization and Ambulation
NCT04040647 ·Status: COMPLETED
-
Promotion of Ambulation Before Non-cardiac Surgery
NCT03213496 ·Status: COMPLETED ·Phase: NA
-
Cognitive Training for the Prevention of Postoperative Delirium
NCT02963961 ·Status: COMPLETED ·Phase: NA
-
Pre-operative Risk Assessment Combined With Targeted Intervention in the Chinese Elderly With Spine Surgery
NCT06140797 ·Status: COMPLETED ·Phase: NA
-
The Impact of Perioperative Geriatric Care on Outcomes After Elective Noncardiac Surgery
NCT02975375 ·Status: COMPLETED
-
Impact of the Presurgical Visit of Nursing on the Well-being of the Surgical Patient.
NCT03512561 ·Status: COMPLETED
-
Reducing Low-Value Preoperative Investigations in Patients Undergoing Low Risk Surgery
NCT05526495 ·Status: RECRUITING ·Phase: NA
-
Non-pharmacological Prevention of Postoperative Delirium by Occupational Therapy Teams
NCT03704090 ·Status: COMPLETED ·Phase: NA
-
Behavioral Activation and Medication Optimization for Perioperative Mental Health Feasibility Study
NCT05110690 ·Status: COMPLETED ·Phase: NA
-
De-implementing Low Value Preoperative Care Wisely
NCT05566327 ·Status: UNKNOWN ·Phase: NA
-
Redesigning the Surgical Pathway (PROMoTE)
NCT05114876 ·Status: RECRUITING ·Phase: NA
-
Prediction and Prevention of Postoperative Mortality and Morbidity
NCT06042413 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Securing the Immediate Perioperative Walk: Creating and Validating a Score.
NCT05111340 ·Status: COMPLETED ·Phase: NA
-
Safe Brain Initiative, Operationalizing Precision Anaesthesia
NCT05765162 ·Status: RECRUITING
-
Elderly Patients Undergoing Surgery During Perioperative Period
NCT07314762 ·Status: RECRUITING
-
Effect of Preoperative Anxiety on Postoperative Delirium in Elderly Patients Undergoing Orthopaedic Surgery.
NCT04216615 ·Status: UNKNOWN
-
Impact of the "Standing Patient" Pathway on Preoperative Anxiety.
NCT03355404 ·Status: COMPLETED ·Phase: NA
-
Preoperative Relaxation and Intensified Patient Surgery Education in Patients Undergoing Cholecystectomy
NCT02481271 ·Status: UNKNOWN ·Phase: NA
-
Psychological Distress and Outcomes in Hip Preservation Patients
NCT01550263 ·Status: COMPLETED