Enhanced Perioperative Mobilization (EPM) Trial
EPMIII
Usage of Activity Tracking in Major Visceral Surgery - the Enhanced Perioperative Mobilization (EPM) Trial
1 other identifier
interventional
110
1 country
1
Brief Summary
Randomized Controlled Trial to monitor and increase the postoperative mobilization of the patients undergoing major visceral surgery by giving a continuous autofeedback of the step count using activity tracking wristbands.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jul 2016
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 15, 2016
CompletedFirst Posted
Study publicly available on registry
July 15, 2016
CompletedStudy Start
First participant enrolled
July 26, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 20, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
July 20, 2017
CompletedOctober 20, 2017
October 1, 2017
12 months
June 15, 2016
October 19, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Median Step count
First to fifth postoperative day
Secondary Outcomes (12)
Percentage of patients, who master the predefined mobilization (step-count) targets
First to fifth postoperative day
Distance (km)
First to fifth postoperative day
Activity time (min.)
First to fifth postoperative day
inactivity
First to fifth postoperative day
calorie consumption (kcal)
First to fifth postoperative day
- +7 more secondary outcomes
Study Arms (4)
Laparoscopic surgery, control
NO INTERVENTIONThe control group is wearing an activity tracker wristband with covered display, so that the step count can't be read out.
Laparoscopic surgery, intervention
ACTIVE COMPARATORactivity tracking for autofeedback
Open surgery, control
NO INTERVENTIONThe control group is wearing an activity tracker wristband with covered display, so that the step count can't be read out.
Open surgery, intervention
ACTIVE COMPARATORactivity tracking for autofeedback
Interventions
The intervention group receives an unblinded wristband. The handling of the activity trackers is explained to the patients and a predefined mobilization end-point (step-count) for the first five PODs is targeted. The target step-count was set at the 85% quartile obtained from a previous pilot study. The patients are assessed and monitored two times daily between 9 and 11 o'clock AM and between 3 and 5 o'clock PM by a surgical fellow or a study nurse throughout their hospital stay for read-out of the step count, assurance of the proper use and functioning, and for communication of the autofeedback.
Eligibility Criteria
You may qualify if:
- elective laparoscopic and open surgery of the colon and rectum (colectomy, hemicolectomy, segment resection, rectum extirpation, deep anterior rectum resection, sigmoid resection, proctocolectomy), of the stomach (total, subtotal and atypical gastric resections), of the pancreas (any kind of pancreatic resections), and of the liver (hemihepatectomy, atypical resection, anatomical segment resection)
- ASA score \< IV
- completed informed consent.
You may not qualify if:
- emergency surgery
- mental inability to complete postoperative assessment protocols
- preoperatively immobile patients
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Visceral, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technical University of Dresden
Dresden, 01309, Germany
Related Publications (2)
Wolk S, Linke S, Bogner A, Sturm D, Meissner T, Mussle B, Rahbari NN, Distler M, Weitz J, Welsch T. Use of Activity Tracking in Major Visceral Surgery-the Enhanced Perioperative Mobilization Trial: a Randomized Controlled Trial. J Gastrointest Surg. 2019 Jun;23(6):1218-1226. doi: 10.1007/s11605-018-3998-0. Epub 2018 Oct 8.
PMID: 30298422DERIVEDWolk S, Meissner T, Linke S, Mussle B, Wierick A, Bogner A, Sturm D, Rahbari NN, Distler M, Weitz J, Welsch T. Use of activity tracking in major visceral surgery-the Enhanced Perioperative Mobilization (EPM) trial: study protocol for a randomized controlled trial. Trials. 2017 Feb 21;18(1):77. doi: 10.1186/s13063-017-1782-1.
PMID: 28222805DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Thilo Welsch, MD, MBA
Department of Visceral, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technical University of Dresden, Germany
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 15, 2016
First Posted
July 15, 2016
Study Start
July 26, 2016
Primary Completion
July 20, 2017
Study Completion
July 20, 2017
Last Updated
October 20, 2017
Record last verified: 2017-10
Data Sharing
- IPD Sharing
- Will not share