Survey Of Mobilisation and Breathing Exercises After Thoracic and Abdominal Surgery

NCT04729634 | Completed

• 1 other identifier: FoU i VGR: 275327
• Study Type: interventional
• Target: 1,492
• Locations: 1 country
• Sites: 1

Brief Summary

Background Thoracic or abdominal surgeries are followed by a shorter or longer period of immobilization and after major surgery there is a higher risk of developing cardiorespiratory complications. To prevent these complications, the patient is encouraged to change position and exercise in bed, get out of bed as early and as much as possible after the operation and to breathe with or without aids. There is no general definition of early mobilization and may start within a few hours to a few days after surgery. There is currently a lack of knowledge nationally and internationally about when the mobilization starts and what it contains. Many patients also receive breathing training in connection with the surgery. There is currently no consensus on which method is preferable for which groups of patients. There are similarities and differences in practice in the world regarding postoperative breathing training. There are studies that have mapped practice after primarily thoracic surgery but also abdominal surgery. However, there are no studies that have mapped when the prescribed breathing training starts after different types of operations. The purpose of the study is to map when mobilization and breathing training starts after abdominal and thoracic surgery and what is then performed Method The study will be carried out as a quality follow-up with mapping of practice. Patients ≥ 18 years of age who are undergoing a planned or acute open, keyhole or robot-assisted surgery, who are extubated and who breathe spontaneously will be included. Exclusion criteria are completed plastic, trauma, orthopedic or transplant surgery. The material will be recruited from Swedish university hospitals and county hospitals for 20 days of surgery (Monday through Thursday) for five consecutive weeks. Clinical benefit The study will mean that clinical practice is presented which, with regard to mobilization, is the first study ever that will present when this takes place and what is done and, with regard to breathing training, the first that shows when this training is initiated.

Conditions

Abdominal Cancer; Heart Diseases

Keywords

Immobilization; Abdominal surgery; Thoracic surgery; Breathing training

Outcome Measures

Primary Outcomes (6)

• When mobilization starts after surgery

  Time from termination of anaesthesia to when mobilization starts, ie when the patients are sitting with the legs over the edge of the bed

  Within 24 hours after surgery

• Mobilization- Content

  Content of the mobilization performed i.e. which level of mobilization (sitting on the edge of the bed, standing by the bed, sitting in a chair and walking) which is reached.

  Within 24 hours after surgery

• Mobilization- Duration

  Duration of the mobilization performed, minutes

  Within 24 hours after surgery

• When any intervention with breathing exercises starts after surgery

  Time from termination of anesthesia to when the breathing exercise starts

  Within 24 hours after surgery

• Breathing exercise- Content

  Type of breathing exercise, as deep breathing, positive expiratory pressure or incentive spirometry.

  Within 24 hours after surgery

• Breathing exercise- Intensity

  Intensity of breathing exercise prescribed, sessions/time.

  Within 24 hours after surgery

Study Arms (1)

Mobilization and breathing training

OTHER

Usual clinical care

Other: Mobilization

Interventions

Mobilization OTHER

Mobilization and breathing exercises according to clinical care

Also known as: Breathing training

Mobilization and breathing training

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• ≥ 18 years of age
• undergoing a planned or acute open, laparoscopic or robot-assisted surgeon in the thorax or abdomen
• who are extubated within 24 h of surgery
• breathe spontaneously within 24 h of surgery

You may not qualify if:

• reconstructive-, trauma-, transplantation- or orthopedic surgery.

Sponsors & Collaborators

• Göteborg University: lead

Study Sites (1)

Sahlgrenska University Hospital

Gothenburg, Västra Götaland County, 41345, Sweden

Location

Related Publications (3)

• Fagevik Olsen M, Svensson-Raskh A, Westerdahl E, Nygren Bonnier M, Reeve J, Sehlin M. Current practice of targeted breathing exercises after abdominal and cardiothoracic surgery: a national multicentre observational study. Physiotherapy. 2025 Jun;127:101462. doi: 10.1016/j.physio.2024.101462. Epub 2024 Dec 24.

  PMID: 39946932 DERIVED

• Westerdahl E, Lilliecrona J, Sehlin M, Svensson-Raskh A, Nygren-Bonnier M, Olsen MF. First initiation of mobilization out of bed after cardiac surgery - an observational cross-sectional study in Sweden. J Cardiothorac Surg. 2024 Jul 4;19(1):420. doi: 10.1186/s13019-024-02915-4.

  PMID: 38961385 DERIVED

• Fagevik Olsen M, Sehlin M, Westerdahl E, Schandl A, Block L, Nygren-Bonnier M, Svensson-Raskh A. First mobilisation after abdominal and cardiothoracic surgery: when is it actually performed? A national, multicentre, cross-sectional study. BMJ Open. 2024 Feb 29;14(2):e082239. doi: 10.1136/bmjopen-2023-082239.

  PMID: 38423778 DERIVED

MeSH Terms

Conditions

Heart Diseases

Interventions

Breathing Exercises

Condition Hierarchy (Ancestors)

Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Exercise Movement Techniques; Physical Therapy Modalities

Study Officials

• Monika Fagevik Olsén, PhD

  Sahlgrenska University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: The patients will not be aware of the study activities
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: A cohort of patients followed over time

Study Record Dates

• First Submitted: January 4, 2021
• First Posted: January 28, 2021
• Study Start: September 1, 2021
• Primary Completion: February 28, 2022
• Study Completion: June 30, 2022
• Last Updated: August 16, 2022

Record last verified: 2022-08

Locations

SE (1)