Preoperative Prehabilitation Program For Geriatric Patients in a Rural Healthcare Setting

NCT06518369 | Completed

• 1 other identifier: 2401-02
• Study Type: observational
• Target: 27
• Locations: 1 country
• Sites: 1

Brief Summary

The study will include patients who require elective major abdominal surgery for cancerous or non-cancerous conditions. The goal of the research is to assess the benefit of a prehabilitation program before surgery that includes nutrition, exercise, smoking cessation, and optimization of chronic disease. A group of 10 patients will take part in a prehabilitation program. These patients will be compared to 20 patients who received standard of care.

Conditions

Surgery

Keywords

Frailty

Outcome Measures

Primary Outcomes (2)

• Postoperative hospital length of stay

  Number of days in hospital from date of surgery to date of discharge

  From date of hospitalization until date of hospital discharge, up to 30 days

• Discharge disposition

  Binary measure of either home or rehabilitation facility

  From date of hospitalization until date of hospital discharge, up to 30 days

Secondary Outcomes (2)

• Adverse outcomes after surgery

  30 days after surgery

• Hospital readmission rates

  30 days after surgery

Study Arms (2)

Non-intervention or standard of care group

20 Patients who received standard of care

Prehabilitation Group

10 patients who take part in a prehabilitation program for 4-6 weeks before surgery

Other: Prehabilitation

Interventions

Prehabilitation OTHER

Prehabilitation program for 4-6 weeks before surgery will include: * Review of the frailty risk analysis calculator score obtained in the frailty study (#2212-74) * Review of lab results including complete blood count, creatinine, albumin, and prealbumin * Review of chronic conditions. * An office visit or telehealth visit to review instructions on instructions on nutrition, exercise, smoking cessation, and optimization of chronic disease. * Drinking surgery immunonutrition drinks twice daily for 5 days before surgery. * Educational information and video instruction * Weekly phone calls to motivate, ensure adherence, and assess progress. * Measurements of hand grip strength and body weight

Prehabilitation Group

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Subjects over age 60 who require elective major abdominal surgery

You may qualify if:

• Subjects over age 60 who require elective major abdominal surgery

You may not qualify if:

• pregnant women

Sponsors & Collaborators

• The Guthrie Clinic: lead

Study Sites (1)

Robert Packer Hospital

Sayre, Pennsylvania, 18840, United States

Location

MeSH Terms

Conditions

Frailty

Interventions

Preoperative Exercise

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Perioperative Care; Patient Care; Therapeutics; Surgical Procedures, Operative; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Nancy Georgetson, AGNP-C

  Robert Packer Hospital Sayre PA

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 10, 2024
• First Posted: July 24, 2024
• Study Start: June 18, 2024
• Primary Completion: October 16, 2024
• Study Completion: June 4, 2025
• Last Updated: June 8, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)