Status:

COMPLETED

Cardiopulmonary Exercise Testing and Preoperative Risk Stratification

Lead Sponsor:

University College London Hospitals

Collaborating Sponsors:

University Hospital Southampton NHS Foundation Trust

Conditions:

Colorectal Cancer

Anaesthesia

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The investigators would like to evaluate the use of cardiopulmonary exercise tests (CPX) in guiding the care pathway of patients undergoing colorectal operations. In the intervention group care will b...

Detailed Description

Each year 20000 UK patients die within 30 days of surgery. It seems that in the UK a patient's chances of becoming seriously unwell or dying following surgery is higher than in comparable countries. F...

Eligibility Criteria

Inclusion

  • Adults ≥ 18 years age
  • Males
  • Females
  • Listed for elective(non-emergency) colorectal surgery

Exclusion

  • Age \< 18 years age
  • Patient unwilling/unable to consent
  • Adults with learning disabilities or dementia
  • Prisoners
  • Any contraindication to cardiopulmonary exercise testing (as outlined by \*American Association of Anaesthesia:
  • Acute MI (3-5 days)
  • Unstable angina
  • Uncontrolled arrhythmias
  • Syncope
  • Acute endocarditis
  • Acute myocarditis
  • Acute pericarditis
  • Symptomatic severe aortic stenosis
  • Uncontrolled heart failure
  • Acute pulmonary embolism or infarction
  • Thrombosis of lower extremities
  • Dissecting aneurysm
  • Uncontrolled asthma
  • Pulmonary oedema
  • Room air desaturation at rest \<85%
  • Respiratory failure
  • Acute non-cardiopulmonary disorder that may affect exercise performance or be aggravated by exercise Mental impairment leading to inability to co-operate
  • Patients already enrolled in an interventional study
  • Previous CPX test result recorded in the medical notes

Key Trial Info

Start Date :

August 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2014

Estimated Enrollment :

228 Patients enrolled

Trial Details

Trial ID

NCT00737828

Start Date

August 1 2008

End Date

May 1 2014

Last Update

May 21 2014

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Whittington Hospital NHS Trust

London, United Kingdom, N19 5NF

2

University College London Hospitals NHS Foundation Trust

London, United Kingdom, NW1 2BU

3

Southampton University Hospitals NHS Trust

Southampton, United Kingdom