Assessment of Surgery Risk Using a 6-Minute Walk Test
For Adults Aged 40 and Older Undergoing Elective Non-Cardiac Surgery
Led by Unity Health Toronto · Updated on 2024-06-11
1672
Participants Needed
1
Research Sites
69 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are studying whether the 6-minute walk test 6MWT, a simple walking test done before surgery, can help identify patients who are more likely to have complications after major elective non-cardiac surgery. This observational study aims to improve care for people undergoing surgery by better predicting risks based on their physical function. The study is sponsored by Unity Health Toronto and focuses on adults aged 40 years and older who have at least one risk factor for postoperative complications.
Participants will complete the 6MWT before their surgery if it is feasible for them. The study observes outcomes without altering the usual care or treatment. The main focus is to monitor whether participants experience complications within 30 days after surgery. Additional outcomes include the number of days participants are alive and out of the hospital 30 days post-surgery and any significant new disability 90 days after surgery.
During the study, researchers will collect information about participants health and recovery after surgery through routine follow-up. They will track complications and hospital stays up to 30 days and assess disability at 90 days after surgery. Participation involves no experimental treatments, and participants continue with their planned surgical care. The total duration of involvement depends on surgery timing and follow-up assessments but includes at least 90 days of monitoring after surgery.
CONDITIONS
Brief Title
FUNCTIONAL ASSESSMENT FOR SURGERY BY A TIMED WALK
Research Team
D
Duminda N Wijeysundera, MD PhD FRCPC
J
Janneth Pazmino-Canizares, MSc
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At least one risk factor for postoperative complications
Scheduled for elective non-cardiac surgery with an expected hospital stay of 2 or more days
Ability to complete the preoperative 6-minute walk test
Working knowledge of official language(s) in the country of study recruitment
You will not qualify if you...
Undergoing endovascular surgery
Undergoing lower limb orthopedic surgery
Having any contraindications to performing the 6-minute walk test
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Diagnostic Evaluation
Duration - Up to 1 week before surgery
Participants complete a preoperative 6-minute walk test to assess functional status before surgery.
1 visit (in-person)
Surgery and Immediate Post-operative Care
Duration - Hospital stay of 2 or more days
Participants undergo elective non-cardiac surgery with an expected hospital stay of 2 or more days.
Post-operative Follow-up
Duration - Up to 90 days after surgery
Participants are monitored for postoperative complications, days alive and out of the hospital, and significant new disability after surgery.
Visits around 30 and 90 days after surgery
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
0
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Published Research Related To This Trial
Functional Assessment for Surgery by a Timed Walk (FAST Walk) study: protocol for a multicentre prospective cohort study of the 6 min walk test for preoperative risk stratification in major non-cardiac surgery.
Duminda N Wijeysundera, Nancy M Salbach, Matthew T V Chan...