Prehabilitation before cardiac surgery.
Ben Gibbison, Maria Pufulete
https://pubmed.ncbi.nlm.nih.gov/39603851Actively Recruiting
Age: 18Years +
All Genders
ID06857981
Patient's Database: Prepare for Your Surgery Program to Study Frailty and Prehabilitation in Elective Surgery Patients
Led by Pontificia Universidad Catolica de Chile · Updated on 2025-06-10
120
Participants Needed
2
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Frailty is a condition that mainly affects older adults and those undergoing long-term treatments like cancer or chronic pain. It increases the risk of disability and complications after surgery. With an aging population in Latin America and Chile, frailty is becoming more common among surgical patients, yet preoperative frailty assessments are rarely done in Chile due to logistical and training challenges. This study focuses on a prehabilitation program called "Prepare for Your Surgery," designed to improve patient resilience before elective surgery by reducing frailty and complications. The program includes multiple interventions starting 4 to 6 weeks before surgery. These involve nursing assessments and screenings using various frailty, cognitive, and functional tests; a medical consultation to optimize health and manage comorbidities; 8 to 10 physiotherapy sessions; 1 to 2 nutritional interventions; and additional follow-up via phone or email if needed. Hospital data on surgical complications, length of stay, and care level will be collected during the hospital stay, followed by monitoring for complications, readmissions, mortality, and relevant medical history for 3 to 6 months post-discharge. Participants provide consent and demographic, clinical, and surgical data will be collected and stored securely in hospital electronic records. The study tracks adherence, participation, and patient outcomes to help improve future protocols and policies. The primary outcome is establishing a database within one month, with secondary outcomes including in-hospital records and patient follow-up over 3 to 6 months, aiming to enhance care for frail surgical patients.
CONDITIONS
Brief Title
Patient's Database: Prepare for Your Surgery Program
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
- Patients referred to the Prepare for Your Surgery program
- Patients identified as frail by the Clinical Frailty Scale (score ≥ 4), FRAIL scale, FRIED frailty phenotype, or surgeon's clinical judgment
- Patients scheduled for elective surgery at Hospital Clinico Red de Salud UC-Christus
- Patients with at least 4 weeks before surgery
You will not qualify if you...
- Patients not undergoing elective surgery at Hospital Clinico Red de Salud UC-Christus
- Patients requiring emergency surgery
- Patients unable to comply with the proposed preparation interventions for any reason
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or online)
Diagnostic Evaluation
Duration - Up to 4 weeks before surgery
Participants undergo comprehensive assessments including frailty, cognitive function, functionality, cardiovascular risk, comorbidities, nutritional status, pain, and physical performance evaluations conducted by a nurse navigator and medical consultation.
1 outpatient medical consultation (in-person)
Prehabilitation Intervention
Duration - Variable, up to the time before surgery
Participants receive kinesiology evaluation and intervention sessions, and nutritional interventions tailored to their physical-functional and nutritional-metabolic status.
8 to 10 kinesiology sessions and 1 to 2 nutritional intervention sessions
Communication and Additional Consultations
Duration - Up to surgery
If necessary, participants may have additional contact via email, telephone, or telemedicine to discuss examination results and determine if a second consultation is needed.
Contact as needed and possible second consultation
In-Hospital Monitoring
Duration - Duration of hospital stay
Participants are monitored during their hospital stay for surgical complications, daily care level, and hospitalization duration until discharge.
Daily in-hospital monitoring until discharge
Post-Hospital Discharge Follow-up
Duration - 3 to 6 months
Participants are followed up for 3 to 6 months after discharge to monitor complications, readmissions, mortality, and relevant medical history.
Follow-up visits or contacts over 3 to 6 months
Trial Site Locations
Total: 2 locations
1
Pontificia Universidad Católica de Chile
Santiago, Santiago Metropolitan, Chile, 8320000
Not Yet Recruiting
2
Red de Salud UC Christus
Santiago, Chile
Actively Recruiting
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Research Team
V
Victor Contreras, MSN
M
Maria F Elgueta, MD
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
1
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Published Research Related To This Trial
Prehabilitation, enhanced recovery after surgery, or both? A narrative review.
Chelsia Gillis, Olle Ljungqvist, Francesco Carli
https://pubmed.ncbi.nlm.nih.gov/35012741Prehabilitation for Chilean frail elderly people - pre-surgical conditioning protocol - to reduce the length of stay: randomized control trial.
Victor Contreras, María F Elgueta, Detlef Balde...
https://pubmed.ncbi.nlm.nih.gov/39836361