Fast track open partial nephrectomy: reduced postoperative length of stay with a goal-directed pathway does not compromise outcome.
Bilal Chughtai, Christa Abraham, Daniel Finn...
https://pubmed.ncbi.nlm.nih.gov/18784846Actively Recruiting
Led by Sixth Affiliated Hospital, Sun Yat-sen University · Updated on 2024-07-08
300
Participants Needed
1
Research Sites
4 weeks
Total Duration
This research aims to assess the effects of walking out from the operating room (WOFOR), a very early mobilization strategy, on recovery after laparoscopic colorectal surgery. Early movement after surgery is thought to reduce complications like blood clots and intestinal adhesions, but its direct benefits need confirmation through randomized control trials. The study involves patients aged 18 to 65 undergoing laparoscopic colectomy or rectectomy, focusing on how walking immediately after surgery impacts recovery. Participants will be randomly assigned to one of two groups before surgery: one group will return to the ward by walking under medical supervision if they meet criteria like stable vital signs, no pain, clear consciousness, and normal leg muscle strength. The control group will return lying on a transporting bed. After surgery, patients are monitored every ten minutes to see if they meet mobilization criteria. Those in the walking group will first sit, then stand, and finally walk a short distance before returning to the ward. Both groups receive the same postoperative care, including diet guidance, nutrition, and mobilization tracking. During the study, researchers will record outcomes such as length of hospital stay, recovery time, readmission rates, quality of recovery scores, anxiety levels, nausea, bowel function, drainage volume, and complications within 30 days. These assessments occur at various times up to about eight days after surgery and 30 days post-operation. The study uses detailed statistical analysis methods to evaluate the effects of walking out from the operating room on postoperative recovery.
CONDITIONS
Patients Undergoing Laparoscopic Colorectal Surgery Walk Out From Operating Room After Surgery ( WOFOR-C1 )
You may qualify if you...
You will not qualify if you...
Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Day of surgery
Participants undergo laparoscopic colorectal surgery followed by evaluation for early mobilization based on stable physiological parameters, consciousness, orientation, muscle strength, and painlessness.
1 visit (in-person)
Duration - Up to 8 days after surgery
Participants receive guidance for drink and diet recovery, mobilization in the ward with daily recording of walking duration and distance, nutrition supplementation, and criteria for drainage removal and hospital discharge.
Daily visits during hospital stay
Duration - 30 days after surgery
Participants are monitored for surgical complications and cardiovascular events, and re-admission within 30 days after surgery.
Follow-up visits or contacts as needed within 30 days
Total: 1 location
1
the Sixth Affiliated Hospital, Sun Yat-sen University
Guangzhou, Guangdong, China, 510655
Actively Recruiting
S
SanQing Jin, MD
Y
Yang Zhao, MD
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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