Monitoring Breathing and Activity After Abdominal Surgery in Adults at High Risk for Lung Complications
Led by University of Colorado, Denver · Updated on 2025-04-30
30
Participants Needed
1
Research Sites
26 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are studying adults who are undergoing elective abdominal surgery and have a moderate to high risk of developing lung problems after surgery. The purpose is to understand how different breathing patterns and physical activities after surgery affect recovery and reduce complications like hypoventilation and other pulmonary issues. This observational study focuses on monitoring these factors to improve care for patients at risk of postoperative pulmonary complications.
Participants will have two types of monitoring devices placed on their chest and thigh shortly after surgery in the Post-Anesthesia Care Unit. The ExSpiron device records breathing patterns including breath volume and frequency, while the ActivPAL accelerometer tracks body position and movements like sitting and walking. These devices stay on for up to three days or until the patient can walk 30 meters independently or is discharged from the hospital, whichever happens first.
During the study, participants are observed continuously with these monitors to collect data on their breathing and physical activity levels. Researchers will analyze this information along with medications and clinical events to identify links between activity and breathing quality. The study measures outcomes such as hypoventilation during the first three postoperative days and other pulmonary complications through day seven. Participants activity and breathing data will help inform recommendations for improving postoperative recovery and reducing lung complications after abdominal surgery.
CONDITIONS
Brief Title
Postoperative Respiratory and Activity Monitoring
Research Team
E
Emily G. Helmer
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Must be high-risk for postoperative pulmonary complications (ARISCAT score 26 or higher)
You will not qualify if you...
Under 18 years old
Not undergoing abdominal surgery
Not high-risk for postoperative pulmonary complications (ARISCAT score less than 26)
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Implementation
Duration - Up to 3 days or until the participant is able to walk 30 meters without assistance or discharged from the hospital, whichever comes first.
Participants will have monitoring devices placed on their chest and thigh to record breathing patterns and physical activity after abdominal surgery.
Device placement in the Post-Anesthesia Care Unit and continuous monitoring during hospital stay
Long-term Monitoring
Duration - Up to 7 days after surgery
Participants will be observed for clinical complications and physical activity patterns through hospital discharge, including assessment of pulmonary complications and ambulation milestones.
Observational assessments during hospital stay
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
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Charles M Oliver, Samantha Warnakulasuriya, Dermot McGuckin...
Trends in open abdominal surgery in the United States-Observations from 9,950,759 discharges using the 2009-2013 National Inpatient Sample (NIS) datasets.
Martin J Carney, Jason M Weissler, Justin P Fox...