- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03662932
Early Mobilization Following Emergency Abdominal Surgery
Early Intensive Mobilization Following Acute High-risk Abdominal Surgery - a Feasibility Study
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Hvidovre, Denmark
- Hvidovre University Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
• Patients (18 years and older) undergoing emergency laparotomy or laparoscopy (inclusive reoperations after elective surgery).
Exclusion Criteria:
- Patients undergoing minor emergency operations (uncomplicated appendectomy, laparoscopic cholecystectomy, diagnostic laparoscopy or laparotomy without intervention).
- Patients not able to give consent to participation in the study within 48 hours after surgery.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Early intensive mobilization
Progressed mobilization from postoperative day 0.
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Early mobilization: mobilization with the hospital staff begins already on the day of surgery, and includes mobilization in and out of bed, rise up from a chair, standing and walking. Intensive mobilization: mobilization more than 4 times a day in the first postoperative week. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mobilization within 24 hours after surgery assessed by CAS
Time Frame: Up to 24 hours after surgery
|
Percentage of participants that is mobilized within 24 hours after surgery assessed by the Cumulated Ambulation Score (CAS). Pre-defined criteria of feasibility; >=80% feasible, 60-79% potentially feasible, and <60% considered not feasible. |
Up to 24 hours after surgery
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Time out of bed (minutes per day) assessed by a accelerometer
Time Frame: Up to 7 days after surgery
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Percentage of participants able to meet the predefined daily targets of time out of bed (minutes per day) assessed by a accelerometer recording time spent in lying, sitting and standing/walking. Pre-defined criteria of feasibility; >=80% feasible, 60-79% potentially feasible, and <60% considered not feasible. |
Up to 7 days after surgery
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Mobilization 4 times a day registered in a journal
Time Frame: Up to 7 days after surgery
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Percentage of participants mobilized 4 times a day registered by the hospital staff in a journal. Pre-defined criteria of feasibility; >=80% feasible, 60-79% potentially feasible, and <60% considered not feasible. |
Up to 7 days after surgery
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Able to complete the outcome measures: NRS, VAFS, CST, Peakflow and EQ-5D-5L
Time Frame: Up to 7 days after surgery
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Percentage of participants able to complete the selected outcome measures: Numeric Rating scale (NRS), Visual Analog Fatigue Scale (VAFS), 30-second Chair Stand Test (CST), Peakflow meter and health-related quality of life EQ-5D-5L. Pre-defined criteria of feasibility; >=80% feasible, 60-79% potentially feasible, and <60% considered not feasible. |
Up to 7 days after surgery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Postoperative Pulmonary complication
Time Frame: Up to 2 weeks after surgery
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The occurrence of postoperative pulmonary complication defined as Clavien-Dindo classification higher than grade 1
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Up to 2 weeks after surgery
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Cumulated Ambulation Score (CAS, 0-6 points)
Time Frame: Up to 7 days after surgery
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Evaluation of independence in basic mobility (in and out of bed, rise from a chair and walking).
Scale range is 0-6 points: 0 points indicate that the participant can't be mobilized and 6 points indicate that the participant is mobilizied independently.
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Up to 7 days after surgery
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Functional independence in Activity of Daily Living assessed by Barthel Index (BI, 0-100 points)
Time Frame: Up to 7 days after surgery
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Measure functional independence in Activity of Daily Living (ADL) in relation to transfer, mobility, stairs, dressing, feeding, grooming, bathing, toilet use and bowels and bladder function.
Scale range is 0-100 points and lower scores indicates increased disability.
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Up to 7 days after surgery
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30-second Chair Stand Test (CST)
Time Frame: Up to 7 days after surgery
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Test for lower body leg strength and endurance assessed by the 30-second Chair Stand Test (CST).
Record the number of times the patient stands in 30 sec.
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Up to 7 days after surgery
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24-hour physical activity (minutes per day)
Time Frame: Up to 7 days after surgery
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Accelerometer recording time spent in lying, sitting and standing/walking.
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Up to 7 days after surgery
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Pulmonary function assessed by Peak flow meter
Time Frame: Up to 7 days after surgery
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Measure of a participants maksimum speed of exspiration assessed by a peak flow meter
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Up to 7 days after surgery
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Visual Analog Fatigue Scale (VAFS, 0-10 points)
Time Frame: Up to 7 days after surgery
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Intensity of fatigue after surgery.
Scale range is 0-10 points and higher scores indicate higher degree of fatigue.
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Up to 7 days after surgery
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Pain assessed by Numeric Rating scale (NRS, 0-10 points)
Time Frame: Up to 7 days after surgery
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Self-reported measure of pain intensity.
Scale range is 0-10 points and higher scores indicate higher degree of pain.
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Up to 7 days after surgery
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Health-related quality of life assessed by EQ-5D-5L (0-100 points)
Time Frame: Up to 7 days after surgery
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Standardized instrument developed by the EuroQol Group as a measure of self-reported health-related quality of life.
Scale range is 0-100 points: 0 points indicating the worst health the participant can imagine.
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Up to 7 days after surgery
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Barriers to mobilization
Time Frame: Up to 7 days after surgery
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Self-reported barriers to mobilization during hospitalization.
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Up to 7 days after surgery
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Pre-hospital functional level assessed by New Mobility Score (NMS, 0-9 points)
Time Frame: Baseline
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Measure of pre-hospital walking functional level.
Scale range is 0-9 points: higher scores indicating independent level of walking ability.
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Baseline
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Morten T Kristensen, PhD, Hvidovre University Hospital
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- HH-AHA-FYS-02
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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