- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05630443
Effects of Prone Position After Major Abdominal Surgery (EPOS)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Evaluation of postoperative prone position after major abdominal surgery. A randomized clinical trial of 100+100 patients and further add a voice/speech/singing protocol.
The patients will be randomized to the standard ERAS-protocol, enhanced recovery after surgery with or without adding periods of prone position after surgery.
They will be followed by protocol both as a momentum effect (experimental study) on POD 2-5 and also POD 7.
The aim is evaluation of prone position in order to improve the ventilation and hopefully diminish the risk of for example pneumonia and thromboembolism.
Inclusion criteria Patients referred to the Department of Surgery for major abdominal surgery of the esophagus, gastric- or pancreas surgery aim to cure.
Exclusion criteria Patients unable to understand Swedish in writing or speaking, preoperatively unable to perform a prone position.
The participation is voluntary and demands an inform consent from the patient operated upon.
The primary outcome is oxygen saturation and lung complications after surgery.
The secondary outcome is measurement of lung volumes, patient experience (7th graded Lickert scale), days of hospital care, 30 days complications etc.
Further investigations are perioperative properties as BMI, other forms of surgery, etc., and continues measurement of blood pressure, respiration frequency, heartrate, tubes and drainages, postoperative analgesic, blood samples with signs of bleeding, inflammation, infection.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Cecilia Engstrom Mattisson, MD PhD
- Phone Number: +46704970393
- Email: cecilia.engstrom.@surgery.gu.se
Study Contact Backup
- Name: Cecilia Engstrom Mattisson, MD PhD
- Email: cecilia.engstrom.mattisson@vgregion.se
Study Locations
-
-
-
Göteborg, Sweden
- Recruiting
- Dept of Surgery
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Patients eligable for abdominal surgery aim to cure with:
Inclusion Criteria:
- malignancy of the esophagus, gastric- or pancreas
Exclusion Criteria:
-.not able to understand Swedish in writing or speaking
- preoperatively unable to perform a prone position
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: ERAS
Ordinary ERAS treatment postoperatively without any prone position or voicetraining
|
|
Active Comparator: +prone position
Ordinary ERAS treatment adding the prone position and voicetraining in short intervals
|
Ordinary ERAS treatment postoperatvely adding the prone position and voicetraining
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Oxygen saturation measurement postoperatively
Time Frame: an average of (POD) Postoperative day 2-7
|
Measurement during sitting position
|
an average of (POD) Postoperative day 2-7
|
Number of participants with treatment-related adverse events of postoperative lung and abdominal complications incl a CT scan for objective measurement
Time Frame: through study completion, an average of 1 year
|
Adverse events like pneumonia, lungembolism, lungempyema, interventions pankreatitis
|
through study completion, an average of 1 year
|
Number of participants with treatment-related adverse events of postoperative lung and abdominal complications
Time Frame: through study completion, an average of 1 year
|
Pneumonia, Lung embolism, Empyema of the lung, pankreatitis
|
through study completion, an average of 1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participants with treatment-related diminished lung volumes
Time Frame: through study completion, an average of 1 year
|
Spirometric measurements of diminished lung volumes
|
through study completion, an average of 1 year
|
Number of days of Hospital care
Time Frame: through study completion, an average of 1 year
|
Days of inhouse treatment
|
through study completion, an average of 1 year
|
Number of participants needing intervention
Time Frame: through study completion, an average of 1 year
|
Treament intervention like antibiotics or other medical or interventional treatment
|
through study completion, an average of 1 year
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Cecilia Engstrom Mattisson, MD PhD, Dept of Surgery, Sahlgrenska University Hospital, Gothenburg University, Sweden
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2021-06877-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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.
Clinical Trials on Surgery
-
3MRecruitingAbdominal Surgery | Orthopedic Surgery | Vascular Surgery | Cardiovascular SurgeryUnited States
-
Vanderbilt UniversityCompletedHand Surgery | Wrist Surgery | Forearm Surgery | Elbow SurgeryUnited States
-
Nantes University HospitalCompletedGynecological Surgery | Plastic Surgery | ENT SurgeryFrance
-
Edwards LifesciencesCompletedAbdominal Surgery | Pelvic Surgery | Non-Cardiac/ Non-Thoracic Surgery | Major Peripheral Vascular SurgeryUnited States
-
Maquet Cardiopulmonary GmbHNAMSARecruitingCardiac Surgery | Cardiopulmonary Bypass | Thoracic Surgery | Vascular SurgerySpain
-
Baylor Research InstituteChiesi USA, Inc.RecruitingSurgery | Cardiac Surgery | Surgery--Complications | Percutaneous Coronary InterventionUnited States
-
Vanderbilt UniversityEdwards LifesciencesCompletedCardiac Surgery | Thoracic Surgery | Heart Surgery | Heart Transplant
-
Cairo UniversityBatterjee Medical College; Taif UniversityCompletedSurgery | Bariatric SurgeryEgypt, Saudi Arabia
-
Surgify Medical OyCompletedSurgery | Spine SurgeryFinland
-
Poudre Valley Health SystemTerminatedSurgery | Surgery--ComplicationsUnited States
Clinical Trials on prone position
-
Hospices Civils de LyonCompleted
-
Centre Hospitalier Universitaire, AmiensRecruitingARDS | Mechanical Ventilation | Prone Position | AirbagFrance
-
Fondazione Policlinico Universitario Agostino Gemelli...RecruitingAcute Respiratory Distress Syndrome | Prone PositionItaly
-
Luzerner KantonsspitalCompletedInfant, Premature, Diseases | Respiratory Syncytial Virus (RSV) | Infant, Newborn, Disease | Acute BronchiolitisSwitzerland
-
Dallas VA Medical CenterCompleted
-
Hospital St. Joseph, Marseille, FranceCompleted
-
Çanakkale Onsekiz Mart UniversityCompletedPosition | Comfort | Newborn, Infant, Disease | ResidualTurkey
-
University Hospital, ToursUNIVERSITY HOSPITAL, ORLEANSRecruitingAcute Respiratory Distress Syndrome | Pressure Ulcers Stage IIIFrance
-
Hôpital Louis MourierCompletedPressure Ulcer | Hypoxemic Respiratory Failure | COVID-19 Acute Respiratory Distress Syndrome | Respiratory Distress Syndrome, AcuteFrance
-
Hôpital Universitaire Fattouma BourguibaCompletedHypoxemic Respiratory FailureTunisia