- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT04729634
Survey Of Mobilisation and Breathing Exercises After Thoracic and Abdominal Surgery (SOMBATA)
Background
Thoracic or abdominal surgeries are followed by a shorter or longer period of immobilization and after major surgery there is a higher risk of developing cardiorespiratory complications. To prevent these complications, the patient is encouraged to change position and exercise in bed, get out of bed as early and as much as possible after the operation and to breathe with or without aids. There is no general definition of early mobilization and may start within a few hours to a few days after surgery. There is currently a lack of knowledge nationally and internationally about when the mobilization starts and what it contains.
Many patients also receive breathing training in connection with the surgery. There is currently no consensus on which method is preferable for which groups of patients. There are similarities and differences in practice in the world regarding postoperative breathing training. There are studies that have mapped practice after primarily thoracic surgery but also abdominal surgery. However, there are no studies that have mapped when the prescribed breathing training starts after different types of operations.
The purpose of the study is to map when mobilization and breathing training starts after abdominal and thoracic surgery and what is then performed
Method The study will be carried out as a quality follow-up with mapping of practice. Patients ≥ 18 years of age who are undergoing a planned or acute open, keyhole or robot-assisted surgery, who are extubated and who breathe spontaneously will be included. Exclusion criteria are completed plastic, trauma, orthopedic or transplant surgery.
The material will be recruited from Swedish university hospitals and county hospitals for 20 days of surgery (Monday through Thursday) for five consecutive weeks.
Clinical benefit The study will mean that clinical practice is presented which, with regard to mobilization, is the first study ever that will present when this takes place and what is done and, with regard to breathing training, the first that shows when this training is initiated.
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
-
-
Västra Götaland
-
Göteborg, Västra Götaland, Suecia, 41345
- Sahlgrenska University Hospital
-
-
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Niño
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- ≥ 18 years of age
- undergoing a planned or acute open, laparoscopic or robot-assisted surgeon in the thorax or abdomen
- who are extubated within 24 h of surgery
- breathe spontaneously within 24 h of surgery
Exclusion Criteria:
- reconstructive-, trauma-, transplantation- or orthopedic surgery.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Otro
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
---|---|
Otro: Mobilization and breathing training
Usual clinical care
|
Mobilization and breathing exercises according to clinical care
Otros nombres:
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
When mobilization starts after surgery
Periodo de tiempo: Within 24 hours after surgery
|
Time from termination of anaesthesia to when mobilization starts, ie when the patients are sitting with the legs over the edge of the bed
|
Within 24 hours after surgery
|
Mobilization- Content
Periodo de tiempo: Within 24 hours after surgery
|
Content of the mobilization performed i.e. which level of mobilization (sitting on the edge of the bed, standing by the bed, sitting in a chair and walking) which is reached.
|
Within 24 hours after surgery
|
Mobilization- Duration
Periodo de tiempo: Within 24 hours after surgery
|
Duration of the mobilization performed, minutes
|
Within 24 hours after surgery
|
When any intervention with breathing exercises starts after surgery
Periodo de tiempo: Within 24 hours after surgery
|
Time from termination of anesthesia to when the breathing exercise starts
|
Within 24 hours after surgery
|
Breathing exercise- Content
Periodo de tiempo: Within 24 hours after surgery
|
Type of breathing exercise, as deep breathing, positive expiratory pressure or incentive spirometry.
|
Within 24 hours after surgery
|
Breathing exercise- Intensity
Periodo de tiempo: Within 24 hours after surgery
|
Intensity of breathing exercise prescribed, sessions/time.
|
Within 24 hours after surgery
|
Colaboradores e Investigadores
Patrocinador
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- FoU i VGR: 275327
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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