Multimodal Prehabilitation in Thoracic Surgery

Launched by HOSPITAL CLINIC OF BARCELONA · Aug 8, 2019

Keywords

ClinConnect Summary

This trial aims to assess the cost-effectiveness of a multimodal prehabilitation program in high-risk patients undergoing lung resection surgery. Secondary objectives are to evaluate the impact of the intervention on: i) Healthcare resuorces use; ii) clinical outcomes; and, iii) patient's and professionals experience with the program.

The program includes X main interventions: i) A motivational interview; ii) A high-intensity exercise training program; iii) A plan for physical activity incentivation; iv) A nutritional optimization program; v) A psicologichal support program; and, vi) A smo...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Forced espiratory volume in the first second (FEV1) and/or estimated postoperative lung diffusion capacity for carbon monoxide \< 60%; and/or,
• • 2. American Society of Anesthesiologist (ASA) index 3-4; and/or,
• • 3. Peak oxygen uptake among 10-20 mL/kg/min.
• Exclusion Criteria:
• • 1. Non-elective surgery;
• • 2. Metastasic disease;
• • 3. Unestable cardiac or respiratory condition; 4) Cognitive or locomotor limitations precluding the adherence to the program.