Remote Telemonitoring to Improve Prehabilitation and Surgical Outcomes of Patients Undergoing Elective Abdominal Surgery

The Washington University

Status: Terminated

Conditions: Abdominal Surgery

Treatments: Other: Phone Call

Study type: Interventional

Funder types: Other

Identifiers

NCT03706963

201810002

Details and patient eligibility

About

There is data confirming that simple tests of physical capability, such as the timed "get-up-and-go" test and the 6-minute walk test, correlate with surgical outcomes. It is reasonable to assume that preoperative telemonitoring, which allows for the tracking of more variables over a wider range of activities, could provide a significantly more accurate picture of a patient's physical fitness than a short one-time test performed in the clinic setting.

Almost half of the patients who are readmitted at Washington University are readmitted for less than 4 days. The readmitted patients usually present with sepsis, are treated with antibiotics and percutaneous drainage, and are discharged home relatively quickly. Earlier identification of these patients, prior to the development of sepsis, would reduce the risks to the patient and allow for outpatient management.

Enrollment: 169 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Scheduled to undergo elective abdominal surgery
• At least 18 years of age
• Able to understand and willing to sign an IRB-approved informed consent document

Exclusion criteria

• Doesn't have access to smartphone

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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169 participants in 2 patient groups

Phone Call

Experimental group

Description:

* Patients will be provided with a Fitbit wristband \& assistance to set up on smart phone * Preoperative baseline data (activity, sleep, heartrate) will be collected for at least 14 days until the day prior to surgery * The group will receive a phone call 7 days into their preoperative period to identify barriers, provide available resources, \& encourage continuation of prehabilitation activities * The physician extender will talk with the patient to identify barriers to prehabilitation activities that the patient may have experienced during the first 7 days of activity tracking \& provide recommendations \& resources to overcome those barriers when possible. The physician extender will encourage the patient to continue prehabilitation activities until the day of operation to meet goals. Following surgery, we will analyze Fitbit data to determine if the intervention had an impact on the patient's prehabilitation activity with the non-intervened patient group used as a control

Treatment:

Other: Phone Call

No Phone Call

No Intervention group

Description:

* Eligible patients will be provided with a Fitbit wristband \& assistance to set up on smart phone * Preoperative baseline data (activity, sleep, heartrate) will be collected for at least 14 days until the day prior to surgery