NCT05375292

Evaluation of the Impact of Prehabilitation on Recovery Following Open Surgery for Abdominal Aortic Aneurysm

Efficacy of Pre-Operative Prehabilitation in Patients Undergoing Open Surgery for Abdominal Aortic Aneurysm

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 60 (estimated)
• Sponsor: University Hospital, Toulouse · Academic / Other
• Sex: All
• Age: 18 Years – 100 Years
• Healthy volunteers: Not accepted

Summary

This is a pilot, prospective, randomized control trial that aim to provide a first estimation of the 3-month post-operative variation in the functional recovery of patients who benefited from an outpatient pre-habilitation program and patients who did not benefit from it.

Detailed description

Open surgery of abdominal aortic aneurysms (AAA) is the reference treatment in a large number of cases. This is a heavy procedure performed in patients around 70 years of age. In post-operative open aortic surgery, a stay in aftercare and rehabilitation is often necessary, especially in fragile patients. The goal is to increase the patient's overall functional status to allow him to move away from the threshold below which he loses his independence for activities of daily living. The pre-habilitation protocol includes 3 parts : 1. Oral nutrition ensures adequate caloric and protein intake to support muscle anabolism 2. Muscle building over a few sessions with a liberal physiotherapist to learn exercises and then independently 3. Cardio-respiratory endurance. For the experimental group: Initial visit with adaptive rehabilitation physician, 6-8 weeks prior to surgery: * Clinical examination with Wood classification - limits and restrictions. * Assessment of environmental resources * Definition pre-habilitation protocol and post-operative rehabilitation pathway * application of the ambulatory pre-approval protocol defined with the adaptive rehabilitation physician. For the control group: Support without pre-approval with application of other common practices of the service. Follow up of both groups: Post-operative follow-up visits with the surgeon (gathering the necessary information for comparative follow-up). Mail-out of World Health Organisation Disability Assessment Schedule (WHODAS) 2.0, Euro Qol (EQ)-5D-5L and DIJON questionnaires at 3 and 6 months post-operative.

Conditions

• Abdominal Aortic Aneurysm

Interventions

Type	Name	Description
OTHER	PREHABILITATION	Customized program made by the physical therapist based on the first visit. It includes 3 parts : 1. Nutrition advices that ensures adequate caloric and protein intake to support muscle anabolism 2. Muscle building over a few sessions with a physiotherapist to learn exercises and then independently redo them 3. Cardio-respiratory endurance exercises.

Timeline

• Start date: 2022-12-06
• Primary completion: 2025-06-01
• Completion: 2025-06-01
• First posted: 2022-05-16
• Last updated: 2024-07-18

Locations

1 site across 1 country: France