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NCT Number: NCT06679478

Evaluation of Early Mobilization Protocol in Patients Undergoing Gastrointestinal Surgery

In this study, the investigators aimed to evaluate the early mobilization protocol created in accordance with the accelerated recovery guide after surgery in patients undergoing gastrointestinal surgery.

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Key information

Conditions

Gastrointestinal Diseases Digestive System Diseases

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Derya Şayır Köksal

Kütahya, 43100, Turkey (Türkiye)

About this study

This study is an experimental study. The participants in the control group are applied to the mobilization applied in routine clinics. The participants in the intervention group are applied to the mobilization protocol created in accordance with the Enhanced Recovery After Surgery (ERAS) guidelines. It is planned to evaluate the postoperative mobilization process of both groups.

In this study, the researchers aimed to evaluate the early mobilization protocol created in accordance with the accelerated recovery guide after surgery in patients undergoing gastrointestinal surgery.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Being 18 years of age or older
  • Agreeing to participate in the study
  • Being able to understand, speak Turkish or have no obstacle to communication
  • Having undergone open gastrointestinal surgery
  • Having an American Society of Anesthesiologists (ASA) score <IV
  • Being fully independent according to the Modified Barthel Index during the pre-operative period
  • Staying in the hospital for at least 48 hours after the surgery
  • Having a phone
  • Agreeing to download the 'StepsApp Pedometer' application to their phone
  • Agreeing to carry the phone with them during the post-operative mobilization processes

Exclusion criteria

  • Being taken into emergency surgery
  • Having had major gastrointestinal surgery before
  • Having a diagnosis that may restrict mobilization (neurological, cardiovascular, respiratory and musculoskeletal comorbidities)
  • High risk of falling in the preoperative period
  • Using medication that may affect mobilization
  • Having a diagnosis of any psychiatric disease
  • Having a Nutritional Risk Score score of ≥3
  • Being in contact isolation
  • Being morbidly obese
  • Being in intensive care for more than 24 hours during the postoperative period
  • Having an intubation period of more than 24 hours during the postoperative period
  • Developing a complication that may prevent mobilization after surgery
  • Withdrawing from participating in the study,

Treatment and study plan

Enhanced Recovery After Surgery (ERAS) Early Mobilization Protocol

Procedure

The intervention is applied from the first day after surgery until discharge. (including the day of discharge).

Other names: Early Mobilization Protocol

Primary outcomes

  1. The effect of the ERAS (Enhanced Recovery After Surgery) early mobilization protocol on the number of steps taken daily after surgery

    Time frame: From admission to discharge, up to 1 week

    The number of steps taken by the participant daily after surgery will be measured via a phone pedometer application (StepsApp).

  2. The effect of the ERAS (Enhanced Recovery After Surgery) early mobilization protocol on the distance moved after surgery

    Time frame: From admission to discharge, up to 1 week

    The daily distance moved by the participant after surgery will be measured via a phone pedometer application (StepsApp).

  3. The effect of the ERAS early mobilization protocol on the recovery of the gastrointestinal system after surgery

    Time frame: From admission to discharge, up to 1 week

    The researcher will record the day the participant first passed gas after surgery and the date of his/her first defecation.

  4. The effect of the ERAS (Enhanced Recovery After Surgery) early mobilization protocol on the level of ability to perform daily living activities after surgery

    Time frame: (From admission to discharge, up to 1 week) and (When he comes for a check-up 1 week after discharge)

    The researcher makes the measurement with the Modified Barthel Index scale. Modified Barthel Index: The highest score is 100, the lowest score is 0. The patient is stated as fully dependent in the range of 0-20 points, highly dependent in the range of 21-61 points, moderately dependent in the range of 62-90 points, slightly dependent in the range of 91-99 points, and fully independent in the range of 100 points. Daily evaluations are made until discharge after surgery.

Sponsors and collaborators

Lead sponsor

Uludag University

Other

Registry information

Official study title

Evaluation of the Early Mobilization Protocol Established in Accordance With Enhanced Recovery After Surgery Guidelines in Patients Undergoing Gastrointestinal Surgery

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Nov 7, 2024
Registry last updated
Nov 13, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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