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Completed

NCT Number: NCT06518369

Preoperative Prehabilitation Program For Geriatric Patients in a Rural Healthcare Setting

The study will include patients who require elective major abdominal surgery for cancerous or non-cancerous conditions. The goal of the research is to assess the benefit of a prehabilitation program before surgery that includes nutrition, exercise, smoking cessation, and optimization of chronic disease. A group of 10 patients will take part in a prehabilitation program. These patients will be compared to 20 patients who received standard of care.

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Key information

Conditions

Surgery Frailty Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

60 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Robert Packer Hospital

Sayre, Pennsylvania, 18840, United States

About this study

The study will include patients who require elective major abdominal surgery. The study will compare patients who received standard of care to patients who received a prehabilitation program before surgery.

The prehabilitation program will take place for 4-6 weeks before your surgery and will include:

  • Review of frailty risk analysis calculator score obtained in the frailty study (#2212-74)
  • Review of lab results including complete blood count, creatinine, albumin, and prealbumin
  • Review of chronic conditions
  • An office visit or telehealth visit to review instructions on nutrition, exercise, smoking cessation, and optimization of chronic disease.
  • Drinking Surgery Immunonutrition shake twice daily for 5 days before surgery.
  • Educational information and video instruction
  • Weekly phone calls to motivate, ensure adherence, and assess progress.
  • Measurements of hand grip strength and body weight

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Subjects over age 60 who require elective major abdominal surgery

Exclusion criteria

  • pregnant women

Treatment and study plan

Prehabilitation

Other

Prehabilitation program for 4-6 weeks before surgery will include:

  • Review of the frailty risk analysis calculator score obtained in the frailty study (#2212-74)
  • Review of lab results including complete blood count, creatinine, albumin, and prealbumin
  • Review of chronic conditions.
  • An office visit or telehealth visit to review instructions on instructions on nutrition, exercise, smoking cessation, and optimization of chronic disease.
  • Drinking surgery immunonutrition drinks twice daily for 5 days before surgery.
  • Educational information and video instruction
  • Weekly phone calls to motivate, ensure adherence, and assess progress.
  • Measurements of hand grip strength and body weight

Primary outcomes

  1. Postoperative hospital length of stay

    Time frame: From date of hospitalization until date of hospital discharge, up to 30 days

    Number of days in hospital from date of surgery to date of discharge

  2. Discharge disposition

    Time frame: From date of hospitalization until date of hospital discharge, up to 30 days

    Binary measure of either home or rehabilitation facility

Secondary outcomes

  1. Adverse outcomes after surgery

    Time frame: 30 days after surgery

    Assess adverse outcomes postoperatively

  2. Hospital readmission rates

    Time frame: 30 days after surgery

    Number of times patients are readmitted to the hospital within 30 day of surgery

Sponsors and collaborators

Lead sponsor

The Guthrie Clinic

Other

Registry information

Official study title

Analysis of a Preoperative Prehabilitation Program Among Rural Geriatric Patients Compared to Standard of Care

Important dates

Study start
2024
Primary completion
2024
Study completion
2025
First posted
Jul 24, 2024
Registry last updated
Jun 8, 2025

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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