Assessing the Value of Prehabilitation in Patients Undergoing Colorectal Surgery According to the Enhanced Recovery After Surgery (ERAS) Pathway for the Improvement of Postoperative Outcomes: Protocol for a Randomized Controlled Trial

JMIR Research Protocols
Cornelia Merki-KünzliChristoph Tschuor

Abstract

A key element in the postoperative phase of the standardized Enhanced Recovery After Surgery (ERAS) treatment pathways is mobilization. Currently, there are no recommendations in the ERAS guidelines for preoperative physical activity. Patients undergoing major surgery are prone to functional decline due to the impairment of muscle, cardiorespiratory, and neurological function as a response to surgical stress. It has been shown that preoperative physical training reduces postoperative complications. To date, there are limited studies that investigate preoperative physical training combined with ERAS. The aim of this study is to assess the impact of tailored physical training prior to colorectal surgery conducted according to an ERAS protocol on overall morbidity. This study proposes the initial hypothesis that 3-6 weeks of prehabilitation before elective colorectal surgery may improve postoperative outcome and reduce complication rates, assessed using the Comprehensive Complication Index. The primary objective is to evaluate overall morbidity due to postoperative complications. Additionally, complications are assessed according to the Clavien-Dindo classification, length of stay, readmission rate, mortality rate, and treatment-r...Continue Reading

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Citations

Jun 22, 2018·World Journal of Surgery·Jonas JurtFabian Grass
Aug 29, 2018·American Journal of Physical Medicine & Rehabilitation·Emma R J BrunsBaukje van den Heuvel
Sep 2, 2019·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Ester MiralpeixJosep-Maria Solé-Sedeño
Dec 5, 2019·American Journal of Rhinology & Allergy·Yunbo GaoLuo Zhang
Aug 5, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Preet G S MakkerDaniel Steffens

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