Rehabilitation for Thoracoscopic Lobectomy

Study Overview
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Brief Summary
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The main aim of this research is to compare the functional recovery after discharge with the preoperative physical activity as a hypothesis generating study.

Official Title
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Postoperative Functional Recovery After Fast-track VATS Lobectomy

Conditions
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Lung Neoplasms, Rehabilitation, Exercise, Pain, Postoperative, Post Discharge

Intervention / Treatment
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* Device: Actiwatch 2 (Philips Respironics, Murrysville, USA)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: VATS-L Speaks and understands Danish or English. Informed consent obtained Exclusion Criteria: Co-VATS-L. on the wheelchair. Living in nurse home. Using rollator to assist to walk. Unwilling to place the Actiwatch 2 or execute PPE.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Pilot group<br>As a pilot Group for observating variable rehabilitation under individual baselines. | Device: Actiwatch 2 (Philips Respironics, Murrysville, USA)<br>* Actiwatch 2 is an unobtrusive, waterproof, light sensor and wrist-worn device (weight 16.0g, size 4.3 cm* 2.3 cm* 1.0 cm), containing a tri-axial accelerometer able to records a digitally integrated measure of gross motor activity (a piezoelectric sensor to detect vertical accelerations at the wrist between 0.5 and 2.0 g with a frequency response range between 0.35-7.5 Hz). Activity counts from the device reflect the peak acceleration detected over each epoch and are used in determining sleep and wake intervals, which can be used to rest-activity patterns, quality of physical activity and sleep for 15-60 seconds/ epoch, 24 hours/ day, 2 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Length of functional rehabilitation | Investigators will calculate preperative Activity Counts per day as a baseline then being compared to postoperative Activity Counts per day until one day when both Counts is equal. Length of functional rehabilitation defines that duration from surgical day to the day when both Counts is equal. | Through study completion, minimum 7 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of recovery | The translation of the Danish version of the postoperative quality of recovery scale QoR-15D is used to evaluate the quality of care. | Through study completion, an average of 14 days | 
| The quantization of fatigue | The Christensen Fatigue Scale (ChrFS) will be utilized to evaluate the degree of fatigue. | Through study completion, an average of 14 days | 
| The quantization of pain | The numeric rating scale (NRS) ranging from 0 (no pain) to 10 (excruciating pain) is used to score postoperative pain. | Through study completion, an average of 14 days | 
| The quantization of vomiting. | The numeric rating scale (NRS) ranging from 0 (nothing) to 10 (worest) is used to score postoperative vomiting. | Through study completion, an average of 14 days | 
| The quantization of nausea. | The numeric rating scale (NRS) ranging from 0 (nothing) to 10 (worest) is used to score postoperative nausea. | Through study completion, an average of 14 days | 
| The quantization of Activity Counts | Investigators will use Electric Devices to record Activity Counts per day. Activity counts will be classified as sedentary behavior (SB) < 1303 counts/min (cpm), low intensity physical activity (LIPA) 1303 cpm - < 2588 cpm, and moderate to vigorous physical activity (MVPA) ≧2588 cpm. | Through study completion, an average of 14 days | 
| Length of sleep time | Investigators will use devices to record the specific sleep time for patients. | Through study completion, an average of 14 days | 
| The quantization of morbidity | The Clavien-Dindo Classification (CDC) is applied as a standard to grade the morbidity in 30 days after surgery. | up to 30 days | 
| The quantization of mortality | Investigators will investigate whether patients will experience unexpected death in 30 days after surgery | up to 30 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Functional recovery, Enhanced recovery after surgery, Video-assisted thoracoscopic surgery, Lobectomy