Clinical trial NCT04934657: Association of Perioperative Daily Steps and Postoperative Recovery Among Surgical Patients
Official title: The Second Affiliated Hospital of Zhejiang University, School of Medicine
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Postoperative Recovery
Keywords: daily step, recovery, length of hospital stay
Lead sponsor: Second Affiliated Hospital, School of Medicine, Zhejiang University
Sponsor class: OTHER
First posted: 2021-06-22
Enrollment: 487
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: the participants are adult patients scheduled to undergo elective surgery including thoracic surgery ,abdominal surgery, primary hip replacement and radical mastectomy.They will be asked to wear smart band to record their daily steps when they do the preoperative evaluation.

Brief summary: Walking is the most common, simple and convenient way of exercise with the lowest cost. Studies have shown that daily steps are related to important health outcomes such as cardiovascular events and all-cause mortality. Catrine et al. believe that daily steps can be used as a basic index to evaluate physical fitness. Many observational studies have found that postoperative daily steps collected by wearable devices or smart phones are related to length of hospital stay or even postoperative depression, which is suggested that the average daily steps may be an important index to predict the prognosis of patients.

So the investigators aim to explore the association between peri-operative average daily steps and postoperative recovery of patients scheduled for elective surgery.

Detailed description: Patients scheduled to undergoing elective surgery including thoracic surgery ,abdominal surgery, primary hip replacement and radical mastectomy will be recruited.The exclusion criteria are as follows: With preoperative unconsciousness; Day surgery (planned length of stay \< 1 day); Wheelchair, walking aid or crutch were used before operation; Unable to walk due to physical limitations; The collection time of preoperative steps was less than 1 week; The patient refused to participate.

After recruitment and screening , the investigators will ask the participants to wear a smart band to record data of their daily steps , in addition the investigators will collect the peri-operative data of these participants which includes their rehabilitations and clinical outcomes.

Eligibility criteria: Inclusion Criteria:

Patients scheduled to undergo elective surgery including thoracic surgery abdominal surgery, primary hip replacement and radical mastectomy ; Age≥18 ASA Ⅰ～Ⅲ Able to wear smart band

Exclusion Criteria:

With preoperative unconsciousness Day surgery (planned LOS \< 1 day) Wheelchair, walking aid or crutch were used before operation Unable to walk due to physical limitations The collection time of preoperative steps was less than 1 week The patient refused to participate

Primary outcomes:
measure: the length of hospital stay
timeFrame: within 7 days after operation or before discharge, whichever came first
Secondary outcomes:
Other outcomes:
Locations:
city: Hangzhou
country: China
facility: The Second Affiliated Hospital of Zhejiang University anesthesiology department
state: Zhejiang
Study officials:
affiliation: Second Affiliated Hospital, School of Medicine, Zhejiang University
name: Min Yan, MD
role: STUDY_CHAIR
References: