Last updated on October 2018

Fast-Track Rehabilitation

Brief description of study

This study is a prospective observational study which aim to evaluate the feasibility of a total and systematic home respiratory rehabilitation training program in patients who will undergo thoracic surgery, and otherwise tend to define failure reasons.

Detailed Study Description

The aim of this clinical trial is to identify the determining factors which impact a preoperative home respiratory rehabilitation training program success. This success is determined by complete achievement of the program (100%) by the patient.

This rehabilitation program is composed by 4 items:

  • Adapted physical activity : 3 averaging cyclo ergometer or physical activity seances per week (25%)
  • Physiotherapy sessions : 8 seances with a physical therapist (25%)
  • Smokers : Set up of a program to help give up smoking if active smoker (25%)
  • Dietetics : If unintentionally weight loss (>5% total weight in 1 month or >10% in 6 months) or BMI<21 , nutritional assessment is conducted and dietetic program is initiated(25%)

Secondary objectives are :

  • Assessment of postoperative event onset (30 days) (atelectasis, fibro-aspiration, time spent in resuscitation unit, intubation, revision surgery).
  • Link assessment of 100% program success and at least one complication onset.
  • Cost assessment of preoperative rehabilitation program
  • Evaluation of mean hospitalisation duration post surgery (30 days)
  • Average cost assessment of hospitalisation stay per patient.

This study will include 50 patients over 18 years old, addressed to the home heath care provider AGIR Dom, for rehabilitation before pulmonary parenchyma exeresis.

Patients must perform at least 2 items of rehabilitation program previously described.

This program is an initiative of a pulmonologist or a thoracic surgeon, who include the patient when the date of surgery is scheduled.

Clinical Study Identifier: NCT03530059

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Maison Medicale Des Cedres

Echirolles, France
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Cabinet de Chirurgie Cardio Vasculaire

Saint-Martin-d'Hères, France
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