|
Back to 2017 Posters
TRACKING PHYSICAL ACTIVITY IN THE PRE-SURGERY AND POST-DISCHARGE PHASES OF MAJOR ABDOMINAL SURGERY
Adan Z. Becerra*1, Christian P. Probst2, Christopher T. Aquina2, Zhaomin Xu2, Kristin Kelly2, Carla F. Justiniano2, Courtney I. Boodry2, Alex Swanger2, Katia Noyes2, Larissa Temple2, John R. Monson2, Fergal Fleming2
1Public Health Sciences, University of Rochester Medical Center, Rochester, NY; 2Surgery, University of Rochester Medical Center, Rochester, NY
Background:
Ambulation is a major component of patient rehabilitation after major abdominal surgery. Patients are often advised that they should expect to gradually increase their level of activity on a daily basis, reaching near-baseline in the first few weeks. There is, however, a paucity of objective data regarding the recovery of patient activity levels to baseline during the immediate post-discharge period. The purpose of this study was to evaluate the ability to assess the physical activity levels of colorectal surgical patients as they naturally progress through the pre-surgery and post-discharge phases of care.
Methods:
A feasibility pilot study was conducted by enrolling eligible patients referred to the Colorectal Surgery clinic at a single institution. The NikeFuel Band (NFB) was used to monitor phases of patient care: pre-surgery, inpatient, and post-discharge. The NFB is painless, worn like a wrist watch, and records each patient’s number of daily steps and calories expended by the patient. Bivariate analyses as appropriate to the data were used to compare these endpoints in the preoperative and post-discharge phase.
Results:
Initially, 49 eligible patients were recruited for the study. Patients were excluded for several reasons leaving 22/49 (45%) patients that had analyzable data for steps and calories retrieved by the NFB. The average age of the sample was 62 years and 45% of the sample was females. The average daily calories expended for the pre-surgery phase was 522 and the average daily calories expended for the post-discharge phase was 301. The average daily steps taken during the pre-surgery phase was 4528 and the average daily steps taken for the post-discharge phase was 1258. The average follow-up time in the post-discharge phase was 9 days. Most patients did not return to their pre-operative functional status after being discharged from the hospital (Figure 1). Each line represents a patient. The two data points for each patient represents the average daily caloric expenditure in the pre-surgery and post-discharge phase.
Conclusions:
We have demonstrated that it is feasible to conduct a study that tracks physical activity levels for patients undergoing major abdominal surgery. Physical activity measured by number of daily steps and amount of daily calories expended decreased in the post-discharge phase. Future studies necessitate further characterization of physical activity levels in surgical patients in an effort to inform patient-centered care.
Back to 2017 Posters
|
