RT Journal Article
SR Electronic
T1 Can physical activity level to be associated with complications after abdominal surgery? A preliminary bicentric study
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P4328
VO 44
IS Suppl 58
A1 Fernando Wegner
A1 Daniel Souza
A1 Luciana Chiavegato
A1 Adriana Lunardi
YR 2014
UL http://erj.ersjournals.com/content/44/Suppl_58/P4328.abstract
AB Although guidelines on surgical risk consider performance status as a predictor of postoperative complications (PC), this assessment is based on patients' subjective reports or on expensive and not easily accessible tests such as the cardiopulmonary test. Objectives: to measure physical activity levels using accelerometry as a predictor of postoperative complications after abdominal surgery. Methods: This prospective study enrolled 76 candidates (61% female, 50.6±16.1yrs, 29.1±6.7Kg/m2, 24% cancer) for elective abdominal surgery from two university hospitals. The physical activity was assessed by Actigraph GTX3 on waist of patients during the 4 consecutive days on preoperative period. Pulmonary, cardiac, and thromboembolic complications were analysed postoperatively until discharge by a blinded researcher. Logistic regression was used to test the predictive power of the physical activity level for PC following abdominal surgery. Results: PC was developed in 10.5% (n=8) of the patients (6 pulmonary, 1 cardiac, 1 leg thromboembolism). Length of time in vigorous physical activity (>5725 moviments)1 in the preoperative period tends to be negatively related to PC (R2=0.40; p=0.06). There was no association of length of time in physical inactivity (<199 moviments)1 with PC (p>0.05). Conclusion: Our preliminary results show that vigorous physical activity may be protective for complications after elective abdominal surgery.1. FREEDSON PS, MELANSON E, SIRARD J. Calibration of the Computer Science and Applications, Inc. accelerometer. Med Sci Sports Exerc. 1998;30(5):777-81.