Physical function performance and recovery of patients undergoing abdominal surgery in relation to post-operative complications–A prospective real world study

Abstract

Title:Physical function performance and recovery of patients undergoing abdominal surgery in relation to post-operative complications–A prospective real world study.

Objective: Evaluate the physical function performance differences between those who develop complications and those who do not and determine their impact on recovery.

Background: Complications are associated with costs in terms of morbidity, finance, psychological and impact on recovery. General physical function has not been studied in relation to the development of surgical complications in this cohort.

Methods: Forty-nine participants were recruited via the pre-operative assessment unit in the University Hospital Limerick. Demographics, physical function, lung function, surgical parameters and recovery data was collected.

Results: Complication rate was 41.9%(n=18). Obesity(P=0.005*), longer operating time (P=0.05*), >2 co-morbidities (P = 0.033*), low activity levels (P=0.020*), low VO2Peak (P=0.017*) and lower 6-minute walk distance(P=0.019*)were statistically different between groups. Complications increased length of stay(P<0.001*)and increased sedentary time(P=0.007*). Activity levels reduced in the whole group (P<0.001*). Almost 100% physical recovery was reoprted at 60 days without complications and 75% with.

Conclusion: Significant, potentially modifiable differences were clear between groups. The significant reduction in physical activity for all may lead to future medical diseases and complications if not addressed.