Surgery Clinical Trial
Official title:
Preoperative Use of Wrist-worn Accelerometers to Measure Physical Activity in High-risk Elderly Patients
The investigators aim to determine whether a wrist-worn accelerometer device is able to
objectively measure physical activity, and whether it is an acceptable process for high-risk
elderly patients prior to planned surgery. Accelerometers measure physical activity in
'counts' of activity, enabling them to record the total amount of activity in a given time
period (e.g. number of steps per day), and also the time spent in various levels of intensity
of activity. The investigators will ask study participants to wear an accelerometer around
their wrist (like a wristwatch) for up to 14 days prior to their surgery. Participants will
receive the same care as non-participants. Part of this routine medical care includes a
preoperative review by a multidisciplinary team including specific personalised advice to
optimise physical activity before surgery. The investigators will measure the impact that
this existing intervention has on physical activity levels. Being more physically active is
good for our health, and may be associated with a better recovery from surgery. In the future
there may be methods of improving physical activity in the period of time before patients'
surgery, which may improve their recovery from surgery.
In order to study this further, the investigators first need a robust and objective way of
measuring physical activity. In current practice patients are asked to estimate how
physically active they are on a day-to-day basis. This relies on how well they remember, and
how good they are at getting it right and may not be accurate. The wrist-worn accelerometer
is an objective method of measuring physical activity in patients, which not only offers
greater understanding of the physical activity levels of elderly patients before a variety of
operations, but also offers the opportunity to measure the impact of existing and potential
future interventions to modify physical activity in the preoperative period.
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