Development and effectiveness of a perioperative physical function management system for surgical patients

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K19375
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 59010:Rehabilitation science-related
• Research Institution: Nagoya University
• Principal Investigator: Tanaka Shinya 名古屋大学, 医学部附属病院, 理学療法士 (50866449)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 身体活動量 / 身体機能 / 周術期 / 胸腹部外科 / フレイル / サルコペニア / リハビリテーション / 運動療法

Outline of Final Research Achievements

Medical management methods to improve physical function in surgical patients have not yet been established. Therefore, the purpose of this study was (1) to investigate the relationship between preoperative physical function and postoperative clinical outcome in surgical patients, and (2) to examine in a pilot study whether the implementation of early postoperative physical activity monitoring is effective in improving physical function of surgical patients. As a result, we showed that preoperative impaired physical function was closely associated with worse clinical outcomes, and that postoperative physical activity monitoring may lead to improvement in physical function and functional status.

Free Research Field

リハビリテーション

Academic Significance and Societal Importance of the Research Achievements

本研究は，周術期患者の身体機能や身体活動量に焦点を当てて調査を行い，その実態や生命予後との関連を検討した．近年，周術期の管理項目として身体機能および身体活動量は注目を集めているにも関わらず，これらの医学的管理法は確立されておらず，日々の臨床に組み込まれていない．本研究は，胸腹部外科患者における身体機能と身体活動量の臨床的意義を改めて見出し，円滑な社会復帰や生命予後を改善させるための医学的管理法の確立に貢献することができたと思われる．