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. 2023 Sep 28;13(9):e073612.
doi: 10.1136/bmjopen-2023-073612.

Peri-Operative Wearables in Elder Recover after Surgery (POWERS) study: a protocol for a multicentre, prospective cohort study to evaluate perioperative activity with postoperative disability in older adults after non-cardiac surgery

Karim S Ladha  1   2 , Justin Lu  3 , Daniel I McIsaac  4 , Janet M van Vlymen  5 , Gerald Lebovic  6 , Sahar Ehtesham  6 , Janneth Pazmino-Canizares  7 , Hance Clarke  2   8   9 , Matteo Parotto  2   9 , Gianni R Lorello  2   9 , Duminda Nalaka Wijeysundera  2 ; POWERS Investigators
Collaborators, Affiliations

Peri-Operative Wearables in Elder Recover after Surgery (POWERS) study: a protocol for a multicentre, prospective cohort study to evaluate perioperative activity with postoperative disability in older adults after non-cardiac surgery

Karim S Ladha et al. BMJ Open. .

Abstract

Introduction: The ageing population has led to an increasing proportion of surgical patients with greater frailty and comorbidity. Complications and mortality within 30 days of a surgical procedure are often used to evaluate success in the perioperative period however these measures can potentially underestimate a substantial level of morbidity associated with surgery. Personal wearable technologies are now readily available and can offer detailed information on activity intensity, sedentary behaviour and sleeping patterns. These devices may provide important information perioperatively by acting as a non-invasive, and cost-efficient means to risk stratify patients.

Methods and analysis: The Peri-Operative Wearables in Elder Recover After Surgery (POWERS) study is a multicentre observational study of 200 older adults (≥65 years) having major elective non-cardiac surgery. The objectives are to characterise the association between preoperative and postoperative activity monitor measurements with postoperative disability and recovery, as well as characterise trajectories of activity and sleep in the perioperative period. Activity will be monitored with the ActiGraph GT3X device and measured for 7-day increments, preoperatively, and at 1 week, 1 month and 3 months postoperatively. Disability will be assessed using the WHO Disability Assessment Schedule 2.0 assessed at 1 week, 1 month and 3 months postoperatively.

Ethics and dissemination: The POWERS study received research ethics board approval at all participating sites on 1 August 2019 (REB # 19-121 (CTO 1849)). Renewal was granted on 19 May 2022.

Keywords: geriatric medicine; qualitative research; surgery.

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Conflict of interest statement

Competing interests: All investigators do not have any associations with commercial entities that provided support for the work reported in this manuscript or that could be viewed as having an interest in the general area of the submitted manuscript or have any similar financial associations involving family.

Figures

Figure 1
Figure 1
Overall design of the Functional Improvement Trajectories After Surgery cohort study.
Figure 2
Figure 2
Definition of inclusion and exclusion criteria.
See this image and copyright information in PMC

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