This multicentric, randomised controlled trial is to the investigators knowledge the first implementation of a multimodal, multidisciplinary prehabilitation approach using knowledge from different specialties to lower complications and to increase cost effectiveness after major surgery in elderly, frail patients.
Written informed consent
comorbid (≥ASA 3)
pre-existing fitness deficit: AT<11ml/kg/min respectively VO2peak<14ml/kg/min if AT unavailable or VE/VCO2 slope > 33
scheduled for major urologic, thoracic, visceral, orthopaedic or cardiovascular surgery
Paralysis or patients with mobility problems (who are unable to exercise),
Premorbid conditions or orthopaedic impairments that contraindicate exercise,
Cognitive disabilities,
Chronic renal failure (need for dialysis)
Insel Gruppe AG, University Hospital Bern
Lead sponsor
University of Bern
Collaborator
Department of clinical research, Bern
Collaborator