About this trial
Emergency laparotomy is associated with high postoperative morbidity and mortality. This risk is particularly high among elderly patients, who often present with reduced physiological reserve, frailty, and multimorbidity.
The aim of this study is to evaluate the effect of a structured postoperative physiotherapy program in patients aged 65 years and older undergoing emergency laparotomy. The study will assess its impact on functional recovery and clinical outcomes.
Eligibility criteria
Qualifiers
Patients aged ≥ 65 years
Undergoing emergency laparotomy with or without stoma creation (adhesiolysis, right hemicolectomy, total colectomy, Hartmann's procedure, cholecystectomy, abscess drainage).
Disqualifiers
Patients with Dementia (Abbreviated Mental Test Score < 6)
Pre-existing severe disabilities affecting mobility
Patients with contraindications to physiotherapy (e.g., severe cardiopulmonary instability)
Patients transferred postoperatively from other hospitals
Trial design
Treatments tested in this trial
- Experimental (Structured postoperative physiotherapy)
- Standard postoperative care