The goal of this clinical trial is to evaluate whether a prehabilitation program using wearable technology can improve physical function and postoperative outcomes in elderly patients (65 years or older) undergoing major elective non-cardiac surgery. The main questions it aims to answer are:
Does the prehabilitation program improve physical function, as measured by the 6-minute walk test (6MWT), from baseline to pre-surgery? Does the prehabilitation program reduce postoperative complications and enhance recovery? Researchers will compare participants who receive the prehabilitation program with wearable technology (intervention group) to those receiving standard preoperative care (control group) to see if the intervention results in greater improvements in physical function and postoperative outcomes.
Participants will:
Follow a personalized exercise program monitored remotely via telemedicine. Wear a Fitbit Aspire 3 device to track vital signs such as heart rate and physical activity.
Undergo assessments of physical function and quality of life before surgery.
Frail elderly patients aged 65 years or older.
Scheduled to undergo major elective, non-cardiac surgery.
Anticipated surgery duration of over two hours or expected blood loss greater than 500 mL.
Frailty status with Edmonton Frail Scale (EFS) score of 6 or higher.
Severe comorbidities that interfere with participation in the exercise program (e.g., unstable angina, severe aortic stenosis, or uncontrolled arrhythmias).
Cognitive impairments that prevent understanding or adherence to the intervention.