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HypoventilationNCT06239831

Postoperative Respiratory and Activity Monitoring

An observational study of Hypoventilation and Hypoxemia, run by University of Colorado, Denver at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study plans to learn more about specific breathing and activity recommendations for patients after surgery. Participants will be monitored after abdominal surgery to identify what activities help them breathe better and reduce complications after surgery. Read more about this study

Who is it for?
Ages 18 to 90 years
What is being tested?
ExSpiron and ActivPAL Monitors
Type of treatment
Medical device
How many people
30 participants
Where
1 siteUnited States
Study dates
22 Dec 2022to 22 Jun 2026
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients over the age of 18 undergoing abdominal surgery at the University of Colorado Health Hospital (UCHealth) that it high-risk for postoperative pulmonary complications (PPCs).

Who may be able to join

  • Must be 18 or older
  • Must be undergoing abdominal surgery
  • Must be high-risk for PPCs (ARISCAT score equal to or greater than 26)

Who cannot join

  • Anyone under 18
  • Anyone not undergoing abdominal surgery
  • Anyone that is not high-risk for PPCs (ARISCAT score less than 26)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site, 1 recruiting
  • UC Health

    Aurora, Colorado, 80045

    Emily G. Helmer, 303-724-2938, emily.helmer@cuanschutz.edu

    Ana Fernandez-Bustamante, MD, PhD

    Recruiting

Other trials in United States

About this study

This study plans to learn more about specific breathing and activity recommendations for patients after surgery. Participants will be monitored after abdominal surgery to identify what activities help them breathe better and reduce complications after surgery.

Read the detailed description

Investigators will study adults undergoing elective abdominal surgery with at least moderate risk for postoperative pulmonary complications.

Participants will be monitored on their chest and thigh with devices that record their breathing pattern (breath volume and frequency) and body position and movements. These monitors will be placed on their skin in the Post-Anesthesia Care Unit (PACU) and will stay on for three days, or until the patient is able to ambulate freely or until their hospital discharge, whichever comes earlier. Investigators will analyze the association between the frequency, duration and intensity of various activities (e.g., sitting, walking) and breathing and other clinical complications, in combination with medications received and other hospital course events.

Being tested
ExSpiron and ActivPAL Monitors
Keywords
hypoventilation, postoperative activity, abdominal surgery, mobilization, predicted minute ventilation (MVPred), accelerometer, chest monitor, postoperative pulmonary complications, surgical outcomes
Medical subject headings
Hypoventilation, Hypoxia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ExSpiron and ActivPAL MonitorsDevice

    ExSpiron chest monitor will be placed on the chest ActivPAL accelerometer will be placed on the chest and thigh

Study groups in NCT06239831
Study groupRoleWhat they receive
Postoperative monitoringActivPAL accelerometer will be placed on the chest and thigh, an ExSpiron monitor placed on the chest, and the patient will be observed for three days, until fully ambulatory (able to walk 30 meters without assistance with or without a walker), or until discharge; whichever comes earlier.
Receives: Device: ExSpiron and ActivPAL Monitors

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Hypoventilation

    Minutes per hour of hypoventilation which is defined as <40% of a predicted minute ventilation volume

    Measured: First 3 postoperative days

Secondary outcomes (31)
  1. Variability of MV

    Variability of minute ventilation (MV)

    Measured: Through postoperative day 3

  2. Variability of VT

    Variability of tidal volume (VT)

    Measured: Through postoperative day 3

  3. Variability of RR

    Variability of respiratory rate (RR)

    Measured: Through postoperative day 3

  4. Events of Low MV

    Total number of events of low minute ventilation (MV)

    Measured: Through postoperative day 3

  5. Events of Low VT

    Total number of events of low tidal volume (VT)

    Measured: Through postoperative day 3

  6. Events of Low RR

    Total number of events of low respiratory rate (RR)

    Measured: Through postoperative day 3

  7. Percentage of time free of low or high MV

    The percentage of hours per day free of any low or high minute ventilation (MV)

    Measured: Through postoperative day 3

  8. Percentage of time free of low or high VT

    The percentage of hours per day free of any low or high tidal volume (VT)

    Measured: Through postoperative day 3

  9. Percentage of time free of low or high RR

    The percentage of hours per day free of any low or high resting rate (RR).

    Measured: Through postoperative day 3

  10. Duration of low MV

    Duration of low minute ventilation (MV)

    Measured: Through postoperative day 3

  11. Duration of low VT

    Duration of low tidal volume (VT)

    Measured: Through postoperative day 3

  12. Duration of low RR

    Duration of low respiratory rate (RR)

    Measured: Through postoperative day 3

  13. Duration of high MV

    Duration of low or high minute ventilation (MV)

    Measured: Through postoperative day 3

  14. Duration of high TV

    Duration of high tidal volume (VT)

    Measured: Through postoperative day 3

  15. Duration of high RR

    Duration of high respiratory rate (RR)

    Measured: Through postoperative day 3

  16. Postoperative Pulmonary Complication (PPC) Incidence

    Incidence of Postoperative Pulmonary Complications, or PPCs

    Measured: Through postoperative day 7

  17. Postoperative Pulmonary Complication (PPC) Severity

    Postoperative Pulmonary Complications, or PPCs, will be observed in their severity. PPC severity is defined as the most serious from Grade 0 (none) to Grade 4 (severe)

    Measured: Through postoperative day 7

  18. Time After Surgery to Sitting

    Time it takes for the patient to sit in a chair after surgery

    Measured: Through postoperative day 3

  19. Time After Surgery to Ambulating

    Time it takes for the patient to ambulate with and without help

    Measured: Through postoperative day 3

  20. Total Minutes Walking

    Patient's total minutes of walking

    Measured: Through postoperative day 3

  21. Total Walking Distance

    Patient's total walking distance (in meters)

    Measured: Through postoperative day 3

  22. Frequency of Ambulation

    How many times the patient gets up to ambulate

    Measured: Through postoperative day 3

  23. Time Spent in Bed

    After the surgery, the patient's minutes spent in bed

    Measured: Through postoperative day 3

  24. Time Spent in Sitting

    After the surgery, the patient's minutes spent sitting

    Measured: Through postoperative day 3

  25. Time Spent Standing

    After the surgery, the patient's minutes spent standing

    Measured: Through postoperative day 3

  26. Time Spent Walking

    After the surgery, the patient's minutes spent walking

    Measured: Through postoperative day 3

  27. Average Speed of Ambulation

    After the surgery, the patient's average speed of ambulating

    Measured: Through postoperative day 3

  28. First Postoperative Day Achieving Independent Ambulation

    After the surgery, the patient's first day of ambulating by his or herself for 30 meters

    Measured: Through postoperative day 3

  29. Metabolic Equivalent of Task (MET) Score of Physical Activity

    After the surgery, the patient's intensity of physical activity measured in METs

    Measured: Through postoperative day 3

  30. Other complications

    Incidence of any non-respiratory complications

    Measured: Through postoperative day 7

  31. Adverse events

    Incidence of any adverse events

    Measured: Through postoperative day 7

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Feb 2024
  2. Study start22 Dec 2022
  3. Primary completion22 Dec 2025 (estimated)
  4. Study completion22 Jun 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06239831
Sponsor's protocol ID
22-2268
Status last verified
Apr 2025
First submitted
28 Sep 2023
Last updated
30 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Fernandez-Bustamante A, Parker RA, Sprung J, Eikermann M, Gama de Abreu M, Ferrando C, Thompson BT, Vidal Melo MF. An anesthesia-centered bundle to reduce postoperative pulmonary complications: The PRIME-AIR study protocol. PLoS One. 2023 Apr 6;18(4):e0283748. doi: 10.1371/journal.pone.0283748. eCollection 2023.

    PubMed 37023031
  • Lawrence VA, Hilsenbeck SG, Mulrow CD, Dhanda R, Sapp J, Page CP. Incidence and hospital stay for cardiac and pulmonary complications after abdominal surgery. J Gen Intern Med. 1995 Dec;10(12):671-8. doi: 10.1007/BF02602761.

    PubMed 8770719
  • Fernandez-Perez ER, Sprung J, Afessa B, Warner DO, Vachon CM, Schroeder DR, Brown DR, Hubmayr RD, Gajic O. Intraoperative ventilator settings and acute lung injury after elective surgery: a nested case control study. Thorax. 2009 Feb;64(2):121-7. doi: 10.1136/thx.2008.102228. Epub 2008 Nov 6.

    PubMed 18988659
  • Canet J, Gallart L, Gomar C, Paluzie G, Valles J, Castillo J, Sabate S, Mazo V, Briones Z, Sanchis J; ARISCAT Group. Prediction of postoperative pulmonary complications in a population-based surgical cohort. Anesthesiology. 2010 Dec;113(6):1338-50. doi: 10.1097/ALN.0b013e3181fc6e0a.

    PubMed 21045639
  • Shander A, Fleisher LA, Barie PS, Bigatello LM, Sladen RN, Watson CB. Clinical and economic burden of postoperative pulmonary complications: patient safety summit on definition, risk-reducing interventions, and preventive strategies. Crit Care Med. 2011 Sep;39(9):2163-72. doi: 10.1097/CCM.0b013e31821f0522.

    PubMed 21572323
  • Nijbroek SG, Schultz MJ, Hemmes SNT. Prediction of postoperative pulmonary complications. Curr Opin Anaesthesiol. 2019 Jun;32(3):443-451. doi: 10.1097/ACO.0000000000000730.

    PubMed 30893115
  • Kor DJ, Lingineni RK, Gajic O, Park PK, Blum JM, Hou PC, Hoth JJ, Anderson HL 3rd, Bajwa EK, Bartz RR, Adesanya A, Festic E, Gong MN, Carter RE, Talmor DS. Predicting risk of postoperative lung injury in high-risk surgical patients: a multicenter cohort study. Anesthesiology. 2014 May;120(5):1168-81. doi: 10.1097/ALN.0000000000000216.

    PubMed 24755786
  • Sabate S, Mazo V, Canet J. Predicting postoperative pulmonary complications: implications for outcomes and costs. Curr Opin Anaesthesiol. 2014 Apr;27(2):201-9. doi: 10.1097/ACO.0000000000000045.

    PubMed 24419159
  • Brueckmann B, Villa-Uribe JL, Bateman BT, Grosse-Sundrup M, Hess DR, Schlett CL, Eikermann M. Development and validation of a score for prediction of postoperative respiratory complications. Anesthesiology. 2013 Jun;118(6):1276-85. doi: 10.1097/ALN.0b013e318293065c.

    PubMed 23571640
  • LAS VEGAS investigators. Epidemiology, practice of ventilation and outcome for patients at increased risk of postoperative pulmonary complications: LAS VEGAS - an observational study in 29 countries. Eur J Anaesthesiol. 2017 Aug;34(8):492-507. doi: 10.1097/EJA.0000000000000646.

    PubMed 28633157
  • Futier E, Constantin JM, Paugam-Burtz C, Pascal J, Eurin M, Neuschwander A, Marret E, Beaussier M, Gutton C, Lefrant JY, Allaouchiche B, Verzilli D, Leone M, De Jong A, Bazin JE, Pereira B, Jaber S; IMPROVE Study Group. A trial of intraoperative low-tidal-volume ventilation in abdominal surgery. N Engl J Med. 2013 Aug 1;369(5):428-37. doi: 10.1056/NEJMoa1301082.

    PubMed 23902482
  • PROVE Network Investigators for the Clinical Trial Network of the European Society of Anaesthesiology; Hemmes SN, Gama de Abreu M, Pelosi P, Schultz MJ. High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial. Lancet. 2014 Aug 9;384(9942):495-503. doi: 10.1016/S0140-6736(14)60416-5. Epub 2014 Jun 2.

    PubMed 24894577
  • Milot J, Perron J, Lacasse Y, Letourneau L, Cartier PC, Maltais F. Incidence and predictors of ARDS after cardiac surgery. Chest. 2001 Mar;119(3):884-8. doi: 10.1378/chest.119.3.884.

    PubMed 11243972
  • Blum JM, Stentz MJ, Dechert R, Jewell E, Engoren M, Rosenberg AL, Park PK. Preoperative and intraoperative predictors of postoperative acute respiratory distress syndrome in a general surgical population. Anesthesiology. 2013 Jan;118(1):19-29. doi: 10.1097/ALN.0b013e3182794975.

    PubMed 23221870
  • Fernandez-Bustamante A, Frendl G, Sprung J, Kor DJ, Subramaniam B, Martinez Ruiz R, Lee JW, Henderson WG, Moss A, Mehdiratta N, Colwell MM, Bartels K, Kolodzie K, Giquel J, Vidal Melo MF. Postoperative Pulmonary Complications, Early Mortality, and Hospital Stay Following Noncardiothoracic Surgery: A Multicenter Study by the Perioperative Research Network Investigators. JAMA Surg. 2017 Feb 1;152(2):157-166. doi: 10.1001/jamasurg.2016.4065.

    PubMed 27829093

Questions about this trial

What is this clinical trial studying?

An observational study of Hypoventilation and Hypoxemia, run by University of Colorado, Denver at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 30 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Emily G. Helmer ((303)-724-2938, emily.helmer@cuanschutz.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Hypoventilation (time frame: First 3 postoperative days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06239831, which also lists 61 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Apr 2025.

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