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Multimodal Prehabilitation of Frail Patients Undergoing Elective Knee or Hip Replacement

RecruitingNAAges 70 Years - anyAllUniversity of Iceland
NCT07465159 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Background: Frailty is a geriatric syndrome of reduced physiologic reserve that increases surgical risk and is common among older adults undergoing hip or knee replacement. While prehabilitation has shown promise in enhancing outcomes, evidence from randomized controlled trials (RCTs) in frail orthopedic patients is limited. Objective: This study aims to evaluate the feasibility and preliminary data on the effectiveness of a multimodal prehabilitation program for frail patients undergoing elective hip or knee arthroplasty. Methods: A pilot RCT will be conducted at Landspítali-University Hospital. Patients ≥70 years scheduled for surgery with ≥2 months waiting time will be screened for frailty using PRISMA-7, the Clock Drawing Test, and Timed Up \& Go. Patients screening positive for any of the three screening tools will be randomized to multimodal prehabilitation or standard of care. T

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📋 Eligibility rules (as published)
Inclusion Criteria: * Patients aged 70 years or older assigned to undergo hip/knee replacement at Landspítali University Hospital. * Inclusion will be offered to patients who have previously presented at the outpatient orthopedic department and been scheduled for an elective (with a waiting period ≥2 months before surgery) hip/knee replacement. * Patients who are willing to participate and sign informed consent and are willing to be randomized to the control or intervention arm. Exclusion Criteria: * Patients who screen negative for all frailty tools will be excluded from the study. * Patients who are already in active physiotherapy, meeting with a physiotherapist \>1 every month, will also be excluded. * In addition, those who do not undergo planned surgery, are undergoing redo hip/knee prosthesis replacement will be excluded
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What it tests

  • Multimodal Prehabilitation
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Where

1 site
Landspitali University hospital
Reykjavik, Iceland
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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