Preoperative Physical Activity Level Measurement by Accelerometer for Predicting Post-Hepatectomy Complications: A...

Area of Science:

• Hepatobiliary Surgery
• Surgical Outcomes Research
• Wearable Technology in Medicine

Background:

• Accelerometers are increasingly used globally.
• Assessing preoperative physical activity is crucial for surgical outcomes.
• Predicting post-hepatectomy complications remains a clinical challenge.

Purpose of the Study:

• To investigate if preoperative physical activity levels, measured by accelerometers, can predict post-hepatectomy complications.
• To identify independent risk factors for complications after hepatectomy.

Main Methods:

• 185 patients undergoing hepatectomy had physical activity measured via accelerometer preoperatively and postoperatively.
• Comparison of patients with and without complications using statistical tests (chi-squared, Fisher's exact, t-test, Mann-Whitney U).
• Multivariate analysis to identify independent risk factors.

Main Results:

• Patients with complications had higher rates of anatomical resection and lower rates of laparoscopic hepatectomy.
• Average preoperative physical activity was significantly lower in patients with complications (84.5 kcal/day) compared to those without (150.6 kcal/day).
• Blood loss, operative time, and preoperative physical activity level were identified as independent risk factors.

Conclusions:

• Lower preoperative physical activity levels are associated with increased risk of post-hepatectomy complications.
• Accelerometer-based physical activity measurement is a potentially valuable tool for predicting these complications.
• Preoperative assessment of physical activity may guide patient management and risk stratification.