Can an exercise programme before cardiac surgery increase patient fitness and improve surgical outcomes?

Not Applicable

Completed

• Conditions: Cardiac surgery; Surgery

• Registration Number: ISRCTN13860094
• Lead Sponsor: South Tees Hospitals NHS Foundation Trust

Brief Summary

2023 Protocol article in https://pubmed.ncbi.nlm.nih.gov/36604134/ (added 09/01/2023)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2019-10-24
• Study Completion: 2023-04-30
• Last Update Posted: 5 June 2023

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 180

Inclusion Criteria

1. Patients listed for elective cardiac surgery at the James Cook University Hospital
2. Age > = 18 years
3. Ability to provide written informed consent

Exclusion Criteria

1. Unstable angina/ indication for urgent surgery
2. Malignant arrhythmias
3. Pregnancy
4. Currently participating in another interventional clinical trial
5. Contraindications to cardiac prehabilitation:
5.1 Acute systemic illness or fever
5.2 Uncontrolled atrial or ventricular arrhythmias
5.3 Uncontrolled sinus tachycardia (HR> 120 bpm)
5.3 Acute pericarditis or myocarditis
5.4 Uncompensated HF
5.5 Third degree (complete) atrioventricular (AV) block without pacemaker
5.6 Recent embolism
5.7 Severe Musculoskeletal conditions that would prohibit exercise
6. Contraindications to inspiratory muscle training:
6.1 History of spontaneous pneumothorax/ incomplete recovery following traumatic pneumothorax
6.2 Asthma patients who suffer from frequent, severe exacerbations
6.3 Recently perforated ear drum (within last 3 months)
6.4 Large lung Bullae

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Change in exercise capacity measured by the 6-minute walk test (6MWT) from baseline to post-prehabilitation intervention (at 4-weeks and prior to surgery)