Multidisciplinary prehabilitation in older persons undergoing cardiac surgery: a pilot study

Not Applicable

• Conditions: cardiac surgery; elderly; frail; Cardiovascular - Coronary heart disease; Physical Medicine / Rehabilitation - Physiotherapy

• Registration Number: ACTRN12623001036606
• Lead Sponsor: SW

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2023-09-25
• Last Update Posted: 3 October 2023

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 12

Inclusion Criteria

Age: 65 years and older

Clinical Frailty Score (CFS) 3-7 as assessed by Cardiothoracic surgery clinical nurse specialist (CNC), cardiologist, cardiothoracic surgeon or study personnel, at the time of agreeing to surgery at the surgeons’ rooms (including private rooms) or heart team meeting or at preadmission clinic.

Elective cardiac interventions include: elective coronary artery bypass graft surgery (CABG); aortic valve repair/replacement; mitral valve repair/replacement or combined coronary artery bypass/valve procedure, Bentall’s and transcatheter aortic valve implantation (TAVI).
Participants with an estimated 2 or more weeks of surgical waiting list time.
Ability to provide informed consent for participation and able to communicate in English.
A family member is encouraged to be present for any participant who is performing aerobic training at home.

Exclusion Criteria

Participants with unstable or recently unstable cardiac syndrome/haemodynamic instability (New York Heart Association Class IV, critical left main coronary artery disease, acute coronary syndrome (ACS) before phone interview).
Participants with severe aortic or mitral stenosis whom cardiac surgeons and/or cardiologist advise not to participate in this study/exercise programs. Such participants may be referred to see a geriatrician and/or a dietitian as indicated separately to the study. Participants awaiting urgent or emergency cardiac interventions with estimated wait time of less than 2 weeks.
Participants without medical clearance and or deemed not fit” to exercise from the surgeons or cardiologist review.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Primary outcome is proportion of participants who complete the program.<br>Proportion of participants who complete the program prior to the surgery assessed by patient interview, exercise diary and during telehealth. [ Upon conclusion of the study intervention];<br>Adverse events<br>We do not anticipate any serious adverse event with any exercise program. Participants are provided with home exercise diary and report any problems, such as pain or discomfort so that appropriate advice and necessary change in exercise training can be made. staff will check whether the training sessions lead to any symptoms, injuries of any adverse events during telehealth.[ Upon completion of study intervention]