Impact of an Early Mobilization Program on Functional Capacity After Coronary Artery Bypass Surgery: a Protocol of Randomized Controlled Trial.
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Postoperative; Dysfunction Following Cardiac Surgery
- Sponsor
- Luciana Chiavegato
- Enrollment
- 52
- Primary Endpoint
- Functional Capacity
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The objective of this study is to investigate the effects of a program of early mobilization in the functional capacity in patients undergoing coronary artery bypass grafting in short and long- term.
Detailed Description
The hypotheses this study is that patients if conduct the program of early mobilization during hospitalization achieve better performance in the walk test (distance) at hospital discharge and 60 days after the surgical procedure compared to patients who only carry out the program of respiratory exercises. Intervention and control groups will receive breathing exercises up to 24 hours postoperatively, and the intervention group will also receive early mobilization exercises.
Investigators
Luciana Chiavegato
Professor of Master's and Doctoral Programs in Physical Therapy of Universidade Cidade de São Paulo
Universidade Cidade de Sao Paulo
Eligibility Criteria
Inclusion Criteria
- •Consecutive patients admitted to elective and conventional coronary artery bypass, Body Mass Index (BMI) between 20 and 30 Kg/m2, mechanical ventilation time under than 24 hours, hemodynamic stability with or without use of positive inotropes, absence of arrhythmias and angina, mean arterial pressure (MAP) 60\<PAM\<100 mmHg, heart frequency (HR) 60\<FC\<100 bpm without signs of respiratory distress such as flaring nose, use of accessory muscles, thoracoabdominal asynchrony, respiratory frequency (f) ≤ 20 bpm without signs of infection were included in this study.
Exclusion Criteria
- •: presence of previous pulmonary disease, ejection fraction under 35% or longer than 54%, reoperation, intraoperative death or any contraindications to perform the proposed measurements and/or treatment.
Outcomes
Primary Outcomes
Functional Capacity
Time Frame: All patients will be evaluated on preoperative period ( when they arrived in the hospital to do the surgery), hospital discharge ( about a mean of two weeks afeter surgery) and 60 postoperative days in cargiology ambulatory
Patients will be submitted to six minute walking test
Secondary Outcomes
- Intensive Care Unit (ICU) and Hospital length of stay(All patients will be followed for the duration of hospital stay, an expected average of 30 days)
- Postoperative pulmonary complication (PPC)(All patients will be followed for the duration of hospital stay, an expected average of 30 days)