Patient Rehabilitation Post Cardiac Surgery Based on Their Pre-op Status
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 发起方
- 试验地点
- 1
- 主要终点
- Length of time taken to the patient to get back to functional life
研究概览
简要总结
The investigators will monitor cardiac patients rehabilitation post op upon their pre op status.
详细描述
In this work we will try to monitor the patients for a longer period, starting from their hospitalization period through their rehabilitation period up to 18 months post their discharge from the hospital.
Many studies tried to evaluate different ways to predict postoperative complications following cardiac surgery, patient's survival, rehabilitation rate and duration. Today, following these studies doctors use different methods to evaluate these parameters. The Society of Thoracic Surgeons mortality risk score (STS) and the European System for Cardiac Operative Risk Evaluation (EuroSCORE) scoring system are the two most frequently used risk profile systems within the United States and Europe. The STS score is comprised of over 40 clinical parameters, whereas the EuroSCORE involves 18 clinical characteristics that comprises three categories, each weighted accordingly. Studies published recently suggest that a combination of a new frailty score and the traditional scoring systems may facilitate a more accurate risk scoring in elderly high-risk patients scheduled for conventional cardiac surgery or trans-catheter aortic valve replacement.
In this study we will try to evaluate the contribution of using a frailty score index in addition to the EuroSCORE evaluation in patients≥50 years of age, in prediction of postoperative complications following cardiac surgery.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 50 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients undergoing cardiothoracic surgery in the Cardiothoracic Surgery Department at Carmel Medical center, Haifa, Israel, between: 1.5.12-28.2.
- •Patients ≥ 50 years of age
- •Informed consent from each participant that can understand, read and sign the informed consent form.
排除标准
- •Emergent surgery, defined as a surgery for which there should be no delay due to ongoing refractory cardiac compromise.
- •Clinical instability, defined as active coronary ischemia, decompensated heart failure not yet stabilized, or any acute process causing significant symptoms or abnormal vital signs.
- •Severe neuropsychiatric condition causing inability to cooperate with the study procedures.
结局指标
主要结局
Length of time taken to the patient to get back to functional life
时间窗: 3 years
The back to functional life period will be estimated using questionnaires that will be filled by the patient before the operation and in intervals after the operation
次要结局
- Number of Participants with Adverse Events stratified by Frailty index(3 years)