Preoperative Strength-resistance Training in Valvular Heart Disease Patients
- Conditions
- Exercise Based Prehabilitation in Valvular Surgery
- Interventions
- Other: Exercise based prehabilitation
- Registration Number
- NCT05911191
- Lead Sponsor
- Cardenal Herrera University
- Brief Summary
Cardiovascular diseases (CVD) are a group of illnesses that include coronary heart disease, cerebrovascular disease, congenital heart disease, and deep vein thrombosis. CVD is the leading cause of mortality worldwide, representing 31% of deaths. In Spain, CVD caused 24% of all deaths in 2020. Major surgery is often chosen as the treatment of choice for CVD. The concept of fast-track rehabilitation after surgery appeared in the 1970s. Participation in these exercise-based prehabilitation programs may decrease postoperative complications and length of hospital stay.
The purpose of the present study is to evaluate whether the implementation of an additional resistance training (RT) prehabilitation protocol within a cardiac exercise-based prehabilitation can reduce ICU length of stay, postoperative complications, and hospital length of stay (LOS). Additionally, the secondary objective is to determine whether a program that includes RT in addition to respiratory and aerobic training can have better effects on ventilatory variables.
This study follows the protocol of a prospective, parallel, non-randomized clinical trial. Ninety-six adult patients diagnosed with valvular pathology and who have been scheduled for surgery will be included. The control group will be treated with ventilatory and strengthening of respiratory muscles, as well as aerobic exercise. The experimental group, in addition, will receive RT targeting peripheral muscles. Variables such as hospital stay, quality of life, respiratory values, and exercise capacity will be evaluated. Quantitative variables will be analyzed using a t-test or ANOVA, or Mann-Whitney test if the distribution is non-parametric.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 96
- adult patients diagnosed with valvular pathology who have been admitted as candidates for cardiac surgery for the first time, and who have been scheduled for surgery
- stage 4 or 5 renal failure, low ejection fraction, Euroscore greater than 15 (Nashef et al., 2012) , non-ST-segment elevation acute coronary syndrome (NSTEACS), coronary artery disease, or need for urgent intervention
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Experimental Exercise based prehabilitation Addittionally, a preoperative musculoskeletal and cardiopulmonary rehabilitation program focused on peripheral resistance training, will be implemented in the experimental group
- Primary Outcome Measures
Name Time Method EuroQoL-5D 1 year Perception of quality of life
Length of stay in ICU 1 year length of ICU stay from admission until the transfer of the patient to his room
length of stay in hospital 1 year length of hospital stay from admission to discharge
- Secondary Outcome Measures
Name Time Method Peak expiratory flow 1 year the maximum flow that a person can exhale during a brief maximal expiratory effort after full inspiration
Respiratory pressures 1 year the strength of the respiratory muscles, both at diaphragmatic (inspiratory) and abdominal and intercostal (expiratory) levels
Exercise capacity 1 year Patient's ability to perform physical exertion
Inspiratory capacity 1 year the volume of air that can be inspired by the resting inspiratory position
Trial Locations
- Locations (1)
Hospital Universitario de La Ribera, Alzira
🇪🇸Alzira, Valencia, Spain
Hospital Universitario de La Ribera, Alzira🇪🇸Alzira, Valencia, Spain